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Introduction: • Introduce yourself • Identity, patients name, what they History Taking – Cheat Sheet like to be called • Positioning • ICE: ideas, concerns and PMH - Previous medical history: expectations “MJTHREADS Ca” • Do not interruptthe patient "𝑺𝑶𝑪𝑹𝑨𝑻𝑬𝑺" − 𝒊𝒇 𝒕𝒉𝒆𝒓𝒆 𝒊𝒔 𝒑𝒂𝒊𝒏 𝒊𝒏𝒗𝒐𝒍𝒗𝒆𝒅! • Myocardial Infarction • Epilepsy • Jaundice • Asthma Presenting complaintPC and Site – where exactly is the pain? • Tuberculosis • Diabetes history of presenting complaint Onset – when did the pain start, did it start suddenly/gradually? • Hypertension • Stroke HPC: Character – describe the pain – sharp? Knife-like? Gripping?Burning?Crushing? • Tell me what seems to be the •Rheumatic fever • Cancer (and treatment if Radiation – does the pain spread anywhere? To the arm, jaw, groin etc? so) problem? Associations – is the pain accompanied by any other features? • How long have you been unwell? Timing – does the pain vary in intensityduringthe day? • When did the symptoms start? Exacerbating and relievingfactors – does anythingmake the pain better or worse? Severity – does the pain interfere w/daily activities or w/sleep? Drug historyand Allergy: • What drugs, homeopathic,and herbal meds and/or health foods do you take? – and in what dose? Systems enquiry: • What other therapies do you have? – • Cardiovascular= chest pain, palpitations, peripheraloedema, paroxysmal nocturnal dyspnoea (PND), orthopnoea physiotherapy?Occupational therapy?Malaria • Respiratory = Cough, shortness of breath (and exercise tolerance), haemoptysis, Social history: prophylaxis? sputumproduction,wheeze • Alcohol intake – n.o of units • Do you have any allergies? • GI = Abdominal pain, dysphagia, heartburn,vomiting, haematemesis, diarrhoea, • Tobacco use (smoking) – n.o of cigarettes • Have any medicines ever upset you? constipation, rectal bleeding they smoke • Genitourinary = Dysuria, discharge, lower urinarytract symptoms • Employment history – particularly Family history: relevantw/exposure to certain pathogens • Ask the patient about any family diseases relevant • Neurological = Numbness, weakness, tingling, blackouts, visual change • Home situation – house/bungalow, to the presentingcomplaints (e.g. if the patient has • Psychiatric = Depression,anxiety carers, activities of daily living, mobility presentedwith chest pain, ask about family history of • General review = Weight loss, appetite change, lumps or bumps(nodes), rashes, joint pain and immobility aids, social/family support, heart attacks). partnerand their health • Enquire about the patient’s parents and sibling and, Conclusion/summary: • Relationship, children if they were deceased below 65, the cause of death Provide a short summary of the history includingname and age of the patient, • Travel history • If relevantand a patternhas emerged from previous presentingcomplaint, relevant medical history. Give a differentialdiagnosis (DDx) • Pets history sketch a short family tree and explain a brief investigation and management plan.