Transform your daily workflows and Underline Past Medical History Form

Aug 6th, 2022
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How to Underline Past Medical History Form

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so we talked about the chief complaint and the HPI and I want to just share with you how I look at the past medical history a little bit different than youve probably been taught in medical school the past medical history is predictive of the president and also of the future so past is prologue you need to know what the past is before you can determine what the persons present is and so for example if someone has a history of lung cancer wed like to know how high of a chance is this lung cancer to be causing whatever theyre here to see me and neuron fourth and so the in order to do that I need to have the stage of the tumor which means I need to know how extend how extensive is the cancer it can either be confined to the lung it can be outside of the lung it can be any widespread metastasis so in a patient who has stage 1 lung carcinoma thats a totally different risk than someone who has stage 4 lung cancer for whatever their complaint is and wed like to know what treatment the

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A medical record is a history of someones health. Most hospitals and doctors offices use electronic health records (EHRs, also called electronic medical records or EMRs). An EHR is a computerized collection of a patients health records.
Past illnesses: e.g. cancer, heart disease, hypertension, diabetes. Hospitalizations: including all medical, surgical, and psychiatric hospitalizations. Note the date, reason, duration for the hospitalization. Injuries, or accidents: note the type and date of injury.
Here are some important areas an effective medical history form should cover: Patient contact information. Age and gender. History of surgeries and treatments. Previous tests and scans. Dates and timeline of symptoms. Family medical history. Past diseases and illnesses. Known allergies.
Questions to include Past illnesses: e.g. cancer, heart disease, hypertension, diabetes. Hospitalizations: including all medical, surgical, and psychiatric hospitalizations. Note the date, reason, duration for the hospitalization. Injuries, or accidents: note the type and date of injury.
Categories included in past medical history include current health, medications, childhood illnesses, chronic illnesses, acute illnesses, accidents, injuries, and obstetrical health for females.
Generally speaking, most patient history conversations are as follows: Greet the patient by name and introduce yourself. Ask, What brings you in today? and get information about the presenting complaint. Collect past medical and surgical history, including any allergies and any medications theyre currently taking.

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