English I Lecture 6 History Taking In the Name of God, the Merciful, the Compassionate, and Praise be to God! English I Lecture 6 History Taking Dr Gehan M. Anwar Deeb Lecturer of English October 6 University

History Taking A. A full case history covers: Personal details Family history Presenting complaint Social and personal history Past medical history Patient ideas, concerns and expectation Drug history Review of systems

B. Case-Taking General Information or Personal details: Personal details are entered in their records by a nurse or administrative staff. A doctor may wish to check details such as: Address Date of birth Occupation Marital status

To check a patient’s occupation, a doctor may ask: Do you work? What do you do for a living? What’s your occupation? A patient may respond:

To check a patient’s marital status, a doctor may ask: Do you have a partner? A patient may respond:

Social & Personal History: Occupation Housing Personal habits (recreation, physical exercise, smoking) Typical questions: Where do you live? Do you have children? Are any of them at nursery or school? Do you smoke? How many a day? Have you tried giving up? What about exercise?

C. Presenting Illness: Case notes are kept for each consultation. The Presenting Complaint section of case notes records the patient’s symptoms.

What’s brought you here today? Where exactly is the pain? Starting the interview Presenting Complaints What’s brought you here today? Where exactly is the pain? How long have you had it? Did anything special bring it on? Is it worse at any particular time? Does anything make it better or worse? Have you any other problem? Have you taken anything for it?

Drug History

Vocabulary: Over-the-counter: drugs for which a prescription in not needed. Laxatives: products that promote bowel movements. Recreation: refreshment of one’s mind or body after work through activity that stimulates; play, fun. Compliance: the ability to take the dose at the right time and frequency. allergy (to) noun allergic (to) adj a body's abnormal reaction to certain foods or environmental substances (e.g. causes a rash) Your son is extremely allergic to peanuts.

Asking about medication Have you taken any medication for it? Which tablets did you take? Did the (tablets) help? Do you use any over-the-counter remedies or herbal or homeopathic medicines?

Family History Typical questions: Medical background of a person's family members. The doctor is concerned about the patient’s family history of the disease. Such as: Age Health Cause of death of parents, siblings (brothers and sisters), spouse (husband or wife), and children Typical questions:

Exercises 1- Study the case notes. Write the questions the doctor may ask to obtain the numbered information.

Exercises 2- Write the doctor’s questions.

Exercises 3- Complete the sentences.

Exercises 4- Study the social history of Mr Black. Write the questions the doctor may ask to obtain the numbered information.