history taking

9
History taking Yasmin abdel razek, MD Lecturer of cardiology Ain Shams university

Upload: medico-mania

Post on 06-Dec-2015

212 views

Category:

Documents


0 download

DESCRIPTION

h/0

TRANSCRIPT

Page 1: History Taking

History takingYasmin abdel razek, MD

Lecturer of cardiologyAin Shams university

Page 2: History Taking

Name ……. FamiliaritySex ……..IHD, ASD, PDA, Aorta,

thyrotoxicosis, CTD.Age ……..RHD, Congenital HD, IHD,

Pulmonary HTN, Systemic HTN, Calcific AS Occupation…….Driving and ICDResidence…….RHD, bilhariziasis, IHD Marital……Sexual activity after ACS, seldinafil

Personal history

Page 3: History Taking

Habits Smoking IHD, COPD, PVD

Alcoholism HTN, DCM, AF,SCD……….(-IHD)

Opium, Cocaine ACS IV addiction IEC, HCV, HIV

Diet salt, coffee

Page 4: History Taking

Menstruation Anemia

menopausal Delayed menarche

intake of pills HTN ,DVT Miscarriage and abortion????????

Page 5: History Taking

Own words Duration

SOB, awarness of heart beats, swelling of LL, Coughing blood

Complaint

Page 6: History Taking

Onset….acute, gradual, accidental, Course…..progressive, regressive,

stationary , remissions and exacerbations Duration……short inflammation, long

degenerative

History of present illness

Page 7: History Taking

Symptoms of PVC Symptoms of SVC Symptoms of low COP Cyanosis Palpitation Chest pain Emolic,

claudication………………………………..

ASK

Page 8: History Taking

Same condition Other systems COPD, DM, Burn, recumbency , chest

infection, sepsis, SLE, CKD, malignancy Medical treatment intake , stoppage chemotherapy, radiotherapy Interventions Surgery

Past history

Page 9: History Taking

Consanguinity Congenital heart diseases ex.SAM IHD RHD Hypertension Bronchial asthma Kidney disease

Family History