2. Purpose of History Taking
It is said that over 80% of diagnosis are made
on history alone
By taking a proper history we can reach to
exact diagnosis and able to know about
course of the disease.
3. ART OF HISTORY TAKING
'Listen to your patient; they
are telling you the
diagnosis'
4. From Where should we start?
Right from patient enters
Observation - Gives some idea
about General condition of the
patient
Its helpful to have a attendant with patient – gives valuable
information about patient’s recent health
5. Comprehensive History Includes:-
1. Particulars of patients
2. Cheif complaints
3. History of presenting illness
4. Past history
5. Family history
6. Personal history
7. Drug history
8. History of allergy
6. 1. Particulars of patient
1. NAME
2. AGE
3. SEX
4. RELIGION
5. OCCUPATION
6. SOCIAL STATUS
7. A. NAME
Making Rapport
Psychology benefits to the patient
B. AGE
Some diseases are common in particular age groups
• Congenital anomalies – since birth
• BPH, Osteoarthritis – Old age
Carcinoma affect mostly who have passed age of 40 but
they should not be excluded by age alone
8. C. SEX
As our body is built differently, disease/Malignancy is
sex specific also.
Beside these other diseases are seen in certain sex
predominantly
- Oral Carcinoma in males
- Lung Carcinoma in males
- Breast Carcinoma in females
- Heamophilia in males
9. D. Religion
Diseases are also associated with religious
customs
- Ca penis hardly occur in Jews and Muslims
E. Occupation
Ca lung- mining industry
Ca scrotum – chimney sweeper
Ca urinary bladder- Aniline dye industry
10. 2. Cheif complaints
Chronological order
In patients own words
If complaints start simultaneously then in
order of severity
“we should always ask when He/She was
perfectly well”
11. 3. History of presenting illness
Begins with the first symptom and extend to the time of
examination.
Includes
1. Mode of onset
2. Progression
3. Treatment
“Recorded in patient’s language”
12. 4. Past History
All diseases suffered by patient, previous to present one
Recorded in chronological order
5. Family History
Many diseases recurs in family
- Heamophilia
- Diabetes
- Hypertension
- Ca Breast
13. 6. Personal History
patient‘s habits – smoking, Alcohol
In women – menstrual and obs history
7. Drug history
Ask about all drugs patient was on. specially about
steroids, Insulin, antihypertensive, hormonal drugs,
anti epileptics
8. History of Allergy
14. 9. Physical Examination
1. General assessment – GC
2. Mental status
3. Build and state of nutrition
4. Gait
5. Pallor
15. 6. Cyanosis - central and peripheral
7. Icterus
8. Edema
9. Temperature
