History taking

Presenting Complaint

This is what the patient tells you is wrong, for example: chest pain.

History of Presenting Complaint

Sticking with chest pain as an example you should ask:

Site: Where exactly is the pain?

Onset: When did it start, was it constant/intermittent, gradual/ sudden?

Character: What is the pain like e.g. sharp, burning, tight?

Radiation: Does it radiate/move anywhere?

Past Medical History

Gather information about a patients other medical problems

Drug History

Find out what medications the patient is taking, including dosage and how often they are taking them, for example: once-a-day, twice-a-day, etc.

Family History

Gather some information about the patients family history, e.g diabetes or cardiac history. Find out if there are any genetic conditions within the family, for example: polycystic kidney disease.

Social History

This is the opportunity to find out a bit more about the patient’s background. Remember to ask about smoking and alcohol.

Review of Systems

These are the main systems you should cover:

CVS

Respiratory

GI

Neurology

Genitourinary/renal

Musculoskeletal

Psychiatry

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