United States Clinical Skills Assessment
Make note of significant positives and negatives. When you take history, the following categories may yield important information, although not all will necessarily be pertinent to every case:
♦ Chief complaint
♦ History of present illness
♦ Past medical history
♦ Review of systems
♦ Social history
♦ Family history
Pursue the relevant parts of the physical examination, relevant to the problem and other information you obtain during the history taking. Begin with broad questions and then focus your inquiries. Don't rush the patient's answers or cut the patient's answer off with another question.
Ask follow-up questions. Repeat your questions or rephrase them in different terms if necessary.
In paediatric cases, sick child's parent or caretaker will be available for answers. The child will not be available.
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