Sunday, 5 April 2020

Algorithm 2 for History Taking



History taking important points not to miss 

Chief Complaints

History of Present Ilness
Pain – Site
            Onset
            Character
            Radiation
            Exacerbating Factors
            Relieving Factors
            Night pain
Swelling
Discharge
Movement affected     Sitting
                                    Lying
                                    Walking

Functions                    Aids
                        Walking Distance
                        Dressing
Toilet
Stair Climbing – up and down
Locking/Clicking/Instability for knee cases 
Fever
Trauma
Infections on body – tooth , axilla , genitalia ,skin
Night pain , Night sweats , loss of sleep and appetite

Treatment History


Review of Other Systems –
HEENT- Gum bleeding , Nasal bleed , Uveitis / Conjunctivitis
MSK System – Pain on other joints , back , morning Stiffness
Chest – Cough / Sputum Production
Bowel /Bladder
Past History
Family History
Personal History
Menstrual History
Birth and Developmental History
Socioeconomic History
Vaccination
Expectation


















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