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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