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the next thing you want to be talking about is um a little catch off like a sweep to catch everything okay after youve asked them all these questions in their past medical history about any problems that theyve had before and what I normally do because patients sometimes find it very difficult to be asked on the spot about their medical history because it might span on 30 odd years so I normally do this I use this pneumonic Jade tab March and basically what weve got is we divide into three nice Parts these are your general things these here are your respiratory things and these here are your cardiovascular things now I normally for warn the patients otherwise you could take ages on this bit and remember you dont dont need to do this particularly for your osis but its really useful in future when youre practicing to be able to catch everything and not miss anything so this is why I always hang on to this quite dearly so I Know M the patient I warned them I said Im just going to