How to take a medical history?

How to take a medical history?

A-   Personal history:-

1-     Complete name

2-     Sex

3-     Age

4-     Occupation

5-     Address

6-     Marital state

7-     Special habits of medical importance

8-     Menstruation

B-   Complaint:-

Patient main complaint in his own words with avoidance for multiple complaints

C-   History of present illness:-

Starting from the last time at which the patient was completely healthy, we mention the symptoms and analyze each of them according to

1-     Onset “Acute – gradual – Accidental”.

2-     Course “Regressive – progressive – stationary – remission and exacerbation”.

3-     Duration “Short – long”

D-   Past history:-

We mention previous illness, similar attacks, surgical operations, drug treatment and blood transfusion.

E-   Family history:-

We mention any history of consanguinity or similar conditions in the patient’s family.

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