History Taking Skill Otorhinolaryngologic Aspects Sasan Dabiri, M.D. Department of Otorhinolaryngology – Head & Neck Surgery Amir A’lam hospital Tehran University of Medical Sciences

General Notes Two Important Aspects: Medical Knowledge ENT History Taking General Notes General Face Neck Ear Nose Throat Larynx Two Important Aspects: Medical Knowledge Communication Skills

General Notes Important Parts in History Taking: General Face ENT History Taking General Notes General Face Neck Ear Nose Throat Larynx Important Parts in History Taking: Chief complaint Present Illness Chronology Associated symptoms Past History / Medical History Review of System

Face Pain Deformity Asymmetry / Paresis Skin lesions Swelling Itching ENT History Taking Face General Face Neck Ear Nose Throat Larynx Pain Deformity Asymmetry / Paresis Skin lesions Swelling Itching Mass Visual abnormality

Neck Pain Mass Deformity Skin lesions General Face Neck Ear Nose ENT History Taking Neck General Face Neck Ear Nose Throat Larynx Pain Mass Deformity Skin lesions

Ear Pain Hearing loss Itching Vertigo Tinnitus Discharge Deformity ENT History Taking Ear General Face Neck Ear Nose Throat Larynx Pain Hearing loss Itching Vertigo Tinnitus Discharge Deformity Mass lesions Skin lesions

Nose Pain Bleeding Obstruction Discharge Deformity Mass lesions ENT History Taking Nose General Face Neck Ear Nose Throat Larynx Pain Bleeding Obstruction Discharge Deformity Mass lesions Smelling Skin lesions

Throat Pain Odynophagia Dysphagia Mass lesions Mucosal lesions ENT History Taking Throat General Face Neck Ear Nose Throat Larynx Pain Odynophagia Dysphagia Mass lesions Mucosal lesions Swelling Halitosis Xerostomia Sialorrhea Snoring

Larynx Disphonia Distress Aspiration Throat clearing Globus sensation ENT History Taking Larynx General Face Neck Ear Nose Throat Larynx Disphonia Distress Aspiration Throat clearing Globus sensation Cough

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