History (medical History)

Question 1

what is the full list for taking a history

Answer 1

1. C/O
2. history of complaint
3. PMH and medication
4. PDH
5. social history
6. family history

Question 2

what do you ask for history of present complaint in a medical history taking

Answer 2

SOCRATES

S - site 
O - onset 
           - when, progressive/regressive. sudden/gradual
C - Character
           - dull ache/sharp stabbing 
R - Radiates 
A - Association 
           - linked symptoms
T - time course 
           - pain follow a pattern/random, duration 
E - exaggerating/relieving factors 
S - severity 
           - rate 1-10 (10 worst can imagine)

Question 3

stages of PMH and medication and when take one

Answer 3

1. history of allergy
2. drug history
3. disease history

new patient/over 1 year since last done/ had major surgery

Question 4

what do you ask a patient for drug history

Answer 4

• list used drugs
• ask specifically:
  - take any prescribed/non prescribed drugs
  - anticoagulants, blood thinners (warfarin)
  - antiplatlets (aspirin)
  - oral contraceptives

Question 5

list of questions for disease history

Answer 5

1. cardiovascular issues
   - heart issues, heart attack, angina
   - blood pressure issues, stroke
2. respiratory issues
   - gas exchange - fibrosis
   - obstructive - asthma, COPD, chronic brocnhitis
   - sleep apnoea
3. gastrointestinal issues
   - upper or lower?
   - stomach - reflux
   - bowel - ulcerative colitis, crohns disease
   - liver - cirrhosis, ALD
4. neurological
   - fits/seizures - what causes, control methods
5. endocrine issues
   - diabetes
   - thyroid issues
6. musculoskeletal issues
   - arthritis or osteoperosis
7. blood disorders
   - HIV , Hep b/c
   - bleeding issues
8. other medical issues

Question 6

what ask for Pas Dental History (PDH)

Answer 6

1. how regular attend/last visit
2. last treatment
3. how often brush
4. interdental cleaning
5. diet (fizzy sugary drinks)
6. denture wearer - how old

Question 7

social history questions

Answer 7

1. alcohol units/week
2. smoking how many/day
3. diet/exercise
4. occupation
5. living situation (who with)