COMPREHENSIVE HEAD TO TOE IHUMAN
LAURA WOOD CASE STUDY REAL ONE WEEK
9 LATEST 23RD JULY UPDATE
COMPREHENSIVE HEAD TO TOE IHUMAN
LAURA WOOD CASE STUDY REAL ONE WEEK
9 LATEST 23RD JULY UPDATE
Step 1: History Taking Chief Complaint (CC)
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Definition: The main reason the patient has sought medical attention, stated in their own words.
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Example: Laura says, "I've been feeling really tired and short of breath."
History of Present Illness (HPI)
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Definition: Detailed description of the patient's current symptoms and their progression.
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Key Aspects: Onset, duration, location, characteristics, aggravating and alleviating factors, and associated symptoms.
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Example: Laura reports a 3-week history of increasing fatigue and shortness of breath, worse with exertion and somewhat relieved by rest. No chest pain, but occasional palpitations.
Past Medical History (PMH)
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Definition: Information about past and current medical conditions, surgeries, and hospitalizations.
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Example: Laura has hypertension diagnosed 5 years ago, well-controlled on medication, and a history of seasonal allergies.
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