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The secondary assessment is a process of differentiating between two or more conditions that share similar signs or symptoms. The assessment includes a focused medical history and searching for and treating underlying causes like the H's and the T's. Ask specific questions related to the patient's presentation and consider using the memory aid SAMPLE for your evaluation. SAMPLE stands for: S- Signs and symptoms, A- Allergies. M- Medications, P- Past medical history, L- stands for last meal consumed and E- the events that lead up to the condition.