medical history taking

Question 1

SOCRATES meanings

Answer 1

S - site 
O - onset 
C - characteristics 
R - radiation 
A - associations 
T - time 
E - exacerbating factors 
S - severity

Question 2

how should you start a medical history taking appointment

Answer 2

introduce yourself - name and role

Question 3

Medical History Systematic Approach

Answer 3

Heart problems - such as previous heart attack or angina
Breathing problems - asthma , COPD
Stomach or bowel problems - crohns , acid reflux
hormone imbalances - diabetes , thyroid dysfunction
(neurological) - fits/ faints/ seizures
conditions affecting bone/ muscle - arthritis , osteoporosis
Blood disorders - haemophilia , anaemia
Any other conditions I should be aware of ?

Question 4

What should be covered in dental history

Answer 4

are they a regular attender
how often do they brush their teeth
any phobias
any problems with treatment/ LA in the past

Question 5

what should be covered in social history

Answer 5

smoking - have you ever thought about quitting?
alcohol - 14 units per week max
employment ?

Question 6

what should be covered in family history

Answer 6

is there any genetic predisposition to any diseases/ conditions that you are aware of

Question 7

10 steps to taking a history

Answer 7

1 - introduction 
2 - complaining of 
3 - history of presenting complaint 
4 - pain history (if appropriate) 
5 - medical history 
6 - medications 
7 - allergies 
8 - dental history 
9 - social history 
10 - family history

Question 8

C/O

Answer 8

complaining of

open question, why are they here?

Question 9

HPC

Answer 9

history of presenting complaint
events surrounding complaint / how did it happen
stress, fall , fight etc..