General History taking of patients. It's more focussed on surgery history taking.

1. HISTORY
TAKING

2. 1. PARTICULARS OF PATIENT
A. NAME – Help to elicit history properly and provide psychological benefit to patient.
B. AGE- Certain disease are peculiar to a particular age.
e.g Acute osteomyelitis, wilms tumor of kidney in infants
C. SEX-
D. RELIGION- Ca penis rarely seen in Jews and muslims (compulsory circumcision in infants)
E. SOCIAL STATUS-
F. OCCUPATION
G. RESIDENCE-

3. CHIEF COMPLAINTS
Complaints of the patients recorded in his own words &
Duration.

4. HISTORY OF PRESENT ILLNESS
• History commences from begning of the first symptoms and extends to the time of
examination.
• A. Mode of onset of symptoms- whether sudden or gradual
• B. progress of the diseasewith evolution of symptoms in exact order
• C. Treatment patient might have received

5. • PAST HISTORY
• All the disease suffered by the patient previous to the present one should be noted and recorded in chronological order.
• ASSOCIATED DISEASES
• Patients may be suffering from associated medical disease apart from the one which he is complaing of like. DM,TB,HTN
• PERSONAL HISTORY
• Ask for patients habit of smoking,drinking alcohol, diet
• FAMILY HISTORY
• Many disease are familial like Hemophilia, DM, Essential hypertension

6. PHYSICAL EXAMINATION
GENERAL
SURVEY
LOCAL
EXAMINATION
GENERAL
EXAMINATION

7. GENERAL
SURVEY
• GENERAL ASSESMENT OF ILLNESS---
• IMPORTANT TO ASSESS IF PATIENT
CAN BE FULLY EXAMINED OR HAS TO
BE RAPIDLY TREATED
• MENTAL STATUS & INTELLIGENCE
• STAGES IMP IN HEAD INJURY-
• NORMAL
• NOT ORIENTED
• DROWSY
• STUPOROUS
• COMATOSE

8. • BUILD & STATE OF NUTRITION
• ATTITUDE
• GAIT
• FACIES
• DECUBITUS
• SKIN COLOUR- PALLOR, CYANOSIS, JAUNDICE
• SKIN ERUPTIONS
• MACULES---PAPULES---VESCICLES---
• PUSTULES---WHEALS
• PULSE
• RESPIRATION
• TEMPERATURE

9. LOCAL
EXAMINATION
INSPECTION
PALPATION
PERCUSSION
AUSCULTATION
MOVEMENTS & MEASUREMENTS
LYMPH NODES

10. GENERAL
EXAMINATION
HEAD & NECK
i.CRANIAL NERVE 3 4 5 6 7 9 11 12
ii.EYES
iii.MOUTH & PHARYNX
iv.MOVEMENT OF NECK, NECK VEIN
v.LYMPH NODES, CAROTID PULSES &
• THYROID
• UPPER LIMBS
I. GENERAL EXAMINATION WRT NERVE AND
VASCULAR SUPPLY
II. AXILLA AND DRAINING LYMPH NODES
III. JOINTS
IV. FINGERS AND NAILS

11. THORAX
I. TYPE OF CHEST
II. BREASTS
III. ANY VASCULAR ENGORGEMENT OR
DIALATATION
IV. APEX BEAT
V. LUNGS WHOLE IPPA
VI. HEART WHOLE IPPA

12. ABDOMEN
I. ABDOMINAL WALL
II. ABDOMINAL REFLEXES
III. VISIBLE PERISTALSIS OR PULSATION
IV. GEN. PALPATION, PERCUSSION &
AUSCULTATION
V. HERNIAL ORIFICES
VI. GENETALIA
VII.INGUINAL GLANDS
VIII. RECTAL EXAMNATION
IX. GYNEAC EXAMINATION

13. • LOWER LIMBS
I. GENERAL EXAMINATION
II. VARICOSE VEINS
III. EDEMA
IV. JOINTS
• EXTERNAL GENITALIA EXAMINATION
• PROVISIONAL DIAGNOSIS
BASED ON PREVIOUS DATA, ALSO THINK OF D/D AND RARE DISEASES

14. THANK YOU