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In general, a medical history includes an inquiry into the patients medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.
Examples include asthma, diabetes, depression, anxiety, drug or alcohol dependency, high blood pressure, thyroid disease, autoimmune disease, chronic pain, gynecologic disorder. Have you ever had surgery?
List all your past medical problems and surgeries. Include all your current medications and dosage and how you really take those medications most patients arent taking their medicines as prescribed and it helps doctors to know this information.
2.3. COMPONENTS OF A HEALTH HISTORY Demographic and biological data. Reason for seeking health care. Current and past medical history. Family health history. Functional health and activities of daily living. Review of body systems.
The past medical history (PMH) in contrast records information about the patients medical, personal and family history that might be relevant to the presenting illness or to provide optimal clinical management.
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Questions about past illnesses What illnesses or diseases have you had in the past? Since your initial diagnosis and treatment, have your illnesses returned? How has the illness impacted your daily life and activities? What medical care did you get for the illness? When did you first notice the diseases symptoms?
Medical History Form. Record all past and/or concomitant medical conditions or surgeries. Record only one condition or surgery per line using the codes provided in the table. When recording a condition and surgery related to that condition use one line for the condition and one line for the surgery.
Examples include asthma, diabetes, depression, anxiety, drug or alcohol dependency, high blood pressure, thyroid disease, autoimmune disease, chronic pain, gynecologic disorder. Have you ever had surgery?

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