Guide to Clinical Examination/Quick Guide/General medical history

For more detailed information see ../../History Taking, Examination and Advice/ The crux Demographic information (age, ethnicity, etc.) Presenting complaint (and how long) History of the presenting complaint (ask relevant symptoms here) Past medical history (record significant negatives) Medications (remember drug allergies!) Family history Social history (smoking, alcohol, living situation) Review of systems (take into account Anatomy, Physiology, Etiology & Function) Review of systems[ How to examine patients, The Apprentice Doctor™ e-book course] malaise? energy? weight? sleep? fever? chest pain? shortness of breath? oedema? palpitations? fainting? cough? sputum? haemoptysis? wheeze? nausea? vomiting? abdo pain? diarrhoea? constipation? melaena? urinary freq? polyuria? nocturia? dysuria? change in urine colour? loin or pubic pain? discharge? menstruation? PV bleeding? headache? blackouts? collapse? changes to vision? hearing? changes in speech? limb weakness? walking problems? anxiety? depression? thirst? temperature tolerance? joint pain or swelling? bone pain? rashes? itching? easy bruising? petechiae? bleeding? skin infection? References