Taking a history

Question 1

How do you intro yourself when taking a history?

Answer 1

• introduce yourself (full name, role etc.)
• confirm patient full name and DOB
• ask an open question (what’s brought you in today?)

Question 2

What is the basic structure for a history (pain specific)?

Answer 2

• PC: presenting complaint
• HPC: history of presenting complaint (SOCRATES)
• systemic review (SAWTEM)
• PMH: past medical history
• DH: drug history
• FH: family history
• SH: social history (occupation, living situation, alcohol, smoking)
• allergies
• ICE
• screening question (anything else?)