Get Patient History And Review Of Systems (18 Years ... - Lakeshore Clinic

Collect past medical and surgical history, including any allergies and any medications they're currently taking. Ask the patient about their family history. Ask questions about their social history and lifestyle, like what they do for a living and any smoking or alcohol habits.

The National Cancer Institute Dictionary of Cancer Terms defines a medical history as “a record of information about a person's health.” Basically your medical history includes any and all information that relates to your health.

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?

History of present illness Example: “Dull pain in left knee over the past 2 weeks. Patient stated pain started after his fall during the soccer game. The pain relieved by sitting, warm compress, and ibuprofen and aggravated by walking or standing.”

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 disease's symptoms?

Please list any past medical history below with date of onset or diagnosis. 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?

Categories included in past medical history include current health, medications, childhood illnesses, chronic illnesses, acute illnesses, accidents, injuries, and obstetrical health for females.

Past Medical History: Start by asking the patient if they have any medical problems. If you receive little/no response, the following questions can help uncover important past events: Have they ever received medical care? If so, what problems/issues were addressed?