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What is the primary goal of allowing the patient to talk about the problem for a few minutes without interruption?
What is the primary goal of allowing the patient to talk about the problem for a few minutes without interruption?
When analyzing a symptom, what should the healthcare provider ask about?
When analyzing a symptom, what should the healthcare provider ask about?
What is the significance of assessing the progression of symptoms?
What is the significance of assessing the progression of symptoms?
What is a common symptom that brings patients to doctors?
What is a common symptom that brings patients to doctors?
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What is an important aspect of anamnesis techniques?
What is an important aspect of anamnesis techniques?
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What should the healthcare provider ask about when assessing exacerbating factors of a symptom?
What should the healthcare provider ask about when assessing exacerbating factors of a symptom?
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What is the primary goal of analyzing pain in a patient?
What is the primary goal of analyzing pain in a patient?
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What type of pain is characterized by a sudden, severe contraction of a hollow viscus?
What type of pain is characterized by a sudden, severe contraction of a hollow viscus?
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During pain assessment, what should be asked to determine the onset of pain?
During pain assessment, what should be asked to determine the onset of pain?
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What is an important aspect of pain assessment that helps to identify the underlying cause of pain?
What is an important aspect of pain assessment that helps to identify the underlying cause of pain?
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During symptom analysis, what is the purpose of asking about the frequency of pain attacks?
During symptom analysis, what is the purpose of asking about the frequency of pain attacks?
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What is the primary focus of symptom analysis in a patient with pain?
What is the primary focus of symptom analysis in a patient with pain?
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What is the characteristic of throbbing pain?
What is the characteristic of throbbing pain?
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What is the objective of asking about sleep interference in a patient's pain assessment?
What is the objective of asking about sleep interference in a patient's pain assessment?
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What type of pain occurs with bladder or bowel distension and encapsulated tumors?
What type of pain occurs with bladder or bowel distension and encapsulated tumors?
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What is the purpose of using pain scales in children?
What is the purpose of using pain scales in children?
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What is the characteristic of pain of acute appendicitis?
What is the characteristic of pain of acute appendicitis?
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What is the purpose of asking about analgesia use in a patient's pain assessment?
What is the purpose of asking about analgesia use in a patient's pain assessment?
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What type of pain is characterized by a sensation of increasing tension in a limited area, which gets worse with each heartbeat?
What type of pain is characterized by a sensation of increasing tension in a limited area, which gets worse with each heartbeat?
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Which type of pain is described as a dull ache that is not well localized?
Which type of pain is described as a dull ache that is not well localized?
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What type of pain is characterized by a sudden, severe, and sharp sensation?
What type of pain is characterized by a sudden, severe, and sharp sensation?
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Which type of pain occurs with bladder or bowel distension and encapsulated tumors?
Which type of pain occurs with bladder or bowel distension and encapsulated tumors?
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What type of pain is characterized by a feeling of tightness and constriction in a part of the body?
What type of pain is characterized by a feeling of tightness and constriction in a part of the body?
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Which type of pain is often associated with myocardial infarction?
Which type of pain is often associated with myocardial infarction?
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What is the primary objective of allowing the patient to talk about the problem for a few minutes without interruption?
What is the primary objective of allowing the patient to talk about the problem for a few minutes without interruption?
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What is the importance of asking about the site where the symptom started?
What is the importance of asking about the site where the symptom started?
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What type of pain arises from a hollow viscus due to contraction of the smooth muscle?
What type of pain arises from a hollow viscus due to contraction of the smooth muscle?
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What should the healthcare provider ask about when assessing the progression of symptoms?
What should the healthcare provider ask about when assessing the progression of symptoms?
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Why is it important to ask about factors that relieve the symptoms?
Why is it important to ask about factors that relieve the symptoms?
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What type of pain is characterized by a sudden, severe contraction of a hollow viscus?
What type of pain is characterized by a sudden, severe contraction of a hollow viscus?
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What is a common symptom that brings patients to doctors?
What is a common symptom that brings patients to doctors?
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What type of pain is often described as a feeling of heaviness or pressure?
What type of pain is often described as a feeling of heaviness or pressure?
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What is an important aspect of analyzing pain in a patient?
What is an important aspect of analyzing pain in a patient?
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What type of pain is often described as a pulsating or rhythmic pain?
What type of pain is often described as a pulsating or rhythmic pain?
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What should the healthcare provider ask about when assessing a symptom?
What should the healthcare provider ask about when assessing a symptom?
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What type of pain is often described as a feeling of tearing or splitting?
What type of pain is often described as a feeling of tearing or splitting?
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What type of pain is often described as a feeling of stretching or expansion?
What type of pain is often described as a feeling of stretching or expansion?
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What is the importance of asking about associated symptoms?
What is the importance of asking about associated symptoms?
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Study Notes
History of Present Complaint
- Involves detailed analysis and recording of the present complaint or complaints
- Allow the patient to talk about the problem for a few minutes without interruption
- Observe the patient's talking and form an initial assessment about the patient's: • Anxiety • Personality • Main concern
Analysis of Symptoms
- Ask about the site where the symptom started
- Ask about the duration of the symptom
- Ask about the onset, including whether it was sudden, gradual, and over how long
- Ask about the frequency of attacks, including the time between attacks
- Ask about what brings the attack and what relieves it
Analysis of Symptoms Progression
- Ask about whether the symptoms are improving, getting worse, or staying constant
- Ask about any fluctuations in symptoms
Exaggerating or Exacerbating Factors
- Ask about what factors make the symptoms worse
Relieving Factors
- Ask about what makes the symptoms better
Associated Symptoms
- Ask about any associated symptoms
Analysis of Pain
- Pain is a common symptom that brings patients to doctors
- Perception of pain is influenced by various factors
Analysis of Pain Components
- Site: exact point where the pain started, point of maximum intensity
- Duration: duration of the last attack if the patient has chronic pain with intermittent attacks
- Onset: whether sudden or gradual
- Progression: whether the pain is getting worse, better, or staying constant
- Frequency: whether continuous or periodic
- Character: nature or type of pain, including: • Colicky pain • Throbbing pain • Burning pain • Stabbing pain • Constricting pain and tightness • Distending or bursting pain • Aching pain
Analysis of Pain Severity
- Ask about whether the pain interferes with sleep, normal activity, or causes anorexia
- Ask about the need for analgesia and medical help
- Use pain scales, especially in children
Radiation and Shifting of Pain
- Ask about whether the pain moves to another site
- Examples include: • Pain of gall bladder radiating to the angle of the right scapula • Pain of pancreas radiating to the middle of the back • Pain of ureteric colic going from the loin to the groin • Pain of acute appendicitis shifting to the right lower abdomen
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Description
This quiz covers the components of history taking in medicine, including the analysis of the present complaint, patient observation, and initial assessment of anxiety, personality, and main concerns.
