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History taking template

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Harith Alawadi

This document appears to be notes from a medical education session on taking patient histories and performing physical examinations. It includes headings for topics that would be covered in a history and physical exam such as health history, chief complaint, and present illness. However, the content under each heading only contains placeholder text in the form of series of emoji symbols instead of actual information about a patient. The document was created by Dr. Harith Alawadi and is based on Bates' Pocket Guide to Physical Examination and History Taking.

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DR HARITH ALAWADI
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 1 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Health History ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………..………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………….
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 2 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Chief Complaint: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Present Illness:
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 3 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 4 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Past History: Childhood Illnesses: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Adult Illnesses: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 5 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Medical…………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 6 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Surgical: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Ob/Gyn: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 7 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… Psychiatric: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Health Maintenance. Immunizations: …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 8 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Screening tests………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 9 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Family History ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 10 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Personal and Social History: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 11 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Review of Systems: General: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 12 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Skin: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Head, Eyes, Ears, Nose, Throat (HEENT):
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 13 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION See Present Illness: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Eyes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Ears: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Nose, sinuses: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 14 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… . *Throat (or mouth and pharynx): ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neck: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 15 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… Breasts: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… Respiratory: ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 16 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cardiovascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… Gastrointestinal:
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 17 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Urinary: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Genital:
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 18 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Peripheral Vascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 19 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Musculoskeletal: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Psychiatric: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 20 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neurologic: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Hematologic: …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 21 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Endocrine: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 22 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Physical Examination: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Vital Signs: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 23 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… . Skin: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Head, Eyes, Ears, Nose, Throat (HEENT):
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 24 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Head: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Eyes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 25 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Ears: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… . Nose: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 26 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Mouth: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neck: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 27 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Lymph Nodes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 28 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Thorax and Lungs: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 29 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION . Cardiovascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Breasts: ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 30 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Abdomen: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 31 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Genitalia: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 32 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Musculoskeletal:………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neurologic. ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 33 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Mental Status: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cranial Nerves: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 34 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cerebellar: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 35 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Sensory: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 36 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION

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History taking template

  • 2. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 1 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Health History ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………..………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………….
  • 3. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 2 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Chief Complaint: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Present Illness:
  • 4. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 3 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 5. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 4 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Past History: Childhood Illnesses: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Adult Illnesses: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 6. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 5 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Medical…………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 7. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 6 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Surgical: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Ob/Gyn: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 8. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 7 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… Psychiatric: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Health Maintenance. Immunizations: …………………………………………………………………………………………
  • 9. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 8 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Screening tests………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………
  • 10. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 9 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Family History ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 11. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 10 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Personal and Social History: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 12. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 11 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Review of Systems: General: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 13. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 12 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Skin: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Head, Eyes, Ears, Nose, Throat (HEENT):
  • 14. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 13 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION See Present Illness: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Eyes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Ears: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Nose, sinuses: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 15. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 14 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… . *Throat (or mouth and pharynx): ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neck: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 16. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 15 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… Breasts: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… Respiratory: ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 17. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 16 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cardiovascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… Gastrointestinal:
  • 18. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 17 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Urinary: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Genital:
  • 19. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 18 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Peripheral Vascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 20. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 19 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Musculoskeletal: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Psychiatric: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 21. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 20 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neurologic: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Hematologic: …………………………………………………………………………………………
  • 22. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 21 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Endocrine: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 23. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 22 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Physical Examination: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Vital Signs: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 24. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 23 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… . Skin: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Head, Eyes, Ears, Nose, Throat (HEENT):
  • 25. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 24 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Head: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Eyes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 26. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 25 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Ears: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… . Nose: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 27. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 26 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Mouth: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neck: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 28. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 27 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Lymph Nodes: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 29. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 28 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Thorax and Lungs: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 30. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 29 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION . Cardiovascular: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Breasts: ………………………………………………………………………………………… …………………………………………………………………………………………
  • 31. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 30 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Abdomen: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 32. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 31 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Genitalia: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 33. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 32 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Musculoskeletal:………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Neurologic. ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 34. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 33 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Mental Status: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cranial Nerves: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 35. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 34 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Cerebellar: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 36. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 35 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION Sensory: ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
  • 37. G.S.M MEDICAL EDUCATIONS DR HARITH ALAWADI 36 G.S.M MEDICAL EDUCATION BY: BATES’ The Pocket Guide to Physical Examination and History Taking G.S.M MEDICAL EDUCATION