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the way that we teach clinical history taking a warrant medical school is to use the four frames and the four frames are a logical way to take the comprehensive history and not miss anything out at all so the first frame is a presenting complaint than the history of presenting complaint and the systems review and the red flags so we encourage our students to ask an open question so they can start eliciting the symptoms from the patient then we would click into one system what I mean by that is if somebody has chest pain for example then you would clearly need to ask about all the cardiac symptoms once youve had got a lot of detail about the patients pain using a mnemonic such as squid ass which is sight quality intensity timing aggravating factors relieving factors and associated symptoms I think then its very important to ask about other systems so we would do a systems review and then finish off by recapping the red flags that is for example blood anywhere lumps and bumps anywher
