What are the components of a medical history?
Components of a Medical History:
1. Chief Complaint:
- The main reason for the patient's visit.
- Briefly summarizes the patient's current health concerns or symptoms.
2. History of Present Illness (HPI):
- Detailed description of the patient's current illness or symptoms.
- Includes:
- Onset and duration of symptoms
- Associated symptoms
- Aggravating and relieving factors
- Attempts to self-treat
3. Past Medical History (PMH):
- Chronological list of the patient's previous medical conditions.
- Includes:
- Medical diagnoses
- Surgeries
- Hospitalizations
- Chronic medical conditions
- Current medications
4. Social History:
- Information about the patient's lifestyle, habits, and social environment.
- Includes:
- Occupation
- Exercise habits
- Diet
- Smoking history
- Alcohol use
- Drug use
- Sexual history
- Living arrangements
- Social support
5. Family History (FH):
- Medical history of the patient's close relatives.
- Includes:
- Medical diagnoses
- Age of onset
- Cause of death
- Genetic conditions
6. Review of Systems (ROS):
- Systematic inquiry about the patient's health in different body systems.
- Includes:
- Cardiovascular system
- Respiratory system
- Gastrointestinal system
- Genitourinary system
- Musculoskeletal system
- Neurological system
- Integumentary system (skin)
- Endocrine system
- Psychiatric system
7. Physical Examination:
- Objective findings from the physical examination of the patient.
- Includes:
- General appearance
- Vital signs
- Head and neck examination
- Respiratory system examination
- Cardiovascular system examination
- Gastrointestinal system examination
- Genitourinary system examination
- Musculoskeletal system examination
- Neurological system examination
Note: The specific components of a medical history may vary depending on the patient's condition and the healthcare provider's specialty.
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