25 Questions
What is the first step in building the doctor-patient relationship?
Taking a medical history
What is the first thing to do when preparing for history taking?
Introduce yourself
What is the second step in preparing for history taking?
Get permission from the patient
Why is introducing yourself important in history taking?
To build trust with the patient
What is the purpose of taking permission or verbal consent?
To respect the patient's autonomy
What does HPI in medical history taking stand for?
History of Present Illness
What is the primary goal of a systemic review in medical history taking?
To ask about other system relevant symptoms
What should be analyzed in the HPI?
Patient's current symptoms and complaints
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
What is the primary focus of the HPI in medical history taking?
The patient's current symptoms and complaints
What are the symptoms of a urinary tract infection?
Blood in urine, loin or suprapubic pain, burning micturition
What is a relevant part of a patient's history when diagnosing a urinary tract infection?
History of similar condition
What is a symptom of a musculoskeletal system issue?
Joint or muscle pain
What is a symptom of a skin rash or ulcer?
Skin rashes or ulcers
What is NOT a symptom of a urinary tract infection?
Joint or muscle pain
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
What is an important aspect of a patient's family history when taking a medical history?
History of similar condition
When taking a medical history, what type of information is typically collected about the patient's family?
History of similar condition
What type of information is important to collect when taking a patient's medical history?
History of similar condition in the family
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
What is the length of the GIT?
8 m
What is a common symptom of abdominal pain?
Dysphagia
What is another term for yellowish discolouration of the sclera?
Jaundice
What is a common gastrointestinal symptom?
Diarrhoea
What is another term for heartburn?
Indigestion
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
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.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
