Medical History Questions PDF

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.

Full Transcript

**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?

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