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Patient history - Coggle Diagram
Patient history
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PRESENTING COMPLAINT:
Gastrointestinal, respiratory, cardiovascular, genitourinary etc.
SOCRATES: Site, onset, character, radiating, associated symptoms, time course, exacerbating/relieving factors, scale of pain
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PAST MEDICAL HISTORY: Medical events; chronic conditions; previous surgeries; pregnancies; conditions GP managing; conditions taking medication for; hospital stays; psychiatric disorders
MEDICATIONS: medications currently taking (name, formulation, dose, frequency, route); medications taken in past, including intermittently; vaccinations + other injections
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PERSONAL/SOCIAL HISTORY: Living arrangements; employment; marital status; exercise/leisure activities; stress levels; how life impacted by current health condition; ADLs?
TAOD: Tobacco (current smoker; ever smoker; start - end; pack-years), alcohol (binge; units/week; number of years; affect lifestyle), other drugs (specifics; past vs current use)
INTRODUCTION: Check name, DOB; intro your name, role; consent to take patient hx