history taking
DESCRIPTION
h/0TRANSCRIPT
History takingYasmin abdel razek, MD
Lecturer of cardiologyAin Shams university
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
Habits Smoking IHD, COPD, PVD
Alcoholism HTN, DCM, AF,SCD……….(-IHD)
Opium, Cocaine ACS IV addiction IEC, HCV, HIV
Diet salt, coffee
Menstruation Anemia
menopausal Delayed menarche
intake of pills HTN ,DVT Miscarriage and abortion????????
Own words Duration
SOB, awarness of heart beats, swelling of LL, Coughing blood
Complaint
Onset….acute, gradual, accidental, Course…..progressive, regressive,
stationary , remissions and exacerbations Duration……short inflammation, long
degenerative
History of present illness
Symptoms of PVC Symptoms of SVC Symptoms of low COP Cyanosis Palpitation Chest pain Emolic,
claudication………………………………..
ASK
Same condition Other systems COPD, DM, Burn, recumbency , chest
infection, sepsis, SLE, CKD, malignancy Medical treatment intake , stoppage chemotherapy, radiotherapy Interventions Surgery
Past history
Consanguinity Congenital heart diseases ex.SAM IHD RHD Hypertension Bronchial asthma Kidney disease
Family History