case-taking in medical practice

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punctuation taking a full case history a. a full case history covers: personal details family history presenting complaint social and personal history past medical history patient ideas, concerns and expectation drug history review of systems b. case-taking general information or personal details: personal details are entered in their records by a nurse or administrative staff. a doctor may wish to check details such as: address date of birth occupation marital status to check a patient’s occupation, a doctor may ask: do you work? what do you do for a living? what’s your occupation? a patient may respond: to check a patient’s marital status, a doctor may ask: do you have a partner? what do you do for a living? a patient may respond: social & personal history: occupation housing personal habits (recreation, physical exercise, smoking) typical questions: where do you live? do you have children? are any of them at …
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tion for it? which tablets did you take? did the (tablets) help? do you use any over-the-counter remedies or herbal or homeopathic medicines? family history medical background of a person's family members. the doctor is concerned about the patient’s family history of the disease. such as: age health cause of death of parents, siblings (brothers and sisters), spouse (husband or wife), and children typical questions: exercises 1- study the case notes. write the questions the doctor may ask to obtain the numbered information. exercises 2- write the doctor’s questions. exercises 3- complete the sentences. exercises 4- study the social history of mr black. write the questions the doctor may ask to obtain the numbered information. exercises 5- read the extract from a consultation. in the numbered questions (1-4), is the doctor encouraging the patient to talk about her ideas (i), her concerns (c) or her expectations (e)?. 1. i 3. …
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punctuation taking a full case history a. a full case history covers: personal details family history presenting complaint social and personal history past medical history patient ideas, concerns and expectation drug history review of systems b. case-taking general information or personal details: personal details are entered in their records by a nurse or administrative staff. a doctor may wish to check details such as: address date of birth occupation marital status to check a patient’s occupation, a doctor may ask: do you work? what do you do for a living? what’s your occupation? a patient may respond: to check a patient’s marital status, a doctor may ask: do you have a partner? what do you do for a living? a …

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