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Published byBaldwin Carson Modified over 9 years ago
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Medical conditions* Hospitalisations Serious illnesses / injuries Operations *ABCDE (ASTHMA, BP, CHOLESTROL, DIABETES, EPILEPSY)
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Current medications: Prescribed Over-the-counter/ Herbal Recreational drugs
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Anyone in family had similar problem? What is the health condition of your parents? Any chronic conditions run in the family? (egs? – cancer, diabetes)
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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?
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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
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“Is there anything you’d like to add or think I’ve missed?” “Do you have any questions?” THANK the patient!!!!!
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Symptoms that may indicate serious underlying condition Different for each body system e.g. coughing-up blood (haemoptysis) and lung cancer
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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
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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?
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