History Taking

1. Clinical Class
Final Year MBBS
Manqoosh ur Rehman
Associate Professor Orthopaedic Surgery
Multan Medical & Dental College

2. History Taking
Trauma & Orthopedics

3. • Introduction
• Presenting Complaint
• History of Present Illness
• Systemic History
• Past History
• Family History
• Birth, Developmental & Menstrual History
• Personal History & Socioeconomic Status

4. Introduction
• Name
• Age
• Gender
• Occupation
• Address

5. Presenting Complaint
• Complaint that made the patient to come to
hospital
• Chronologically

6. History of Present Illness
e.g. Trauma
• Mechanism of Injury
• Main Injury
• Associated Injuries
• Initial Treatment
• Previous Treatments

7. Systemic History
• CVS
• Respiratory
• GIT
• CNS
• Genito-urinary

8. Past History
• Medical
• Surgical
• Blood Transfusion
• Drugs
• Allergy

9. Family History
• DM
• HTN
• IHD
• TB

10. Birth, Developmental & Menstrual
History
• Ante-natal
• Natal
• Post-natal
• Milestones
• Menarche & Menopause

11. Personal History
• Smoker
• Marital status & Children
• Socioeconomic Status

12. Examination

13. • Look
• Feel
• Move
• Special Tests

14. Differential Diagnosis

15. Investigations

16. Treatment