[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573556-105":53,"doc-detail-573556-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","ctu-past-medical-history-cheat-sheet-the-pmhx-frames-the-case","CTU Past Medical History Cheat Sheet - The PMHx Frames the Case","","A practical CTU past medical history (PMHx) cheat sheet outlining the 8 most common PMHx domains and the specific data points expected for case presentation. It defines essentials and “bonus” items for each condition, including heart failure severity and echo metrics, coronary artery disease events and revascularization history, diabetes complications and recent A1c, CKD etiology with baseline creatinine/eGFR and dialysis details, COPD severity with spirometry and exacerbations, cirrhosis etiology and scoring, atrial fibrillation risk and anticoagulation, and aortic stenosis echo parameters.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/ctu-past-medical-history-cheat-sheet-the-pmhx-frames-the-case/573556/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Melati","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-14",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"What PMHx topics does the cheat sheet cover?","Question",{"text":102,"@type":103},"It covers 8 common PMHx items: heart failure, coronary artery disease, diabetes, CKD, COPD, cirrhosis, atrial fibrillation, and aortic stenosis.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"What “essentials” data should be collected for heart failure?",{"text":107,"@type":103},"Collect the cause (top ischemia/HTN/valve/arrhythmia), the last echo/ejection fraction with HFrEF/HFmEF/HFpEF ranges, and functional status using the NYHA class.",{"name":109,"@type":100,"acceptedAnswer":110},"For atrial fibrillation, what key details are expected?",{"text":111,"@type":103},"Capture the cause type (valvular vs non-valvular), the last echo findings and EF/atrial enlargement/valve disease, CHADS2 if non-valvular, anticoagulation choice, and rate versus rhythm strategy including prior ablation.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},573556,1791942617,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":129,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":61,"update_tm":119,"read_time":4},962085570644,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Derin Karacabeyli, SPH CMR July 2021  \nThe CTU past medical history cheat sheet – The PMHx frames the case for your listener. The following are the 8 most common PMHx items, and the details we expect that you collect:  \n1. Heart failure:  \na. Essentials: Cause (top 4: ischemia, HTN, valve, arrhythmia), last echo/ejection fraction (≤40% is HFrEF, 41-50% is HFmEF, >50% is HFpEF), functional status (NYHA class)  \nb. Bonuses: Outpatient internist or cardiologist,“dry” weight  \n2.  Coronary artery disease:  \na. Essentials: What happened (STEMI vs. NSTEMI vs. stable CAD); Stents (when and where) or CABG (when and how many vessels)? Last echo/EF/wall motion abnormalities  \nb. Bonuses: Last cath results – where is the residual disease (if any); Outpatient internist or cardiologist  \n3. Diabetes  \na. Essentials: Type 1 or 2? Last A1c? Micro (retinopathy, neuropathy, nephropathy) or macrovascular (MI, stroke, peripheral vascular disease) complications? Home insulin?  \nb. Bonuses: Outpatient endocrinologist or internist, uACR  \n4. CKD  \na. Essentials: Cause (most common: HTN and diabetes)? Baseline Cr and/or eGFR? uACR? On peritoneal or hemodialysis? If so, which days do they dialyze and through what access (e.g., fistula? Permacath?)  \nb. Bonuses: Outpatient nephrologist?“Dry” weight  \n5. COPD  \na. Essentials: FEV1/FVC ratio and last FEV1 (if you can find it)? Home O2 (and how much)? Number of exacerbations in the last year (and severity – did they need admission, BI PAP, or intubation)? Smoking history (in pack years, and whether still smoking)? Functional status (mMRC)?  \nb. Bonuses: Outpatient respirologist or internist  \n6. Cirrhosis  \na. Essentials: cause (most common: EtOH, Hep C), severity (Child Pugh or MELD score), previous complications (varices? Ascites and/or SBP? Hepatic encephalopathy? Last abdo US (for HCC screening and features of portal HTN)  \nb. Bonuses: Outpatient GI or internist  \n7. Atrial fibrillation  \na. Essentials: cause (valvular or non-valvular), last echo (EF, atrial enlargement, valve disease), CHADS2 score (if non-valvular), anti-coagulation (warfarin, DOAC, or none?), and rate or rhythm strategy (beta blocker vs. anti-arrhythmic vs. previous ablation)  \nb. Bonuses: Outpatient cardiologist or internist  \n8. Aortic stenosis  \na. Essentials: Cause (most common: calcification, rheumatic, bicuspic), Last echo (write down 3 things: aortic valve area, mean gradient, and peak velocity)  \nb. Bonuses: outpatient cardiologist or internist","cbCaih5i66Q458Wv","https://ap.wps.com/l/cbCaih5i66Q458Wv","pdf",63034,"English","# Heart failure\n# Coronary artery disease\n# Diabetes\n# CKD\n# COPD\n# Cirrhosis\n# Atrial fibrillation\n# Aortic stenosis","[{\"question\":\"What PMHx topics does the cheat sheet cover?\",\"answer\":\"It covers 8 common PMHx items: heart failure, coronary artery disease, diabetes, CKD, COPD, cirrhosis, atrial fibrillation, and aortic stenosis.\"},{\"question\":\"What “essentials” data should be collected for heart failure?\",\"answer\":\"Collect the cause (top ischemia/HTN/valve/arrhythmia), the last echo/ejection fraction with HFrEF/HFmEF/HFpEF ranges, and functional status using the NYHA class.\"},{\"question\":\"For atrial fibrillation, what key details are expected?\",\"answer\":\"Capture the cause type (valvular vs non-valvular), the last echo findings and EF/atrial enlargement/valve disease, CHADS2 if non-valvular, anticoagulation choice, and rate versus rhythm strategy including prior ablation.\"}]","CTU Past Medical History Cheat Sheet - The PMHx Frames the Case | PDF"]