got the pattern how to,what i need to know is,what are the measures i should really be careful about?and what are the points,that are important and normally an inexperienced doctor misses?
i know,it probably seem a very minor,stupid question,but being a learner it's important for me...
i will really appreciate ur help,...thank u
2006-11-01 03:10:55 · 5 answers · asked by Anonymous in Science & Mathematics ➔ Medicine
obviously i have asked my physician,i just wanted to know more....well! i guess help from anywhere is important and good to take...sometimes one gain something from somewhere which he actually not expecting too....well i have experienced this.... :)
that's why asking this here too
2006-11-01 03:23:47 · update #1
As an epidemiologist, I have to read medical histories on a regular basis. To help you learn to take good medical Hx, let me offer you my personal wishlist of things I would like to see more of on H&P.
First up, if you have a really good idea of what the ailment is, you can focus your questions towards that ailment, particularly RISK FACTORS for that ailment.
For example, in cases of Vibrio infections, ask the patient about travel history, food history, water exposures.
If you are working on a possible STD, ask about sexual history -- number of partners, partners incarcerated, injection drug use, etc. If the STD patient is a teen (as most are), ask about home life, age of partner (you may be required to report if the patient is young enough), number of partners, school attendance and so forth.
And in general asking about family history, social history, other medical coniditions, medications, illicit drug use , occupational exposures will be helpful.
Much of the time, I find that doctors forget to ask about food exposures or travel history. Those are key players in many diseases, and it leaves big gaps for researchers like me if I cannot get that information.
2006-11-01 09:41:16 · answer #1 · answered by Gumdrop Girl 7 · 0⤊ 0⤋
Hello Hijab,
I believe the epidemiologist provided some valuable insight.
Another approach...check out your library's resources and./
or consult with a medical librarian for additional information.
It seems that patient history taking is as much an art as it is a science, so there is no one set of questions.
That being said...here are some ideas...
MD Consult --this is a subscription based compendium of books,
clinic series, and current practice, not sure if your library
subscribes to this
The book ... Goldman: Cecil Textbook of Medicine, 22nd ed.
has patient history taking methods throughout the text,
based on primary "ailment"
Medline --I searched using the Medical Subject Term (MeSH)
"medical history taking" and limited it to methods, standards, and review articles
Books in your library---Check your library's catalog using the
subject....Medical history taking -- Handbooks, manuals, etc
And...of course...continue to ask questions of your instructors,
discuss with your classmates...you are on the right track!
Wishing you the best,
Janice
(part time medical librarian...does it show??)
2006-11-03 07:36:36 · answer #2 · answered by jmflahiff 3 · 1⤊ 0⤋
Okay...if you are seriously a medical student and want to do well...ASK YOUR INSTRUCTOR OR ANOTHER PHYSICIAN...DO NOT ASK PEOPLE ON ANSWERS! Good lord, that's pretty freakin' scary to me when a future physician is asking questions related to his/her education on answers!
2006-11-01 11:18:44 · answer #3 · answered by Sunidaze 7 · 0⤊ 1⤋
are you in Ain shams uni send to me if so
2006-11-01 11:37:39 · answer #4 · answered by Anonymous · 0⤊ 2⤋
you should use good judgement
2006-11-01 11:15:23 · answer #5 · answered by David 1 · 0⤊ 1⤋