زائر
THGHT -1
Why d we take histy fm the patient?
THGHT-2
What wd happen
if we d nt make a diagnsis?
if we made the wng diagnsis?
THGHT-3
Hw d we take histy?
Set p f histy taking
mpnents f the Histy
The pesent mpaint
The histy f the pesent mpaint
emaining qestins f abnma system
eview f systems
Past media histy
AWAYS
INTDE YSEF T THE PATIENT AND EXPAIN T HIM HE WHAT Y AE GING T D.
GET A HAPEN WHEN Y INTEVIEW A FEMAE PATIENT.
AWAYS ED PATIENT’S
Name
Age
Sex
Maita stats
patin
Addess
Date f inteview
1-Pesent mpaint
In patient’s wn wds with datin.
“What ae y mpaining f?”
“What is the pbem?”
“What is the matte?”
2-Histy f the pesent mpaint
EXAMPE: ABDMINA PAIN
Site
Time and mde f nset
Nate
Datin
Seveity
3-emaining qestins f abnma system
Is it time t make a pvisina diagnsis?
What is a diagnsis?
Diagnsis
Any diagnsis nsists f
Anatmia pat + Pathgia pat
Exampes:
Beast ane
Pepti e
Fate fem
Diffeentia diagnsis
wking diagnsis
Mst ikey why?
ess ikey why?
east ikey why?
4-eview f systems
The Gast-intestina system
The espiaty system
The adivasa system
The genita system
The Nevs system
The Msskeeta system
Gast-intestina system
Appetite
Diet
Weight
Teeth and taste
Swawing
eggitatin
Fatane
The espiaty system
gh
Sptm
Haemptysis
Dyspnea
thpnea
hest pain
The adivasa system
HEST PAIN
Dyspnea
thpnea
Papitatins
gh and sptm
Dizziness and headahe
Anke sweing
Peiphea vasa symptms
The genita system
Pain
edema
Thist
Mititin
ine
The Nevs system
Menta state
nsis eve
Fits
TIAS= tansient ishemi attaks
ss f sensatins
Paaesthesiae (pins and needes)
The msskeeta system
Pain
Sweing
imitatin f mvements f any jint
5-Past media histy
Any hspitaizatin
TB = Tbesis
DM = Diabetes meits
Asthma
hemati feve
ntat with patients with hepatitis aids
6-Past sgia histy
Pevis peatins
Bd tansfsin
Any mpiatins with anesthesia
Beeding tendenies
7-Dg histy
Steids
Insin
Antihypetensive dgs
Hmne epaement theapy
8-Immnizatins
DPT = diphtheia, petsss, tetans
Meases
Mmps
bea
Pimyeitis
TB
Smapx
Typhid
9-Famiy histy
Heath and age ase f death f patient’s paents ,bthes and sistes
10-Sia histy & habits
Maita stats
Hazads f patin
Sia stats- type f esidene
Tave abad-dates
Smke
Dinks
Any nsa?
Smmay
Patient’s name, age and sex.
mpaint and the mst imptant psitive haateistis f hishe mpaint
The mst imptant negative feates f his mpaint.
Anaysis f the diffeentia diagnsis
eview the ist y made eaie
What have we gained fm the histy taking?
T make a diagnsis
T fmate a mpete pite abt this patient whih wi enabe y t pan his he management