*The contents of inquiry 1 general data 2 chief complaints 3 present illness 4 past medical history 5 systems review 6 personal history 7 marital history 8 menstrual history 9 childbearing history 10 family history
★The contents of inquiry 1 general data ﹡2 chief complaints ﹡3 present illness 4 past medical history 5 systems review 6 personal history 7 marital history 8 menstrual history 9 childbearing history 10 family history
1 General Data Name Native place Sex Working unit Age Date of admission Race Date of record Occupation Narrator Marriage Reliability Address
1 General Data Name Native place Sex Working unit Age Date of admission Race Date of record Occupation Narrator Marriage Reliability Address
2 Chief Complaints The chief complaints should constitute in a few simple words:symptom(s)plus time. The main reasons why the patient consults a doctor. The chief complaints should be stated as nearly as possible in the patient's own words
2 Chief Complaints The chief complaints should constitute in a few simple words: symptom(s) plus time. The main reasons why the patient consults a doctor. The chief complaints should be stated as nearly as possible in the patient’s own words
For example: Asore throat,high fever for two days Achill,fever,right chest pain, cough for three days Arecurrent epigastric pain for eight years,it has been getting worse over the past two weeks
For example: ▲sore throat, high fever for two days ▲chill, fever, right chest pain, cough for three days ▲recurrent epigastric pain for eight years, it has been getting worse over the past two weeks
The chief complaint should not include diagnostic terms or disease entities such as: diabetes heart disease hypertension
The chief complaint should not include diagnostic terms or disease entities such as: diabetes heart disease hypertension