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Encyclopedia > Medical history

The medical history of a patient (sometimes called anamnesis [1][2] ) is information gained by a physician by asking specific questions, either of the patient or of other people who know the person and can give suitable information (in this case, it is sometimes called heteroanamnesis). This kind of information is called the symptoms, in contrast with clinical signs, which are ascertained by direct examination. A patient is any person who receives medical attention, care, or treatment [1]. A patient is often ill or injured and is being treated by, or in need of treatment by, a physician or other medical professional. ... Anamnesis (from Greek ana-, up and mimnēskein, to recall), or medical history, is the process in which physician obtains information about patients health status by asking specific questions or by asking such questions of other people that know the person and can give suitable information (in this case... Physician examining a child A physician is a person who practices medicine. ... The term symptom (from the Greek syn = con/plus and pipto = fall, together meaning co-exist) has two similar meanings in the context of physical and mental health: A symptom may loosely be said to be a physical condition which shows that one has a particular illness or disorder (see... In medicine, a sign is a feature of disease as detected by the doctor. ...


A physician typically asks questions to obtain the following information about the patient:

  • The name, age, height, and weight
  • The "chief complaint" — the major health problem or concern, and its history
  • Past medical history (including major illnesses, any previous surgery/operations, any current ongoing illness, eg diabetes)
  • Systematic questioning about different organ systems
  • Family diseases
  • Childhood diseases
  • Social status (including living arrangements), occupation, drug use (including tobacco, alcohol, other recreational drug use)
  • Regular medications (including prescribed by doctor, and others obtained over the counter)
  • Allergies
  • Sex life, obstetric/gynecological history and so on as appropriate.

The information obtained in this way, together with clinical examination, enables the physician to form a diagnosis and treatment plan. If a diagnosis cannot be made then a provisional diagnosis may be formulated, and other possibilties (the differential diagnosis) may be added, by convention listed in order of likelihood. The treatment plan may then include further investigations to try and clarify the diagnosis. The chief complaint (CC) is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for a medical encounter[1]. See also Medical history Category: ... In biology, an organ is a group of tissues which perform some function. ... In medicine, a family history consists of information about disorders that a patients direct blood relatives have suffered from. ... The term childhood disease is sometimes subjective, and does not refer to an accepted, categorical list. ... An allergy or Type I hypersensitivity is an immune system malfunction whereby a persons body is hypersensitised to react immunologically to typically nonimmunogenic substances. ... This article is about sex acts and practices (i. ... In medicine, physical examination, or clinical examination, is the process by which the physician investigates the body of a patient for signs of disease . ... Diagnosis (from the Greek words dia = by and gnosis = knowledge) is the process of identifying a disease by its signs, symptoms and results of various diagnostic procedures. ... Look up Therapy in Wiktionary, the free dictionary Therapy (in Greek: θεραπεία) or treatment is the attempted remediation of a health problem, usually following a diagnosis. ... In medicine, differential diagnosis (sometimes abbreviated DDx) is the systematic method physicians use to identify the disease causing a patients symptoms. ...


It may be comprehensive history taking (as practised only by the young medical students) or iterative hypothesis testing (as practised as rule of thumb by busy clinicians). Computerised history-taking could be an integral part of clinical decision support systems. A computer is a machine for manipulating data according to a list of instructions known as a program. ... Clinical (or Diagnostic) Decision Support Systems (CDSS) are interactive computer programs, which directly assist physicians and other health professionals with decision making tasks. ...


See also


  Results from FactBites:
 
Medical history (Primary Care Internet Guide) (244 words)
Center for The Study of The History of Nursing (Univ of Pennsylvania)
History of the Royal College of General Practitioners
History of Biomedicine (MIC-KIBIC at the Karolinska Institute)
Medicine - Wikipedia, the free encyclopedia (4934 words)
Medical humanities includes the humanities (literature, philosophy, ethics, history and religion), social science (anthropology, cultural studies, psychology, sociology), and the arts (literature, theater, film, and visual arts) and their application to medical education and practice.
Medical education is education related to the practice of being a medical practitioner, either the initial training to become a doctor or further training thereafter.
Medical education and training varies considerably across the world, however typically involves entry level education at a university medical school, followed by a period of supervised practise and possibly postgraduate vocational training.
  More results at FactBites »

 
 

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