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4) History of Present Illness: The HPI is the central component of this history and should: ​ Provides a chronological description of the patients story, usually addressing the story of the symptoms first. (manifestations/symptoms of illness, interventions, patient interpretations).
Key Elements of an HPI Form Onset: When did the symptoms start? Location: Where are the symptoms located? Duration: How long have the symptoms been present? Character: What is the nature of the symptoms (e.g., sharp, dull, throbbing)? Aggravating factors: What makes the symptoms worse?
History of Present Illness: Patient is a 48 year-old well-nourished Hispanic male with a 2-month history of Rheumatoid Arthritis and strong family history of autoimmune diseases presenting after an episode of lightheadedness and muscle weakness.
The HPI is a chronological description of the development of the patients present illness from the first sign and/or symptom or from the previous encounter to the present.
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