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I d review of systems s e records of earlier illnesses ; d information about parents, relatives 14 Past medical history ; 5 family history ; 6 drug history

genetic previous ;

S Complete the following sentence choosing suitable words from the box.

disturbance initial give vertigo

\ abdominal obtained

  1. The patient gives a month’s history of... pain.

  2. These results are consistent with ... disease.

  3. On a recent visit he complained of nausea, vomiting and speech

  4. A thorough inquiry elicited relevant symptoms: ..., faints and fits.

  5. Having completed history taking the doctor made ... diagnosis.

  6. Family history provided information about ... disease.

  7. There was ... detailed information on patient’s relatives.

  8. Practical recommendations have been developed which help to ...

diagnosis.

  1. [What body systems are these questions related to?

Cardiovascular system = CVS Respiratory system = RS Gastrointestinal system = GS Genitourinary system = GUS Central nervous system = CNS Endocrine system = ES Ear, nose and throat = ENT

  1. Do you have any nausea, vomiting, diarrhea, dyspepsia?

  2. Does your pain behind your breastbone irradiate to your back, neck, arm?

  3. How long have you been having these headaches?

  4. Do you keep awake at night?

  5. Have you any trouble with your stomach or bowels?

  6. What’s you appetite like?

  7. Do you have any problems with your waterworks?

  8. Are you still having your periods regularly?

  9. Do you have pain in the chest, palpitation, swelling of the ankles?

  10. What about coughs or wheezing or shortness of breath?

  11. Are you diabetic?

  12. Have you ever had nose bleeding?

[5

Match each of the suspected problems in the first column with a suitable question from the second column.

Suspected Problem

coronary thrombosis asthma

cancer of lung ulcer

depression

diabetes

adenoma

Question

What sort of mood have you been in recently? Have you had any pain in your chest?

Have you had any shortness of breath?

What is your level of sugar?

Do you ever get wheezy?

Have you had a heartburn?

Have you ever coughed up blood?

6^(Common phrases used by patients and their meaning. Use them in your sentences.

When a patient says ...

the doctor understands

I can’t breathe

dyspnoea

I can’t eat or I’ve lost my appetite

anorexia

My skin looks yellow

jaundice

My hair is falling out

alopecia

1 can’t remember a thing

amnesia

1 can’t move

paralysis

I have a cavity

caries

I cough up blood

haemoptysis

I’m having my period

menstruation

My skin looks blue

cyanosis

My chest feels constricted

thoracic pain

I can’t sleep

insomnia

I fell like I’m going to throw up

nausea

My ankle is swollen

oedema

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