Medical History Taking
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Questions and Answers

What is the first step in building the doctor-patient relationship?

  • Conducting a physical examination
  • Taking a medical history (correct)
  • Providing a diagnosis
  • Prescribing medication
  • What is the first thing to do when preparing for history taking?

  • Wash your hands
  • Take out your notebook
  • Ask the patient's age
  • Introduce yourself (correct)
  • What is the second step in preparing for history taking?

  • Take the patient's temperature
  • Ask the patient about their symptoms
  • Get permission from the patient (correct)
  • Start writing in your notebook
  • Why is introducing yourself important in history taking?

    <p>To build trust with the patient</p> Signup and view all the answers

    What is the purpose of taking permission or verbal consent?

    <p>To respect the patient's autonomy</p> Signup and view all the answers

    What does HPI in medical history taking stand for?

    <p>History of Present Illness</p> Signup and view all the answers

    What is the primary goal of a systemic review in medical history taking?

    <p>To ask about other system relevant symptoms</p> Signup and view all the answers

    What should be analyzed in the HPI?

    <p>Patient's current symptoms and complaints</p> Signup and view all the answers

    What is the purpose of asking about other system relevant symptoms in the systemic review?

    <p>To identify potential symptoms and conditions that may be related to the patient's chief complaint</p> Signup and view all the answers

    What is the primary focus of the HPI in medical history taking?

    <p>The patient's current symptoms and complaints</p> Signup and view all the answers

    What are the symptoms of a urinary tract infection?

    <p>Blood in urine, loin or suprapubic pain, burning micturition</p> Signup and view all the answers

    What is a relevant part of a patient's history when diagnosing a urinary tract infection?

    <p>History of similar condition</p> Signup and view all the answers

    What is a symptom of a musculoskeletal system issue?

    <p>Joint or muscle pain</p> Signup and view all the answers

    What is a symptom of a skin rash or ulcer?

    <p>Skin rashes or ulcers</p> Signup and view all the answers

    What is NOT a symptom of a urinary tract infection?

    <p>Joint or muscle pain</p> Signup and view all the answers

    What is an important aspect of a patient's history when taking a medical history?

    <p>History of contact with a patient with chronic cough or jaundice</p> Signup and view all the answers

    What is an important aspect of a patient's family history when taking a medical history?

    <p>History of similar condition</p> Signup and view all the answers

    When taking a medical history, what type of information is typically collected about the patient's family?

    <p>History of similar condition</p> Signup and view all the answers

    What type of information is important to collect when taking a patient's medical history?

    <p>History of similar condition in the family</p> Signup and view all the answers

    When collecting a patient's medical history, what is an important aspect to consider?

    <p>History of contact with a patient with chronic cough or jaundice</p> Signup and view all the answers

    What is the length of the GIT?

    <p>8 m</p> Signup and view all the answers

    What is a common symptom of abdominal pain?

    <p>Dysphagia</p> Signup and view all the answers

    What is another term for yellowish discolouration of the sclera?

    <p>Jaundice</p> Signup and view all the answers

    What is a common gastrointestinal symptom?

    <p>Diarrhoea</p> Signup and view all the answers

    What is another term for heartburn?

    <p>Indigestion</p> Signup and view all the answers

    Study Notes

    History Taking

    • Introduce yourself and obtain consent (verbal permission) before taking a patient's history
    • Follow a structured approach: History of Presenting Illness (HPI), Analysis of patient complaints, Systemic Review, Past Medical History, and Family History

    History of Presenting Illness (HPI)

    • Identify and analyze the patient's chief complaint and its duration
    • Document the history of present illness, including systemic review of the affected system

    Systemic Review

    • Ask about symptoms related to other systems, including:
      • Urinary system: blood in urine, loin or suprapubic pain, burning micturition, etc.
      • Musculoskeletal system: joint or muscle pain, skin rashes or ulcers, etc.

    Past Medical History

    • Inquire about:
      • History of similar conditions
      • Contact with patients with chronic cough or jaundice

    Family History

    • Obtain information about:
      • History of similar conditions in family members

    Gastrointestinal (GIT) System

    • The GIT is a complex system of many organs, approximately 8 meters in length
    • Common abdominal symptoms include:
      • Abdominal pain
      • Dysphagia
      • Nausea and vomiting
      • Jaundice (yellowish discolouration of the sclera)
      • Anorexia and unexpected weight loss
      • Heartburn
      • Abdominal distension
      • Diarrhea
      • Constipation
      • Gastrointestinal bleeding

    Surface Anatomy of the Abdomen

    • Regional divisions of the abdomen are important for anatomical and clinical purposes

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    Description

    Learn about the structured approach to taking a patient's history, including introducing oneself, obtaining consent, and analyzing the patient's chief complaint and medical history.

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