History Taking
HISTORY TAKING
Particulars Of The Patient:
| Name |
| Age |
| Sex |
| Religion |
| Occupation |
| Address |
| Date Of Admission |
| Date Of Examination |
History :
Chief Complaints
Major Complaints With The Duration In Chronological Order Of Their Appearance
H/O Present Illness
Expansion Of The Chief Complaints In Relation To Their Mode Of Onset (Acute/ Insidious), Progress (Progressive/ Static/ With Exacerbation And Remissions) And Duration.
Generalities- Appetite, Loss Of Wt., Fatigue, Sleep, Bladder And Bowel.
Past History
Family History
Occupational History
Smoking, Alcohol, Allergies.
Drug History
Menstrual History
Menarche At 15 Yr. Of Age
M.C.
3-4 Days/Cycle / 28-30 Days
Quantity Of Blood Loss– 2 Pads/ Day
No Foul Smell
Clotted/Unclotted
L.M.P. – 12. 6. 2015
In Case Of Pregnancy, E.D.D. = L.M.P. + 9 M 7 D = 19.3.2016
Obstetric History
P 1 (12yr/ Male/ FTNVD ) + 3 (All Spontaneous)
Contraceptive History – Nil
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