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Questions and Answers
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?
What is the significance of assessing the progression of symptoms?
What is a common symptom that brings patients to doctors?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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.
