پاورپوینت کامل HISTORY TAKING 47 اسلاید در PowerPoint

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پاورپوینت کامل HISTORY TAKING 47 اسلاید در PowerPoint

اسلاید ۴: Importance of History TakingObtaining an accurate history is the critical first step in determining the etiology of a patients problem.A large percentage of the time ) 70%), you will actually be able make a diagnosis based on the history alone.

اسلاید ۵: How to take a historyThe sense of what constitutes important data will grow exponentially in future as you learn about the pathophysiology of diseaseYou are already in possession of the tools that will enable you to obtain a good history. An ability to listen &ask common-sense questions that help define the nature of a particular problem. A vast & sophisticated fund of knowledge not needed to successfully interview a patient.

اسلاید ۶: Introduce yourself. Note – never forget patient names Creat patient appropriately in a friendly relaxed way.Confidentiality and respect patient privacy.General Approach Try to see things from patient point of view. Understand patient underneath mental status, aپاورپوینت کامل HISTORY TAKING 47 اسلاید در PowerPointiety, irritation or depression. Always exhibit neutral position.ListeningQuestioning: simple/clear/avoid medical terms/open, leading, interrupting, direct questions and summarizing.

اسلاید ۷: .Taking the history & Recording: Always record personal details: NASEOMADR.Name,Age,Address,Sex,EthnicityOccupation,Religion,Marital status. Date of examination

اسلاید ۸: Complete History TakingChief complaintHistory of present illnessPast medical /surgical historySystemic reviewFamily historyDrug /blood transfusion historySocial historyGyn/ob history.

اسلاید ۹: CHIEF COMPLAINT

اسلاید ۱۰: Chief ComplaintThe main reason push the pt. to seek for visiting a physician or for helpUsually a single symptoms, occasionally more than one complaints eg: chest pain, palpitation, shortness of breath, ankle swelling etcThe patient describe the problem in their own words.It should be recorded in pt’s own words.What brings your here How can I help you What seems to be the problem

اسلاید ۱۱: Chief ComplaintCheif Complaint (CC):Short/specific in one clear sentence communicating present/major problem/issue. As: Timing – fever for last two weeks or since MondayRecurrent –recurring episode of abdominal pain/coughAny major disease important e.g. DM, asthma, HT, pregnancy, IHD: Note: CC should be put in patient language.

اسلاید ۱۲: Duration: tipsExact duration.For how long you are ill.When you were completely normal.Is this complain for the first time or you have other episodes.

اسلاید ۱۳: History of Present IllnessDetails & progression, regression of the CC:

اسلاید ۱۴: History of Present Illness – TipsElaborate on the chief complaint in detailAsk relevant associated symptomsHave differential diagnosis in mindLead the conversation & thoughtsDecide & weight the importance of minor complaints

اسلاید ۱۵: Sequential presentation Always relay story in days before admission e.g. 1 week before the admission, the patient fell while gardening& cut his foot with a stone. Narrate in details – By that evening, the foot became swollen and patient was unable to walk. Next day patient attended hospital and they gave him some oral antibiotics. He doesn’t know the name. There is no effect on his condition and two days prior to admission, the foot continued to swell and started to discharge pus. There is high fever and rigors with nausea and vomiting.History of Presenting Complaint (HPC)In details of present problem with- time of onset/ mode of evolution/ any investigation;treatment &outcome/any associated +’ve or -’ve symptoms.

اسلاید ۱۶: History of Presenting Complaint (HPC)In details of symptomatic presentationIf patient has more than one symptom, like chest pain, swollen legs and vomiting, take each symptom individually and fol