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GENERAL PATIENT APPROACH
BY
Dr.PAL K.BOL,MD
1
Approach to patient with diseases
• A.History taking
• B.Pysical examination
• C.Investigations
• D.Top diagnosis
• E.Treatment/Management
• F. Prevention
2
A.History Taking
• Taking very good history is the first and most
important step to diagnose the disease of
patient.
• There are 7 important steps that should be
followed
• 1.patient Identification.
• 2.chief complaint
• 3. History of presence illness
• 4. past medical and surgical illness
3
• 5.Personal social and Family history
• 6. Medication history
• 7. systemic review.
4
B.Physical Examination
• 1.General appearance of the patient.
• Acute,chronic or acute on chronic sick looking
• 2. Vital signs| BP,PR,RR,SAPO2,Temp
• 3. HEENT
• 4.Respiratory system
• 5.Cardiovascular system
• 6.Gastrointestinal system
• 7.Genitourinary system
• 8.Musculoskeletal system
• 9. Integumentary System
• 10.Central nervous system
5
C.Investigations
• 1.Laboratory investigation
• 2.Radiologic investigation
• 3. Pathologic investigation
6
D.Top diagnosis
• This is refer to the most likely disease among
your diferrential diagnosis
7
E.Teatment
• Refer to management process that is given to
cure or relieve the disease.
8
F.Prevention
• Refer to advise or medications you give to
your patient after treatment so that the
disease will never happen again.
• Prevention is better than cure.
9

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General pt approach.pptx

  • 2. Approach to patient with diseases • A.History taking • B.Pysical examination • C.Investigations • D.Top diagnosis • E.Treatment/Management • F. Prevention 2
  • 3. A.History Taking • Taking very good history is the first and most important step to diagnose the disease of patient. • There are 7 important steps that should be followed • 1.patient Identification. • 2.chief complaint • 3. History of presence illness • 4. past medical and surgical illness 3
  • 4. • 5.Personal social and Family history • 6. Medication history • 7. systemic review. 4
  • 5. B.Physical Examination • 1.General appearance of the patient. • Acute,chronic or acute on chronic sick looking • 2. Vital signs| BP,PR,RR,SAPO2,Temp • 3. HEENT • 4.Respiratory system • 5.Cardiovascular system • 6.Gastrointestinal system • 7.Genitourinary system • 8.Musculoskeletal system • 9. Integumentary System • 10.Central nervous system 5
  • 6. C.Investigations • 1.Laboratory investigation • 2.Radiologic investigation • 3. Pathologic investigation 6
  • 7. D.Top diagnosis • This is refer to the most likely disease among your diferrential diagnosis 7
  • 8. E.Teatment • Refer to management process that is given to cure or relieve the disease. 8
  • 9. F.Prevention • Refer to advise or medications you give to your patient after treatment so that the disease will never happen again. • Prevention is better than cure. 9