Scribd
Upload
27 views23 pages

2 - General History Taking Practicing (Fever Exercise)

The document outlines a training session on general history taking with a focus on fever, led by Dr. Duaa Abo Marasa. It covers the elements of history taking, effective communication, and patient-centered interviewing skills, along with causes of fever including infections, malignancies, and autoimmune diseases. The document also details the steps for conducting a thorough patient history, emphasizing the importance of analyzing symptoms and conducting a systemic review.

Uploaded by

Afkar saif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
27 views23 pages

2 - General History Taking Practicing (Fever Exercise)

The document outlines a training session on general history taking with a focus on fever, led by Dr. Duaa Abo Marasa. It covers the elements of history taking, effective communication, and patient-centered interviewing skills, along with causes of fever including infections, malignancies, and autoimmune diseases. The document also details the steps for conducting a thorough patient history, emphasizing the importance of analyzing symptoms and conducting a systemic review.

Uploaded by

Afkar saif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 23

General history taking practicing

(fever exercise)
Dr.Duaa Abo Marasa
Assistant professor , family medicine senior specialist
By the End of this session , the student will be able to :

1- describe different elements of history taking.


2- demonstrate effective communications with colleague .
3- show patient canter interviewing skills.
Causes of fever :

•Infections
•Cancer
•Autoimmune diseases
•Miscellaneous
Infections :
• Bacterial
Meningitis , pneumonia , pyelonephritis, TB …. Etc
• Viral
Influenzas viruses , EBV, HIV ,… etc
• Fungal
Candida
• Parasitic
Malaria
Malignancies :

Leukaemia , lymphoma , lung Cancer , colon


Cancer …etc
Autoimmune
SLE ( systemic lupus erythematosus)
Vasculitis
Miscellaneous :

Drugs : antiepileptics – antibiotics


Central : ischemic stroke – haemorrhagic stroke
Hormonal : thyrotoxicosis
Factitious
LET’s PRACTICE
STEPS
1. Introduce yourself
2. Personal history
3. Chief complain
4. Analysis of the presenting illness
5. Past medical history
6. Past surgical history
7. Allergies
8. Blood transfusion
9. Family history
10. social history
Chief complain +Duration

• Duration :
short : Infection.
Long : malignancy , autoimmune .
Analysis of chief complain
SO CRATES
S: Site
O : onset
C: character
R: radiation
A: associated symptoms
T: time
E: exacerbating and relieving factors
S: severity
• Onset : sudden or gradual
Acute ….. Less that 1 week
Or chronic ………. More than 2 weeks

• Course : progressive or intermittent


Progressive …… infection .
Intermittent (on/off) ……… chronic infection , malignancy ,
autoimmune .
• Severity :
First know if documented or not documented
Then ask about the Grade .

High grade ( 39.4 C or above).


Low grade (37.5C – 38.3C ).
• Time
as the course , know mainly at what time the fever comes.
e.g :
Increase at night ?
Present all the time ?
On/off ?
• Aggravating and reliving factors :

-What increased the fever ?


-What did relive it ?
( cold compressors – analgias … etc )
•Associated symptoms
Rigors , shivering , skin rash , sweating
• Systemic review

In fever it is important to ask about all the systems !

Starting from head to toe


• General
( B symptoms ) … weight loss , loss of appetite , night sweating .
• Head and neck , eyes
• CNS
• Cardiovascular and Respiratory
• GIT
• Genitourinary
• Musculoskeletal
If there is any positive symptom in the review

YOU MUST do ANALYSIS for the symptom!


Continue the rest of the history
• Past medical and surgical history .

• Family history and social history .

• Allergies and blood transfusion.


Essential readings
• Talley and O'Connor's Clinical Examination, volume 1 and 2. 8th edition. 2017.

You might also like