Introduction To Clinical History Taking

Question 1

What are the seven components of a comprehensive adult health history

Answer 1

1. Identifying data and source of the history
2. Chief complaints
3. Present illness
4. Past medical history
5. Family medical history
6. Personal and social history
7. Review of systems

Question 2

What are the 7 attributes of symptoms

Answer 2

S - site (location)
O - Onset 
C - Character (quality)
R - Radiation (location)
A - Associated symptoms 
T - Timing 
E - Exacerbating / remitting factors
S - Severity (quantity)

Question 3

What are soap notes

Answer 3

Subjective - symptoms
Objective - signs + special tests
Assessment - DDx + Dx
Plan - What you intend to do