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?

To build trust with the patient (D) Signup and view all the answers

What is the purpose of taking permission or verbal consent?

To respect the patient's autonomy (D) Signup and view all the answers

What does HPI in medical history taking stand for?

History of Present Illness (D) Signup and view all the answers

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

To ask about other system relevant symptoms (B) Signup and view all the answers

What should be analyzed in the HPI?

Patient's current symptoms and complaints (A) Signup and view all the answers

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

To identify potential symptoms and conditions that may be related to the patient's chief complaint (A) Signup and view all the answers

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

The patient's current symptoms and complaints (B) Signup and view all the answers

What are the symptoms of a urinary tract infection?

Blood in urine, loin or suprapubic pain, burning micturition (B) Signup and view all the answers

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

History of similar condition (C) Signup and view all the answers

What is a symptom of a musculoskeletal system issue?

Joint or muscle pain (A) Signup and view all the answers

What is a symptom of a skin rash or ulcer?

Skin rashes or ulcers (D) Signup and view all the answers

What is NOT a symptom of a urinary tract infection?

Joint or muscle pain (B) Signup and view all the answers

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

History of contact with a patient with chronic cough or jaundice (B) Signup and view all the answers

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

History of similar condition (D) Signup and view all the answers

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

History of similar condition (C) Signup and view all the answers

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

History of similar condition in the family (B) Signup and view all the answers

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

History of contact with a patient with chronic cough or jaundice (A) Signup and view all the answers

What is the length of the GIT?

8 m (A) Signup and view all the answers

What is a common symptom of abdominal pain?

Dysphagia (A) Signup and view all the answers

What is another term for yellowish discolouration of the sclera?

Jaundice (D) Signup and view all the answers

What is a common gastrointestinal symptom?

Diarrhoea (A) Signup and view all the answers

What is another term for heartburn?

Indigestion (C) 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.