Taking a thorough patient history is the most important first step in the general patient approach. The history should cover the chief complaint, history of the present illness, past medical history, personal and family history, medication history, and a full systems review. A comprehensive physical examination involves examining the patient's general appearance and vital signs, and evaluating each body system. Appropriate investigations including lab tests, imaging, and pathology help arrive at the top diagnosis. Treatment and management are aimed at curing or relieving the disease. Prevention advice and medications are provided to ensure the disease does not recur.

1. GENERAL PATIENT APPROACH
BY
Dr.PAL K.BOL,MD
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2. Approach to patient with diseases
• A.History taking
• B.Pysical examination
• C.Investigations
• D.Top diagnosis
• E.Treatment/Management
• F. Prevention
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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
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4. • 5.Personal social and Family history
• 6. Medication history
• 7. systemic review.
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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
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6. C.Investigations
• 1.Laboratory investigation
• 2.Radiologic investigation
• 3. Pathologic investigation
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7. D.Top diagnosis
• This is refer to the most likely disease among
your diferrential diagnosis
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8. E.Teatment
• Refer to management process that is given to
cure or relieve the disease.
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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.
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