20xx年醫(yī)學(xué)專題—病史采集(英文)-資料下載頁(yè)
2024-11-12 12:02本頁(yè)面
【正文】 nocturia, polyuria, impotence Femalemenarche, menstrual history(including the date of last period), vaginal bleeding or discharge, pregnancy Metabolic and endocrine: growth and development, weight change, heat/cold intolerance, nervousness, sweating, polydipsia Hematologic: anemia, easy brusity or bleeding, lymphoadenopathy, transfusion Neuropsychiatry: dizziness, syncope, seizures, speech disturbance, loss of sensation, paresthesis, ataxia, weakness or paralysis, tremor, anxiety, depression, irritability Musculoskeletal: joint pain, stiffness, limitation of motion, muscular weakness, wasting,2011/09/06,第三十一頁(yè)，共三十七頁(yè)。,Personal history,place of birth current residence educational background economic status living conditions professional working conditions Smoking __ Packs for__ years, quitting for__ year Drinking Illicit drugs Heroin, Travel,2011/09/06,第三十二頁(yè)，共三十七頁(yè)。,Menstrual and Childbearing History,age of onset interval between periods duration amount of flow date of last menstrual period(LMP) age of menopause age of pregnancy and childbirth times of artificial or natural abortions stillbirth operative delivery puerperal fever,record menstrual history as follows menstrual duration Age of LMP onset interval between periods,5 13 20080305 30,5 13 50 30,2011/09/06,第三十三頁(yè)，共三十七頁(yè)。,Marrital History,married or unmarried marriage age relations of couple,2011/09/06,第三十四頁(yè)，共三十七頁(yè)。,Family History:,Ask about amp。 summarize ages state of health Age and cause of death (if applicable) of family members – parents, siblings, spouse, and children Inquire about any similar symptoms or signs in family members if patient presents with inheritable symptoms or signs Example: thyroid disorders, cancers, diabetes,2011/09/06,第三十五頁(yè)，共三十七頁(yè)。,Summary,Inquiry ★The importance of inquiry ★The contents of inquiry ﹡chief complaints ﹡history of present illness ★The methods and skills of inquiry,2011/09/06,第三十六頁(yè)，共三十七頁(yè)。,內(nèi)容(n232。ir243。ng)總結(jié),History Taking。2011/09/06。Biopsychosocial medical approach。A “good physician”。Summary,第三十七頁(yè)，共三十
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