Medical History Questions PDF
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Summary
This document contains a list of medical history questions for patients. It includes inquiries about symptoms, conditions, and medical history related to various body systems such as musculoskeletal, cardiovascular, respiratory, gastrointestinal and neurological.
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**MSK HISTORY AND ASSOCIATED QUESTIONS:\ ** - Have you noticed any pain? - Have you noticed any swelling? - Have you noticed any general stiffness or morning stiffness? (if so -- how long does it last) - Is your joint less mobile? - Are you able to use your joint as normal or does...
**MSK HISTORY AND ASSOCIATED QUESTIONS:\ ** - Have you noticed any pain? - Have you noticed any swelling? - Have you noticed any general stiffness or morning stiffness? (if so -- how long does it last) - Is your joint less mobile? - Are you able to use your joint as normal or does it affect your daily life? - Does it look different or deformed? - Is it weaker? - Do you notice any changes in stability? - Have you noticed any sensation change? Does it feel different? - Have you noticed any fever, sweating at night where you need to change, excess tiredness, or new weight loss that was unintentional? **CARDIO HISTORY AND ASSOCIATED QUESTIONS:** - Have you experienced any chest pain? If so, when does it occur, and how would you describe it? - Do you find it difficult to breathe when lying flat (orthopnoea)? - Have you ever woken up suddenly during the night feeling short of breath (paroxysmal nocturnal dyspnoea)? - Have you been feeling more fatigued or tired than usual? - Do you experience pain or cramping in your legs when walking that improves with rest (intermittent claudication)? - Have you ever fainted or felt lightheaded to the point of nearly fainting (syncope)? - Have you noticed any unusual palpitations or a racing heartbeat? - Have you noticed any swelling in your ankles or legs? **RESP HISTORY AND ASSOCIATED QUESTIONS:** - Have you been experiencing any difficulty breathing or shortness of breath (dyspnoea)? - Have you noticed any wheezing when you breathe? - Have you experienced any noisy breathing, particularly a high-pitched sound (stridor)? - Do you have a persistent cough? If so, how long has it lasted? - Are you coughing up any sputum (phlegm)? If yes, what does it look like (colour, consistency)? - Have you noticed any blood in your sputum (haemoptysis)? - Have you experienced any chest pain? If yes, does it get worse when you breathe or cough? - Have you had any recent symptoms of an upper respiratory tract infection (sore throat, runny nose, - sneezing, post-nasal drip, ear pain, blocked or discharging ears)? - Have you noticed any hoarseness or changes in your voice? - Have you been experiencing any facial pain or pressure, particularly around your nose or forehead? - Have you had any fever or chills? - Have you experienced night sweats where you wake up drenched? - Have you had any nosebleeds (epistaxis)? - Do you or others notice that you snore, or have you experienced any pauses in breathing during sleep - (apnoea)? - Have you been feeling unusually tired or fatigued? - Have you noticed any changes in your weight, either weight loss or being overweight? **GIT HISTORY AND ASSOCIATED QUESTIONS:** - Have you been experiencing any abdominal pain? If so, where is it located, and what does it feel like? - Have you felt nauseous or vomited recently? If so, how often? - Have you had difficulty swallowing (dysphagia) or pain when swallowing (odynophagia)? - Do you feel unusually full after meals, or do you get full earlier than usual (postprandial fullness/early satiation)? - Have you had any heartburn or acid reflux? - Have you ever vomited blood (haematemesis)? If so, what did it look like? - Have you experienced bloating or distension in your abdomen? - Have you noticed any changes in your bowel habits, such as diarrhoea or constipation? - Have you had any rectal bleeding, either black tarry stools (melena) or bright red blood (haematochezia)? - Have you noticed dark urine or pale-coloured stools? - Have you noticed any yellowing of your skin or eyes (jaundice)? - Have you experienced itching (pruritus) without a clear cause? - Have you been feeling unusually lethargic or tired? - Have you had any fevers or night sweats? - Have you noticed any changes in your appetite, either increased or decreased? - Have you experienced any unexplained weight loss or gain recently? **NEURO HISTORY AND ASSOCIATED QUESTIONS:** - Have you ever had a seizure or experienced fits? If so, when did this occur? - Have you ever fainted or lost consciousness (syncope)? - Have you experienced any dizziness or a sensation of the room spinning (vertigo)? - Have you had any headaches? If so, how often, and how severe are they? - Have you noticed any weakness in any part of your body? - Have you experienced any numbness, tingling, or abnormal sensations (paresthesias)? - Have you had any problems with walking, balance, or movement? - Have you noticed any changes in your vision, hearing, sense of smell, or speech? - Have you had any issues with controlling your bladder or bowels (sphincter control disturbance)? - Have you experienced any neck stiffness, particularly when moving your head? - Have you had any recent head injuries? If so, what happened? **GENERAL REPRO HISTORY AND ASSOCIATED QUESTIONS:\ ** - How would you describe your sexuality, and are you comfortable with your sexual identity? - Have you had sexual intercourse? If so, how many partners, and what type of sexual activity have you engaged in? - Do you use condoms or other forms of protection during sexual activity? - Have you had any known contact with a sexually transmitted infection (STI)? - Are you at risk for blood-borne viruses (e.g., IV drug use, piercings, tattoos)? - Have you experienced any pain during intercourse (dyspareunia)? - Have you noticed any changes in your sexual desire or libido? - Are you currently using contraception? If so, what type, and are you satisfied with it? - Have you experienced any difficulties with fertility or had any previous pregnancies? - Have you had any recent systemic symptoms such as fevers, night sweats, or unexplained weight loss? - Have you noticed any issues with growth or development? - When was your last menstrual period (LMP), and how long is your typical cycle and period? - Are your periods regular, and how would you describe the amount of blood loss during menstruation? - At what age did you have your first period (menarche), or have you gone through menopause? - Have you experienced painful periods (dysmenorrhoea)? - Have you had heavy menstrual bleeding (menorrhagia)? - Have you missed any periods (amenorrhoea) or had infrequent periods (oligomenorrhoea)? - Have you had any bleeding between periods (intermenstrual bleeding)? - Have you experienced any pelvic pain, and if so, where and when does it occur? - Have you noticed any changes in your vaginal discharge (colour, consistency, or smell)? - Have you experienced any urinary symptoms such as increased urgency or frequency? - Have you noticed any abnormal breast milk production (galactorrhoea)? - Have you experienced any signs of high androgen levels, such as acne or excessive hair growth (hirsutism)? - Have you had any symptoms related to menopause (e.g., hot flashes, mood changes)? - Are you up-to-date with your breast, cervical, and STI screenings? **MALE REPRO HISTORY AND ASSOCIATED QUESTIONS:** - Have you noticed any discharge from your urethra? - Have you had any urinary symptoms, such as difficulty starting, weak flow, or needing to go frequently? - Have you noticed any lumps or pain in your testicles? - Have you had any difficulties with erections or erectile dysfunction? - Are you up-to-date with prostate, STI, and other relevant health screenings? **RENAL HISTORY AND ASSOCIATED QUESTIONS:** - Have you experienced any difficulty emptying your bladder or been unable to pass urine (urinary retention)? - Have you had any episodes of urinary incontinence (loss of bladder control)? - Have you been needing to urinate more frequently than usual? - Have you felt any pain or burning while urinating (dysuria)? - Do you feel an urgent need to urinate, sometimes unable to hold it? - Do you experience a feeling of incomplete urination, needing to go again soon after (pis-en-deux)? - Have you had any trouble starting urination (hesitancy)? - Have you noticed a weak urine stream or difficulty maintaining a steady flow? - Do you have any dribbling after urinating? - Have you been waking up at night to urinate (nocturia)? - Have you noticed frothy or foamy urine? - Have you seen blood in your urine (haematuria)? - Have you had painful, frequent, small-volume urination (strangury)? - Have you noticed any unusual smell to your urine? - Have you noticed any changes in the colour of your urine? - Have you been urinating a lot (polyuria) or very little (oliguria) or stopped urinating altogether (anuria)? - Have you had any fever or chills? - Have you experienced any urethral discharge? - Have you had any abdominal or loin pain (flank pain)? - Have you felt more tired than usual? - Have you noticed any shortness of breath (breathlessness)? - Have you noticed any swelling in your legs, ankles, or other parts of your body (oedema)? - Have you experienced a loss of appetite (anorexia)? - Have you noticed any itchiness or discomfort in your skin? - Have you had any episodes of vomiting? - Have you noticed any unexplained bruising? - Have you had frequent hiccups? **HYPERTHYROID HISTORY AND ASSOCIATED QUESTIONS:** - Have you noticed any swelling in your neck or a lump (goitre)? If so, have you experienced any difficulty breathing, swallowing, or any other obstructive symptoms? - Have you been feeling unusually tired or fatigued? - Have you experienced any unexpected weight gain, even though your diet hasn't changed? - Do you feel unusually cold or find it difficult to tolerate cold weather (cold intolerance)? - Have you noticed a decrease in your appetite? - Have you experienced constipation or infrequent bowel movements? - Have you had heavy menstrual bleeding (menorrhagia)? - Have you noticed any tingling or numbness in your hands, particularly in the mornings (carpal tunnel symptoms)? - Have you observed any changes in your skin or hair, such as dryness, thinning, or changes in texture? - Have you had any episodes of chest pain (angina)? - Have you found it harder to think clearly or noticed slowed thinking or memory issues? - Have you experienced muscle cramps or stiffness? - Have you noticed any changes in your hearing, such as difficulty hearing clearly? - Have you developed a hoarse voice?