Orthopedics
5/5/1999

Patient in office

O-onset
P/P-provocative/palliative
Q/Q-quality/quantity
R-radiation—always ask
S-setting/site/severity
T-time

CCHx of CC (OPPQRST)
     Past medical history
     Social and occupational history (diet, exercise, over the counter and illegal drug use, 
current and past occupations)
Regional exam(s) consistent w/ C/C
	Musculoskeletal regional exam
1.	inspection
2.	palpation—static and motion—local tenderness, swelling
3.	ROM—active, passive, resisted
4.	Orthopedic tests
5.	Neurologic evaluation—DTR, myotomes, and dermatomes
•	For cervical, insert vertebral artery screening before palpation