Taking a good patient history

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Taking a good patient history

2 Week Filler Course

2 Week Filler Course

The do's and don'ts of patient care
Sexual orientation and gender identity
Taking a good patient history
Shared decision-making
Implicit bias
How to deliver bad news
Empathetic listening for clinicians
Writing a good progress note
How to give a good oral presentation
What is Osteopathic Medicine (DO)
How to impress your attendings
Heart failure: Clinical
Coronary artery disease: Clinical
Syncope: Clinical
Peripheral vascular disease: Clinical
Shock: Clinical
Valvular heart disease: Clinical
Diabetes mellitus: Clinical
Hyperthyroidism: Clinical
Hypothyroidism and thyroiditis: Clinical
Adrenal insufficiency: Clinical
Abdominal pain: Clinical
Gastrointestinal bleeding: Clinical
Inflammatory bowel disease: Clinical
Gallbladder disorders: Clinical
Bowel obstruction: Clinical
Diverticular disease: Clinical
Pancreatitis: Clinical
Hernias: Clinical
Abdominal trauma: Clinical
Blood products and transfusion: Clinical
Venous thromboembolism: Clinical
Fever of unknown origin: Clinical
Pneumonia: Clinical
Diarrhea: Clinical
Tuberculosis: Pathology review
Urinary tract infections: Clinical
Stroke: Clinical
Headaches: Clinical
Seizures: Clinical
Asthma: Clinical
Chronic obstructive pulmonary disease (COPD): Clinical
Acute respiratory distress syndrome: Clinical
Joint pain: Clinical
Newborn management: Clinical
Pediatric ear, nose, and throat conditions: Clinical
Pediatric constipation: Clinical
Pediatric vomiting: Clinical
Developmental milestones: Clinical
Child abuse: Clinical
Vaccinations: Clinical
Pediatric infectious rashes: Clinical
Viral exanthems of childhood: Pathology review
Neurodevelopmental disorders: Clinical
Pediatric upper airway conditions: Clinical
Pediatric lower airway conditions: Clinical
BRUE, ALTE, and SIDS: Clinical
Pediatric orthopedic conditions: Clinical
Hypertension: Clinical
Hypercholesterolemia: Clinical
Leg ulcers: Clinical
Hypersensitivity skin reactions: Clinical
Skin cancer: Clinical
Dizziness and vertigo: Clinical
Gastroesophageal reflux disease (GERD): Clinical
Malabsorption: Clinical
Anemia: Clinical
Pregnancy
Routine prenatal care: Clinical
Hypertensive disorders of pregnancy: Clinical
Stages of labor
Abnormal labor: Clinical
Premature rupture of membranes: Clinical
Vaginal versus cesarean delivery: Clinical
Amenorrhea: Clinical
Contraception: Clinical
Menopause
Abnormal uterine bleeding: Clinical
Endometrial hyperplasia and cancer: Clinical
Sexually transmitted infections: Clinical
Anatomy clinical correlates: Female pelvis and perineum
Estrogens and antiestrogens
Progestins and antiprogestins
Mood disorders: Clinical
Anxiety disorders: Clinical
Schizophrenia spectrum disorders: Clinical
Eating disorders: Clinical
Obsessive compulsive disorders: Clinical
Sleep disorders: Clinical
Sexual dysfunctions: Clinical
Somatic symptom disorders: Clinical
Medication overdoses and toxicities: Pathology review
Substance misuse and addiction: Clinical
Psychiatric emergencies: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Drug misuse, intoxication and withdrawal: Alcohol: Pathology review
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Range, variance, and standard deviation
Normal distribution and z-scores
Introduction to biostatistics
Types of data
Mean, median, and mode
Sensitivity and specificity
Positive and negative predictive value
Incidence and prevalence
Relative and absolute risk
Mortality rates and case-fatality
Attributable risk (AR)
Disease causality
Selection bias
Prevention
Bias in performing clinical studies
Pediatric allergies: Clinical
Pediatric musculoskeletal disorders: Pathology review
Rett syndrome
Perinatal infections: Clinical
Immunodeficiencies: Clinical
Kawasaki disease: Clinical
Preoperative evaluation: Clinical
Postoperative evaluation: Clinical
General anesthetics
Neuromuscular blockers
Appendicitis: Clinical
Aortic aneurysms and dissections: Clinical
Pleural effusion: Clinical
Pneumothorax: Clinical
Burns: Clinical
Traumatic brain injury: Clinical
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Eye conditions: Inflammation, infections and trauma: Pathology review
Urinary incontinence: Pathology review
Ovarian cysts, cancer, and other adnexal masses: Clinical
Vulvovaginitis: Clinical
Androgens and antiandrogens
Infertility: Clinical
Supraventricular arrhythmias: Pathology review
Heart blocks: Pathology review
Meningitis, encephalitis and brain abscesses: Clinical
Kidney stones: Clinical
Metabolic and respiratory alkalosis: Clinical
Hyperkalemia: Clinical
Hypokalemia: Clinical
Hypernatremia: Clinical
Chest trauma: Clinical
Neck trauma: Clinical
Opioid antagonists
Migraine medications
Blood transfusion reactions and transplant rejection: Pathology review
Esophageal disorders: Clinical
Cirrhosis: Clinical
Lymphoma: Clinical
Bites and stings: Clinical
Toxidromes: Clinical
Environmental and chemical toxicities: Pathology review
Glucocorticoids
Eczematous rashes: Clinical
Chronic kidney disease: Clinical

Key Takeaways

Taking a good patient history is an essential part of the diagnostic process and involves gathering information about a patient's past and current health status, as well as other relevant information. In addition to the classic steps of history taking, here are a few extra tips for taking a patient history that really stands out: Listen well and empathize: You need to build a rapport with the patient by being friendly, empathetic, and non-judgmental. You also have to be an active listener and ask open-ended questions, but keep questions to a minimum. Summarize: You need to reflect and summarize what the patient just told you, to ensure that you have understood their concerns and have not missed any important details. This does not apply only to what the patient is telling, but also more importantly, to their data. Ideas, Concerns, and Expectations (ICE). You need to understand what the patient thinks about their conditions, their major concerns, and what they expect from you.