History taking of respiratory system.pptx

History taking

1. History Taking of Respiratory System Dr. Mutaz Mohammed

2. It is a process by which information is gained by a physician by asking specific questions to the patient with the aim of obtaining information useful in formulating a diagnosis and providing medical care to the patient INTRODUCTION

3. Importance of History Taking? 01 02 03 Clinical history Investigations Physical examination Obtaining an accurate history is the critical first step in determining the etiology of a patient's illness. Diagnosis in medicine is based on

4. Components Personal Data Chief complaint History of present illness Systemic review Past Hx Family Hx 4 Socioeconomic Hx Drug Hx

5. Personal Data 01

6. Components ( Hx ( 6 1- Name 2- Age 3- Sex 4- Occupation 5- Marital status 6- Residence 7- Special Habits related to medical importance 8- Dominant Hand 9- Blood Groups 10- Source Of information 11- Date Of Admission & Through 12- Menstrual history

7. Chief Complaint (C/C ( 02

8. What brings you here? complaining of: ) in patient’s own words ( Duration For ? At least 1 If there is more than one complaint, it should be written in chronological order. KEY

9. History Of present illness (HOPI ( 03

10. If Known Case Of Chronic Condition ) D.M, HTN … ) Analysis Of Complaint Other Symptoms Of Same System Either + or - Components Of (HOPI ) 3 4 1 2 Medical Course

11. Analysis Of Comp laint : .1 Cough : - Onset -Character -Aggravatin g and reliving factors -Associated symptoms -Time

12. Analysis Of Comp laint : .2 Sputum production : - Amount -Taste\Smell -Viscosity -Color

13. Analysis Of Complaint : 3.Haemoptysis: - Site -Color -Degree and Amount -Duration and Frequancy

14. Analysis Of Complaint : 4.Chest pain: - Site -Severity -Onset -Course -Character -Referred and Radiating -Reliving factors -Aggravating factors -Associating symptoms -Time and duration

15. Analysis Of Complaint : 5.Dyspnea: - Onset -Types -Grades 6.Wheezing:

16. Review Of Other Systems (ROS ( 04

17. Gastrointestinal 17 Hepatobiliary

18. Renal & GUS 18 CNS

19. 19 Rheumatology Hematology

20. Endocrine 20

21. Past HX 05

22. 22

23. Family Hx 06

24. 24

25. Drug Hx 07

26. 26

27. Socioeconomic HX 08

28. 28

29. Thank you for your listening  Wait a second !!! Did we miss something in this lecture ?