Medical conditions* Hospitalisations Serious illnesses / injuries Operations *ABCDE (ASTHMA, BP, CHOLESTROL, DIABETES, EPILEPSY)

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Presentation transcript:

Medical conditions* Hospitalisations Serious illnesses / injuries Operations *ABCDE (ASTHMA, BP, CHOLESTROL, DIABETES, EPILEPSY)

Current medications: Prescribed Over-the-counter/ Herbal Recreational drugs

Anyone in family had similar problem? What is the health condition of your parents? Any chronic conditions run in the family? (egs? – cancer, diabetes)

Current smoker? Past smoker? How many years? Cigarettes/ roll-ups / cigars? How many per day? Who lives at home – partner? Children? Pets? Stairs at home? Need help with housework, shopping, cooking? Do you drink alcohol? What? Wine? Beer? How much? Have you been travelling recently? What do you do for a living? Is your illness affecting your work?

Couple of questions for each body system e.g: Fits, faints, funny turns Headaches Vision problems Shortness of Breath (SOB) Cough – blood (red flag) Chest pain “Heart fluttering” (palpitations) Ankle swelling Change in bowel habits – blood (red flag) Nausea or vomiting Weight loss – red flag Change in waterworks Blood in urine – red flag Menstrual problems Joint or muscle pain Skin rashes Lumps or bumps – red flag

“Is there anything you’d like to add or think I’ve missed?” “Do you have any questions?” THANK the patient!!!!!

Symptoms that may indicate serious underlying condition Different for each body system e.g. coughing-up blood (haemoptysis) and lung cancer

HISTORY TAKING “I’d like to ask you about ….” Your general health Your previous health Your background etc WHY? Patient and examiner know you have a structure

Can I have your number? Did I see you on Crimewatch? Are your trousers for sale? Where do you lunch? Do you think you’re overreacting? How long did it take you to grow your beard?