Therapeutic history Past history Family history and Social

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Therapeutic history, Past history, Family history and Social history Dr / Nagwan Rashwan

Therapeutic history, Past history, Family history and Social history Dr / Nagwan Rashwan

Objectives l Identify the items of therapeutic history. l Identify the items of past

Objectives l Identify the items of therapeutic history. l Identify the items of past history. l Identify the structure of family history and social history.

Therapeutic history

Therapeutic history

Therapeutic history l Drug History (DH) l Name l Dosage, timing and how long

Therapeutic history l Drug History (DH) l Name l Dosage, timing and how long l significant adverse effects

Quiz l what are the Clarifying questions in the drug history? Ex. 1 Can

Quiz l what are the Clarifying questions in the drug history? Ex. 1 Can you tell me all the drugs or medicines that you take? Ex 2. Ex 3.

Past history

Past history

Past history l Asking the patient if they have any medical problems relevant to

Past history l Asking the patient if they have any medical problems relevant to the presenting complaint l Have you had any serious illness that brought you to see your doctor? TB = Tuberculosis l DM = Diabetes mellitus l IHD l l Past surgical/operation history l Any hospitalization l Blood transfusion

Family history l Are there any illnesses that run in your family? l DM,

Family history l Are there any illnesses that run in your family? l DM, HTN l Asthma l Haemophilia l Ask about cause of death of patient’s parents, grandparents, brothers and sisters?

Social history l It is about the patient…Culture and l. A All Useful Opener:

Social history l It is about the patient…Culture and l. A All Useful Opener: I'd like to get to know more about you. Could you tell me about yourself?

Social history l Occupation, social and education l Family social support and financial situation

Social history l Occupation, social and education l Family social support and financial situation l Environment l Health Beliefs

Any Questions Thank you…. !

Any Questions Thank you…. !

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