Used words
Name
and
Age
Take
a
separate
history
for
each
problem
eg.
chest
pain
rash
fever
etc.
Timing
questions
Since
when
Sudden/gradual
All
the
time/come
go
Getting
worse?
Previous
episodes
If
yes
how
often?
When
does
it
happen?
Ever
investigated
before?
Any
treatments?
HPC
bleeding:
quantity
colour
consistency
mixed
with
anything
smell
In
your
taking
ensure
to
cover
differential
diagnoses
pain-
ask
CVS
Q
Resp
GI
MSK
Q
PMH:
Admissions
operations
anything
they
see
GP
for?
Ask
relevant
PMH
haematemesis
re.
previous
stomach
ulcers
were
made?
Fx:
Dx:
Medications-
have
got
list
them?
Compliance
side
effects
of
medications?
OTCs
herbal
meds
meds
bought
from
internet
Vaccines
Allergies
about
any
medications
Cough-
ACEI
bleeding-
NSAIDs
Are
new?
What
treatment
had
condition
in
past?
Sx:
take
detailed
social
history-
work
life
home
life
Occupation
Smoking
Alcohol
Drug
abuse
Driving
Housing
who
do
live
with?
Carers?
Support
network
Travel
Sexual
Diet
Pets
ADLs
Impact
on
Mood
Create your own