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LESSON 1 HISTORY TAKING all Questions & answers
LESSON 1 HISTORY TAKING all Questions & answers
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LESSON 1: HISTORY TAKINGComponents of a Complete Health History-✔✔Biographic Data
Chief Complaint
History of Present Illness
Past Health History
Family Health History
Drug History
Lifestyle and Health Practices / Personal and Social History
Importance of History Taking-✔✔Obtaining an accurate history is the
critical first step in determining the etiology of a patient’s illness
Diagnosis in medicine is based on:-✔✔Clinical History
Physical Examination
Laboratory Tests
Types of Communication-✔✔Verbal
Nonverbal
Verbal Communication-✔✔Open-ended questions
Closed-ended questions
Open-Ended Questions-✔✔Needs explanation
Closed-Ended Questions-✔✔Usually a 1-word answer (yes/no)
Nonverbal Communication-✔✔Appearance
Demeanor
Facial Expression
Attitude
Silence
Important Steps in History Taking-✔✔Introduce yourself
Explain the procedure
, Assure confidentiality
Record the date and time of exam
Demographics-✔✔Name
Gender
Marital status
Age
Ethnic group
Address
Chief Complaint-✔✔Presents the main problem
Note the answers in the patient’s own words
Note the associated complaints
History of the Present Illness-✔✔Includes the full details of the history of
the main complaint
Onset - sudden or gradual
Describes the progression of the complaint until examination
7 Attributes of a Symptom-✔✔Location
Quality
Severity
Timing (Onset, Duration, Frequency)
Setting in which it occurs
Influencing Factors
Associated Manifestations
SOCRATES-✔✔Site
Onset
Character
Radiation
Association
Time Course
Exacerbating/Relieving Factors
Severity
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