History Taking Flashcards
What makes a history hard to get?
Unwilling owners, disagreement between owners, sidetracked owners etc
Things you can do to optimize history taking?
Ask open ended questions, have questions, prepared, position yourself well, make eye contact, write later, don’t be judgemental
What is the first question?
So what brings you in today?
Questions to always ask when the pet is sick?
When did it start? Frequency? C/s/v/d? E/d? Lethargic? Lameness? Changes in behavior?
What information do we want about new ownership pets?
Allergies, where the pet came from? Vaccine? Past medical info? Contact information? General behavior?
What form do we put histories in?
SOAP
What do we present to the doctor first?
Signalment and presenting complaint
What is the number one mistake technicians make taking a history?
They don’t introduce themselves