Вы находитесь на странице: 1из 17

HISTORY TAKING

-P.A.D-

1. Introduction

Why?
Making the diagnosis
Assessment of the severity
Treatment plan
Follow up

Common problems
Textbook students
Medical jargon
Experienced doctors
wannabe

How?
Check the settings
Establish rapport
Identify the reason
Gathering information
Ending the consultation

11. History taking

What?
Personal history
Complain
HPI
Past history
Family history
Socioeconomic history

HPI
Analysis of complaint
Symptoms of the related system
Other systems
Investigation & treatment

Analysis of complaint

Symptoms of the CHEST !


CHEST + 3C + 2P
COUGH
HAEMOPTYSIS
EXPECTORATION
SOB
WHEEZE

Symptoms of the CHEST !


CHEST + 3C + 2P
Constitutional
manifestation
Cyanosis
Sys. venous
congestion

Pain
Pressure
manifestations

HPI
Analysis of complaint
Symptoms of the related system
Other systems
Investigation & treatment

What?
Personal history
Complain
HPI
Past history
Family history
Socioeconomic history

Diagnosis
Aetiological
Irritation
Allergy
Infection

Anatomical
Postural expectoration
Site of chest pain

Pathological
COPD
SLS
Broncho. Carcinoma

Functional
Compensation
Complication

A case of bilateral lung disease most probably COPD due to chronic


irritation, compensated and complicated by cor-pulmonale

11I. Practice lah !

Bla bla bla.


Additional references :

Dr Allam (Azhar IM)


Dr Gadallah (Cairo IM)
Dr Sewilam (Cairo IM)
Dr Aiman Zaki
Davidson clinical medicine
Oxford handbook clinical medicine

Learning is a lifelong process, nobody


becomes a consultant overnight

Вам также может понравиться