Vol. 2 No. 4 (2025), Articles
Vol. 2 No. 4 (2025)

TAKING A COMPLETE PATIENT HISTORY

Articles
Published 2025-02-23
Asatullayev Rustamjon Baxtiyarovich
Scientific supervisor
Axmadova Hulkar Toxir qizi
Axmadova Hulkar Toxir qizi
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Keywords

Case history Chief complaint (CC) – the main complaint, History of present illness (HPI), Past medical history (PMH) - History of past diseases, Family history (FH) - family history, Social history (SH) - Social anamnesis, Drug history - History of drugs, Allergies - Allergic reactions, Review of systems (ROS) - General review of systems, Physical examination, Diagnosis Symptoms, Risk factors Patient interview Clinical assessment

Abstract

Taking a Complete Patient History In medicine, taking a complete patient history is essential for making an accurate diagnosis and developing an effective treatment plan. A properly collected history allows the doctor to better understand the patient's health, identify risk factors, and select the right treatment options. In this article, we will provide detailed information about the process of taking a medical history, its components, and its importance. It is necessary to create a comfortable environment for the patient to communicate openly with the doctor. The patient's personal information should be kept confidential and not disclosed to third parties. Getting a complete medical history of a patient is a necessary step for the doctor to make an accurate diagnosis and develop an effective treatment plan. The process of collecting anamnesis is an integral part of medical practice and also plays an important role in building a trusting relationship with the patient. A properly collected medical history helps improve a patient's health and quality of life  

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References

1. Main textbooks and manuals: Bickley, L. S. – Bates’ Guide to Physical Examination and History Taking One of the most popular textbooks on taking a medical history and physical examination.

2. Kumar, P., & Clark, M. – Kumar and Clark’s Clinical Medicine .A comprehensive guide to clinical medicine, with sections on taking a case history. 3. Talley, N. J., & O’Connor, S. – Clinical Examination: A Systematic Guide to Physical Diagnosis.Provides a detailed approach to interviewing a patient and taking a case history.

4. Macleod, J. – Macleod’s Clinical Examination. A classic guide to methods of taking a case history and physical examination. 2. Research articles and online resources:

5. Epstein, R. M., & Peters, E. (2009) – Beyond Information: Exploring Patients’ Preferences (New England Journal of Medicine). A scientific article on effective patient communication and history taking.

6. Barrows, H. S., & Tamblyn, R. M. – Problem-Based Learning: An Approach to Medical Education. Methodologies for clinical reasoning and history taking.