One complaint short with duration in patient
language
History taking
P.H
C/O
H.P.I
Operations
Analysis "for complaint and positive symptoms" in
"8" : (1-onset" acute or graduate" , 2-course
"stationary or progressive or regressive" , 3duration , 4-association, 5-what increase, 6-what
decrease, 7-effect of treatment, 8-last attack)
Drug (not related)
P.H collected in word (nas omrh)
Chronic diseases
History saying in paragraph
P.H
Family History
Notes
Name (three)
Analysis of the main complaint
consanguinity
Age
Related systems (positive and negative)
Chronic diseases in family
Sex
Other systems in short
Similar condition
Occupation
Investigation/treatment
Marriage
Diabetes/hypertension
Residence
Habits ( for smokers we calculate smoking index=
no. of cigarette in day × duration in years= <100
"mild" or 100-400 "moderate" or >400 "heavy"
smoker )
Ministrations for women