History Talking
exam jus around da corner, dis stupid hx taking make me sick . . anyway . . jus want to share da great knowledge of mine wit ur guys . . learn it well
1. Jaundice (yellowish of skin, usually on sclera of eyes)
> how long u have yellowish discoloration of eyes?
> when 1st noticed? who's the one noticed it?
> where else has the same problem (yellowish discoloration)?
> differentiate the severity of color when u 1st noticed and right now? getting worse or not?
> is it the 1st time u have this problem? if not, when u had the same problem?
> since u have this problem, did u has any . . .
+ abdominal pain (SOCRATES)
+ tea colored urine and pale/white stool?
+ itchiness, where? generalised?
+ fell tired, lethargy, loss of consciou, shortness of breath
+ loss of appetite
+ . . . . .
> associated with time (day/night)
> had any illness before? hep B? gallstone?
> married? protected sex? sexual activity?
> any blood transfusion before?
> take any IV drug? share needles?
> eat any seafood recently?
> job?
> travel history
> tatto/ piercing
> drink alcohol? how much?
> are u in any recent drug treatment?
> any family member had same problem?
2. Headache
> site?
> duration?
> onset? (continuous/ on off)
> character? (mild, moderate, severe)
> radiation? (eyes pain, neck stiffness)
> since u have this problem, did u has any . . .
+ nausea, vomiting, loss of appetite?
+ menses
+ neck stiffness, blurred vision
+ fatigue, lethargy
+ . . . . . . . . . .
> when u fell the headache? (day/night)
> does ur headache become worse when . . . .
+ changes in position
+ cough/sneezing/fever/running nose
+ bright light/loud noise
+ mood changes
+ . . . . . . . . . . . .
> does it disturb ur daily activity?
> married? take any oral contraceptive drug?
> do u . . .
+ smoking
+ always stress when working
+ consume alcohol, how much?
+ take any caffeine
+ take any coccaine
+ take any drug?
+ diet
+ any trauma to head before?
> any health problem? Diabetes? hypertension?
> any family members had same problem?
3. Breast Lump
> age?
> site of lump?
> how long had it?
> when 1st noticed it?
> 1st time had it? if not,when?
> size of the lump?
> how many lump did u noticed on ur breast?
> any place other than breast?
> pain? (SOCRATES)
> did u noticed any changes of . . .
+ both breasts shape
+ both nipples (retracted or not)
+ skin changes, redness?
+ ulceration
+ lump discharge
+ nipple discharge? color? how many?
> menstrual pattern
+ 1st period at what age?
+ regularity
+ duration
+ quantity of bleeding
> does ur lump associated with period?
> menopause? when?
> previous pregnancy
+ how many children?
+ breast feed all children? how long?
> drug (contraceptive/female sex hormone)
> trauma to the breast?
> diet/smoking/comorbid
> any family members had same problem?
4. Fever
> onset
> characteristic (continuous/ on off)
> exacerbating/relieving factor
> severity
> timing
+ episodic/continuous
+ duration
+ frequency
+ progression
+ variation (day/night)
> associated symptoms
+ chills,rigor,sweating,loss of appetite
+ sore throat,cough,runny nose
+ photophobia,phonophobia,rashes
+ periorbital pain,myalgia,bone pain
+ changes in urination,back pain
+ house area, travel history
+ bleeding joint
