domestic and international fronts, the timing of the Blinken visit is widely seen as an urgent move to rally support for what has become the unplanned and unwanted centerpiece of the Biden administration’s foreign policy. 2023 Coming at a politically sensitive time on both U.S. OLD CARTS stands for:įor more memory aids, see the Geeky Medics collection of medical mnemonics.Recent Examples on the Web Comcast and Disney last week signed a modification to their agreement to bring forward the timing of their sale talks for Comcast’s stake in Hulu to Sept. OLD CARTS is an alternative mnemonic which can be used to explore the key aspects of each symptom. Alternatives to the SOCRATES acronym OLD CARTS
#Timing synonym skin
Associated symptoms: “Are there any other symptoms that seem associated with the rash?” “Have you noticed the skin lesion itching or bleeding?”.Radiation: “Has the rash spread anywhere else?”.Character: “How does the rash feel when you touch it?” “What is the shape of the rash?”.Onset: “ When did you first notice the rash?”.Severity: “On a scale of 1-10, how severe would you rate your shortness of breath?”įor more information, see the Geeky Medics OSCE guide to taking a respiratory history.Exacerbating and relieving factors: “Does anything make the shortness of breath worse?” “Does anything make the shortness of breath better?”.Timing: “How has the shortness of breath changed over time?”.Associated symptoms: “Are there any other symptoms that seem associated with the shortness of breath?”.“tight chest”, “can’t take a deep breath”) Character: “ How would you describe the shortness of breath?” (e.g.Onset: “When did the shortness of breath first start?” “Did the shortness of breath come on suddenly or gradually?”.
Using SOCRATES to explore shortness of breath Severity: “On a scale of 1-10, how severe would you rate your pain?” (this can be useful later when assessing the impact of treatment)įor more information, see the Geeky Medics OSCE guide to taking a chest pain history.Exacerbating and relieving factors: “Does anything make the pain worse?” “Does anything reduce the pain?”.Timing: “How long has the chest pain been present?”.shortness of breath, pre-syncope, syncope) Associated symptoms: “Have you developed any other symptoms?” (e.g.Radiation: “Does the pain move anywhere else?”.Character: “What kind of pain are you experiencing?” (e.g.Onset: “How quickly did the pain reach its maximum intensity?”.The examples show how SOCRATES can be used for a wide variety of symptoms, not just when taking a pain history. These are three examples of using SOCRATES to explore different presenting complaints: chest pain, shortness of breath and a rash. “On a scale of 0-10, how severe is the, if 0 is no and 10 is the worst you’ve ever experienced?”.“Does anything make the better?”Īssess the severity of the symptom by asking the patient to grade it on a scale of 0-10:.“How has the changed over time?”Īsk if anything makes the symptom worse or better:.“Are there any other symptoms that seem associated with the ?”Ĭlarify how the symptom has changed over time:.
“Is the constant or does it come and go?”Īsk if there are other symptoms which are associated with the primary symptom:.“How long have you been experiencing ?”Īsk about the specific characteristics of the symptom:.“Did the come on suddenly or gradually?”.“Can you point to where you experience the ?”Ĭlarify how and when the symptom developed:.breathlessness or fatigue) will not have a specific anatomical location or radiation. Each section of SOCRATES is described below, with example questions.ĭepending on the patient’s symptoms, not all parts of SOCRATES may be relevant. SOCRATES provides a structured framework for taking a medical history. What does the SOCRATES acronym stand for? You may also be interested in our history taking guides which include interactive OSCE checklists to help practice your history taking skills.
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