HISTORY TAKING

PERSONAL HISTORY

HISTORY OF PRESENTING ILLNESS

History consequence:

Relevant systems:

Relevant Risk factors:

Relevant Family history:

Risk of anesthesia:

PAST MEDICAL HISTORY:

General state of health, past illnesses, Injuries, Hospitalizations, Surgery, Allergies, Immunizations, Substance abuse Diet, Sleep patterns
Current medications, Complementary and alternative therapies

ALLERGY AND DRUG HISTORY:

SOCIAL HISTORY & PERSONAL HISTORY:

FAMILY HISTORY:

SYSTEMATIC REVIEW:

SUMMARY

DDx

INVESTIGATION

CONCLUSION