History taking involves gaining information from patients through directed questioning to aid medical diagnosis and care. It is critical for determining the cause of a patient's illness, as diagnosis is often based on clinical history alone. An accurate history is obtained by addressing key components in order: chief complaint, history of present illness, past medical history, family history, and personal history. Open-ended questions allow patients to provide their own perspective, while closed questions clarify specific details chronologically. History taking is an essential medical skill developed through focused practice and attention to patient communication.
History taking (History of Physical Examination)pankaj rana
A History of Physical Examination Texts and the Conception of Bedside Diagnosis. ... Throughout this paper we construct a difference between a “bedside diagnosis,” made when the physician and patient are in each other's presence, and a “remote diagnosis,” made when the patient and physician are separated.
History taking (History of Physical Examination)pankaj rana
A History of Physical Examination Texts and the Conception of Bedside Diagnosis. ... Throughout this paper we construct a difference between a “bedside diagnosis,” made when the physician and patient are in each other's presence, and a “remote diagnosis,” made when the patient and physician are separated.
History taking in medicine is one of the challenge all medical students face. This brief guide was prepared based on the teachings of Prof.A.S.B.Wijekoon, Prof.I.Amarasinghe & many senior registrars/registrars met during my career. This explans the basics of what must be included in your history, how to plan your investigations/ treatment in a methodical way.
History taking in medicine is one of the challenge all medical students face. This brief guide was prepared based on the teachings of Prof.A.S.B.Wijekoon, Prof.I.Amarasinghe & many senior registrars/registrars met during my career. This explans the basics of what must be included in your history, how to plan your investigations/ treatment in a methodical way.
History taking- oral pathology- Sreng at UHSSreng Pouv
History taking is very important for all doctor and dentist. Therefore, all doctor and dentist must spend 5-10mins for taking history from patients because it can make doctor's or dentist's treatment efficiency and potentially. In history-taking, there are 5 vital elements. They are :
- Date collection and chief complaint.
- Present History
- Past History
- Personal History
- Family History.
In those slides, also include the behaviour of doctor or dentist.
During interview, Dentist should be :
introduce yourself and asking some normal questions => patient feel comfortable for moving forward.
always listen carefully.
keep your appearance neat and clean => gain trust.
show courteous, respectful and confidential
always be friendly and interest in patients’ problems.
keep eye contact.
History Taking
1.Name, age, sex, marital status, occupation, address (Demographics)
2. Presenting complaints
3. History of present illness
4. Systemic inquiry
5. Past history
6. Menstrual history
7. Treatment history
8. Family history
9. Personal and social history
10. Occupational history
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
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The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
2. What is History taking?
It is a process by which information is
gained by a physician by asking specific
questions to the patient
3. AIM OF HISTORY TAKING
The aim of obtaining information
useful in formulating a diagnosis and
providing medical care to the patient
4. Importance of History Taking?
► Obtaining an accurate history is the critical first
step in determining the etiology of a patient's
illness.
Diagnosis in medicine is based on
• Clinical history
• Physical Examination
• Investigations
5. • A large percentage of the time (70%),
you will actually be able to make a
diagnosis based on the history alone.
6. History may be the only pointer to the diagnosis
eg: in angina pectoris ( pain in the chest ) may be
the only evidence of IHD in absence of all other
clinical or lab investigations.
7. How to take a history ?
“Always listen to the
patient they might be
telling you thediagnosis
”.
The basis of a true history is good communication
between doctor and patient.
It takes practice, patience, understanding and
concentration.
10. Be alert and pay full attention
Approach to history taking
11. ► Ensure consent has been gained.
► Maintain privacy and dignity.
► Ensure the patient is as comfortable as
possible
► Involve the patient in the history
taking process
► Summarize each stage of the history
taking process.
Approach to history taking
12. Components of History taking
1. Patient’s profile
2. Chief complaint
3. History of the present illness
4. Past medical history
5. Family history
6. Personal history
13. 1. Patients profile
Date and Time
Name
Age
Sex
Religion
Marital status
Occupation
Address
Who gave the history?
14. 2. Chief complaint
The main reason for which the patient is trying to seek
medical help by visiting the physician.
A statement describing the symptom, problem and
diagnosis.
Usually a single symptoms, occasionally more than one
complaints eg: fever, headache, pain, etc
The patient describe the problem in their own words.
It should be recorded in patients own words.
15. How to ask for chiefcomplaint?
• What brings your here?
• How can I help you?
• What seems to be the problem?
If there is more than one complaint, it should be
written according to chronological order
2. Chief complaint
17. 3. History of the present illness
Elaborate on the chief complaint in detail
Ask relevant associated symptoms
Gain as much information about the specific
complaint.
Lead the conversation by asking questions.
Always start with an open ended question and take
the time to listen to the patient’s ‘story’.
Once the patient has completed their narrative then
closed questions can be asked to clarify .
Leading question are to be avoided.
18. Open questions allow patients to express their
own thoughts and feelings, e.g. 'Is there anything
else that you want to mention?’
Closed questions are requests for factual
information, e.g. 'When did this pain start?’
Leading questions are based on your own
assumptions that lead the patient to the answer
you want to hear.
3. History of the present illness
19. In details of present problem with- time of onset/
mode of evolution/ any investigation;treatment
&outcome/any associated +’ve or -’ve symptoms.
Avoid medical terminology and make use of a
descriptive language that is familiar to patients
Sequential presentation
Narrate in details
3. History of the present illness
20. Tips to gather information:
3. History of the present illness
S- Site
O- Onset
C- Character
R- Radiation (of pain or discomfort)
A- Alleviating factors
T- Timing
E- Exacerbating factors
S- Severity
21. The patient was apparently well 1 week before
the admission when the patient fell while
gardening and cut his foot with a stone. By that
evening, the foot became swollen and patient
was unable to walk.
3. History of thepresent illness
22. Next day patient attended a private clinic
where they gave him some oral medicines.
The patient doesn’t know the name of the
medicines given but says that he was told
the medicine would suppress his leg pains.
However there was no improvement in his
condition.
23. Two days prior to admission in GTB
hospital, the swelling in the foot started to
discharge pus. There is high fever and rigors
with nausea and vomiting.
24. 4. Past medical history
Any history of similar complaint in the past
Other medical problems the patient has or had
Any chronic disease present like hypertension,
diabetes etc
Past hospitalizations and past surgeries
H/o travel ( abroad or disease- prone areas)
25. 4. Past medical history-cont…
Medications if any taken in the past (dosage and duration)
Allergies
Pediatric: Birth history, Developmental
Milestones, Immunizations
Gyane/Obstetric history if female
26. 5. Family history
It is important to establish whether there are any
genetically transmitted diseases and infectious diseases
within families
Any illness run in the family?
Similar history in the family
History of infectious diseases
27. 5. Family history-cont…
History of allergic disorder-asthma, eczema etc.
Parents and siblings suffering with any chronic illness,
Parents if died, how old and what they died of
socio-economic conditions, over crowding and
disorders of malnutrition in the family
29. 6. Personal history-cont…
Smoking history - amount, duration and type.
Drinking history - amount, duration and type
Any drug addiction
Sexual history if suspected STI
Occupation, social and education background
30. The skill of history taking can be obtained only by practice
Thank you
