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in the past history first we should always rule out if the patient has tuberculosis diabetes hypertension or a thyroid disorder it has a very important significance as these conditions are very common and they should always be rolled out beforehand because they might interfere with the treatment that youre giving to the patient also these have to be managed like if the patient has to be started on steroids in that case if the patient has tuberculosis or diabetes these conditions will get aggravated similarly if the patient is being decided to get operated if the patient has hypertension there are high chances that the patient can go into massive bleed or if the patient has hyperthyroidism there are chances that the patient might go into thyroid stoma so first of all in the past history you should always roll out these conditions the next is the next thing is what we do in past history is is just the extension of the hopi you can place these points either in the hopi or the past histo
