PREFACE

This brief handbook is the result of some enthusiastic students of JIPMER who showed keen
interest in learning Tamil.

Effective doctor-patient communication can take place only if both are able to use a common
language. NTTC is proud to acquire these notes from students and the MIS Section of JIPMER
for further dissemination. Tamil version has been written in Hindi. Common words, rather than
literary usage, has been adopted for practicality.

We are thankful to the following in bringing out the first edition of this manual: Drs. Satya
Karna, Durgesh Kumar Singhal and Rajesh Kashyap, former Interns / Postgraduates who were the
moving force; Mr. Ranganathan of Hindi Teaching Cell and Mrs. A. Sethuraman for their
consultancy.

In view of the increasing demand from students / residents, the 2nd revised edition of the
manual is now brought out. We are thankful to Mr. G. Ramalingam for his neat word
processing and to the Manager, JIPMER Press for nice printing.

We are grateful to our Director for his whole-hearted support.

Dr. K.R. Sethuraman

Project Officer, NTTC

Pondicherry-605006
September 2001
 CHAPTER - I - COMMON WORDS

GLOSSARY

English Tamil English Tamil English Tamil

written in written in written in
Hindi Hindi Hindi

After +{{É®ú¨É Enough {Éénä Ö ¨É New {ÉÖnÖ ºÉÖ

Again ¨É°ü{ÉÊb ªÉ֨ɠFall ʴɱÉÖ No <±±Éè
Age ´ÉªÉºÉÖ Fast ´ÉäMɨÉ Often +Êb CEòÊb
Bathe EÖò汃 Film {Éb ¨É Open ÊiÉ®ú
Beat +Êb÷ Get up B±ÉÖÆÊn °ü Pen {ÉäxÉÉ
Big {ÉäÊ®úªÉ Give EòÉäbÖ Possible ¨ÉÖÊb ªÉÖ¨ÉÂ
Book {ÉÖkÉMɨÉ Go {ÉÉä Push iɱ±ÉÖ
Call EÚòÎ{{ÉbÖ Good xɱ±ÉÉ Put {ÉÉäbÖ
Catch Ê{ÉÊb It is <¯ûCEÖò Read {ÉÊb
Close ¨ÉÚbÖ Keep ´Éè Road ºÉɱÉè
Cloth iÉÖÊhÉ Lie down {ÉbÖ Run +ÉäbÖ
Come ´ÉÉ Lift iÉÚCEÖò See {ÉÉ®Âú
Complete ¨ÉÖÊb÷ Listen Eäò±É , MÉ´ÉÊxÉ Show EòÉ]Âõ]Öõ
Cough <°ü¨ÉÖ Make {ÉhhÉÖ Sit =CEòÉ®ú
Cry +±ÉÖ Marriage Eò±ªÉÉhÉ¨É Sleep iÉÚÆMÉÖ
Do ºÉäªÉ Matchbox iÉÒ{{Éä]Âõ]õÒ Small ÊSÉzÉ
Drink EÖòÊb Much +ÊvÉMɨÉ Smile ʺÉÊ®ú
Don’t want ´Éähb ɨÉ Name {ÉäªÉ®Âú Speak {ÉäºÉÖ
Eat ºÉÉÎ{{ÉbÖ Needle >ð漃 Spit iÉÖ{{ÉÖ

Stand ÊxɱÉ Take BbÖ Want ´ÉähÉÖ¨ÉÂ

Start +É®úΨ¤É Tell ºÉÉä±±ÉÖ Work ´Éä±Éè
Stitch iÉèªÉ±É Turn ÊiÉ°Æü¤ÉÖ Write B±ÉÖnÖ
Stop ÊxÉ°ükÉÖ Wait <°ü Yes +ɨÉɨÉÂ
Swallow ¨ÉÖ±ÉÖÆMÉÖ Walk xÉb
NUMBERS

[1]
1 +ÉähhÉÖ 17 {ÉÊn xÉä±ÉÖ 500 BäxÉÚ°ü
2 ®åúbÖ 18 {ÉÊn xÉä]Âõ]Öõ 600 +É°üxÉÚ°ü
3 ¨ÉÚhÉÖ 19 {ÉkÉÉå¤ÉÉänÖ 700 B±ÉÖxÉÚ°ü
4 xÉɱÉÖ 20 <°ü´ÉnÖ 800 BhhÉÚ°ü
5 +ÆVÉÖ 21 <°ü´ÉkÉÉähhÉÖ 900 iÉÉä±±ÉÉʪɮú¨É
6 +É°ü 30 ¨ÉÖ{{ÉnÖ 1000 +Éʪɮú¨É
7 B±ÉÖ 40 xÉÉ{{ÉnÖ Lakh ±ÉIɨÉ
8 B]Âõ]õÖ 50 +¨¤ÉnÖ Crore EòÉäÊb
9 +Éå¤ÉnÖ 60 +°ü¤ÉnÖ 1/4 EòɱÉÂ
10 {ÉkÉÖ 70 B±ÉÖ¤ÉnÖ 1 1/4 +ÉähhÉäEòɱÉÂ
11 {ÉÊn xÉÉähhÉÖ 80 Bh¤ÉnÖ 1/2 +®èú
12 {ÉÊxÉ®åúbÖ 90 iÉÉähhÉÚ°ü 2 1/2 ®åúb ®èú
13 {ÉÊn ¨ÉÚhÉÖ 100 xÉÚ°ü 3/4 ¨ÉÖCEòɱÉÂ
14 {ÉÊn xÉɱÉÖ 200 <°üxÉÚ°ü 1 3/4 +ÉähhÉä¨ÉÖCEòɱÉÂ
15 {ÉÊn xÉÆVÉÖ 300 ¨ÉÖzÉÚ°ü 2 3/4 ®äúhbä ¨ÉÖCEòɱÉ
16 {ÉÊn xÉÉ°ü 400 xÉÉzÉÚ°ü 4 3/4 xÉɱÉä¨ÉÖCEòɱÉ

TIME

Second Ê´ÉxÉÉÊb Year ´É¹ÉÇ¨É Tomorrow xÉɱÉè

Minute ÊxÉʨɶɨÉ Morning EòɱÉè Yesterday xÉäkÉÖ
Hour ¨ÉÊhÉ Evening ¨ÉɱÉè Today <zÉäCEòÒ
Day xÉɱÉ Night ®úÉÊjÉ Day before ¨ÉÖnÆ ÉxÉɱÉÂ
yesterday

Week ´ÉÉ®ú¨É Afternoon ¨ÉvªÉÉxÉ¨É Day after xÉɱÉèCEÖò +bÖ kÉ

tomorrow xÉɱÉ
Month ¨ÉɺɨÉ Date iÉäÊn
DIRECTIONS PLACES ANIMALS

Side {ÉCEò¨É Place >ð®ú Bullock ¨ÉÉbÖ , EòɱÉè

Right ´É±ÉnÖ Home ´ÉÒbÖ Cat {ÉÚxÉè
Left <b nÖ Village OÉɨɨÉ Cow ¨ÉÉbÖ , {ɺÉÖ

[2]
Up ¨Éä±Éä District ÊVɱ±ÉÉ Dog xÉɪÉÂ
Down EòÒ±Éä City xÉMÉ®ú¨É Fly <Ç
Front ¨ÉÖzÉɱÉ Town {ÉÎ]Âõ]õxɨÉ Mosquito EòÉäºÉÖ
Back Ê{ÉzÉɱÉ Country nä ºÉ¨É Pig {ÉyÉÒ
Middle xÉbÖ Ê´É±É Mountain ¨É±Éè Rat BäʱÉ
In =±±Éä Upstairs ¨ÉÉÊb (floor) Scorpion iÉä±ÉÂ
Out ´ÉäʱɪÉä Shop Eòbè Snake {Éɨ¤ÉÖ
DAYS OF THE WEEK

Sunday xªÉÉʪÉ]Åõ ÊEò±É¨Éè Wednesday ¤ÉÖn xÉ ÊEò±É¨Éè Saturday ºÉÊxÉ ÊEò±É¨Éè
Monday ËiÉMɱÉ ÊEò±É¨Éè Thursday ʴɪÉÉ±É ÊEò±É¨Éè
Tuesday ºÉä´´ÉɪÉ ÊEò±É¨Éè Friday ´Éäα±É ÊEò±É¨Éè

RELATIONS
Relative ºÉÉån ¨É Wife ¨ÉxÉèÊ´É Elder sister +CEòÉ
Mother +¨¨ÉÉ Uncle ¨ÉɨÉÉ Younger sister iÉÆMÉè
Father +{{ÉÉ Aunt +kÉè (¤ÉÖ+É) Boy (Son) {ÉèªÉxÉÂ
(Father)
Grand mother {ÉÉÎ]Âõ]õ Aunty ¨ÉɨÉÒ Girl (Daughter) {ÉÉähhÉÖ
(Mother)

Grand father iÉÉkÉÉ Elder brother +hhÉxÉ Child EÖò±Éxnè

Husband {ÉÖ°ü¹ÉxÉ Younger iɨ¤ÉÒ
brother
EDIBLES

Bitterguard {ÉÉ´ÉCEòÉªÉ Greens EòÒ®èú Sweet lime ºÉÉkÉÖEÖòÊb

Brinjal EòkÉÊ®úCEòÉªÉ Guava EòÉ䪪ÉÉ Tamarind {ÉÖʱÉ
Buttermilk ¨ÉÉä®Âú Ladies finger ´Éähb CEòɪÉ Tomato iÉCEòÉʱÉ
Chicken EòÉä汃 EòÊ®ú Milk {ÉÉ±É Veg. / ºÉè´É¨É / +ºÉè´É¨ÉÂ
Non-Veg.

Chilly and EòÉ®ú¨É Mutton +É]Âõ]Öõ EòÊ®ú Vegetable EòɪEòÊ®ú

spices
Curd iÉʪɮÂú Orange +É®ÆúVÉÖ, Eò¨É±ÉÉ Water iÉhhÉÒ®ú
{ɱɨÉÂ
Fish ¨ÉÒxÉ Rice ºÉÉn ¨ÉÂ, +Ê®ú漃 Wheat MÉÉänÖ ¨Éè
Food ºÉÉ{{ÉÉbÖ Salt ={{ÉÖ
Fruit {ɱɨÉ Sugar ºÉCEò®èú

[3]
 COLOURS

Black Eò°ü{{ÉÖ Green {ÉSSÉè White ´Éä±±Éè

Blue xÉұɨÉ Grey ºÉɨ¤É±É Yellow ¨ÉÆVɱÉ
Brown {ɱÉÖ{{ÉÖ Red ʺÉMÉ{{ÉÖ

PARTS OF THE BODY

Abdomen ´Éʪɰü Hair ¨ÉÖÊb , ¨ÉʪɮÂú Nail xÉMɨÉ
Back ¨ÉÖnÖ MÉÖ Hand Eèò Neck Eò±ÉÖkÉÖ
Body =b ¨¤ÉÖ Head iɱÉè Nerve xÉ®ú¨¤ÉÖ
Bone B±ÉÖ¨¤ÉÖ Heart <n ªÉ¨É Nose ¨ÉÚCEÖò
Chest ¨ÉɤÉÖÇ Joint ¨ÉÚ`ö `öÖ Skin iÉÉä±ÉÂ
Ear EòÉnÖ Knee ¨ÉÖÎ]Âõ]õ Throat iÉÉåbè
Eye EòhhÉÖ Leg EòÉ±É Tongue xÉÉCEÖò
Face ¨ÉÖMɨÉ Mouth ´ÉɪÉ Tooth {ɱÉÂ
Finger Ê´É®ú±É Muscle ºÉnè Waist <bÖ {{ÉÖ
INTERROGATION
What BzÉ There +ÆMÉä How B{{ÉÊb
When B{{ÉÉä Who ªÉÉ®Âú How many BkÉxÉè
Now <{{ÉÉä Why BxÉ How much B´´É±É´ÉÖ
Then +{{ÉÉä Which BÆn This way <{{ÉÊb
Where BÆMÉä This <Æn That way +{{ÉÊb
Here <ÆMÉä That +Æn Is it true? ÊxÉVɨÉÉ´ÉÉ
PRONOUNS

I xÉÉxÉ Her +´É±ÉÖb ªÉ By you =zÉɱÉ

You xÉÒ, xÉÓMÉ We xÉÉÆMÉ±É By him +´ÉxÉɱÉ
He +´ÉxÉÂ, +´É®Âú Your =ÆMɱÉÖb ªÉ With you =zÉÖb xÉ
She +´É±ÉÂ, +´É®Âú Him +´ÉxÉè, +´ÉxÉÖCEÖò With him +´ÉxÉÖb xÉ
They +´ÉMÉDZÉ This / That <nÖ / +nÖ To me BxÉCEÖò
His +´ÉxÉÖb ªÉ Me BzÉè, BxÉCEÖò To you =xÉCEÖò

INSTRUCTIONS

[4]
After test, get the report. ]äõº]õ {ÉÊzÉ]Âõ]Öõ Ê®ú{ÉÉä]Çõ BbÖ kÉÖ ´ÉÉ
Ask Sister. ʺɺ]õ®èú Eäò±ÉÖ
Bend down / Bear down EÖòÊxÉ / ¨ÉÖCEÖò
Bend your legs. EòɱÉè ¨Éb CEÖò
Blood donation. ®úkÉ n ÉxɨÉÂ
Breathe in and out. xɱ±ÉÉ ¨ÉÚSSÉÖ Ê´ÉbÖ
Breathe normally. ºÉÉvÉÉ®úhɨÉÉ ¨ÉÚSSÉÖ Ê´ÉbÖ
Can you feel? iÉÉä]Âõ]õÉ iÉäÊ®úªÉÖn É
Close your eyes. EòhhÉè ¨ÉÚbÖ
Cough. <°ü¨ÉÖ
Do like this. <{{ÉÊb ºÉäªÉÂ
Don’t move your hand. EèòªÉè +É]Âõ]õÉnä
Eat thrice. ¨ÉÚhÉÖ ´ÉÉÎ]Âõ]õ ºÉÉÎ{{ÉbÖ
Get up. B±ÉÖÆÊn °ü
Hold below thighs. EèòªÉÉ±É +Êb iÉÉäbè ªÉè Ê{ÉÊb
Lie down. {ÉbÖ
Lift your hand. EèòªÉè iÉÚCEÖò
Look at the light. ´ÉäʱÉSSÉkÉè {ÉÉ®ú
Look down / up EòÒ±Éä {ÉÉ® / ¨Éä±Éä {ÉÉ®Âú ú
Look here. <ÆMÉä {ÉÉ®ú
Look straight. xÉä®úÉ {ÉÉ®Âú
Open your mouth. ´ÉɪÉè ÊiÉ®ú
Remove your shirt. ºÉ]Âõ]èõªÉè BbÖ /Eò±É]Âõ]Öõ
Say ‘ah’. "+É' ºÉÉä±±ÉÖ
Separate your legs EòɱÉè +MÉ]Âõ]Öõ
Show. EòÉ]Âõ]Öõ
Show your teeth. {ɱ±Éè EòÉ]Âõ]Öõ
Sit up. =CEòÉ®Âú
Squat. EÖòkÉÖEòɱ±É =CEòÉ®Âú
Stand. ÊxɱÉÂ
Stand there. +ÆMÉä ÊxɱÉÂ

[5]
Stop breathing. ¨ÉÚSSÉÖ +b CEÖò
Straighten legs. EòɱÉè xÉÒ]Âõ]Öõ
Stretch your tongue. xÉÉCEèò xÉÒ]Âõ]Öõ
Swallow. BÎSSɱÉ ¨ÉÖ±ÉÖÆMÉÖ
Turn to your side. ÊiÉ°üΨ¤É {ÉbÖ
Walk. xÉb
We have to do your blood test. =xÉCEÖò ®úkɨÉ ]äõº]õ {ÉhhÉhÉÖ¨ÉÂ
What’s the time? ¨ÉÊhÉ BzÉ?

CHAPTER - II : HISTORY TAKING

GENERAL INTRODUCTION (For all cases)

Welcome, Be seated. ´ÉÉÆMÉ, =CEòÉ°ÆüMÉ

What is your name? =ÆMÉ {Éä®ú BzÉ
What is your age? =ÆMÉ ´ÉªÉºÉÖ BzÉ
What is your address? =ÆMÉ ´ÉÒbÖ BÆMÉ <°üCEÖò, BÆn >ð°ü
What work do you do? Ans: Labour xÉÓMÉ BzÉ ´Éä±Éè ºÉ䪪ɮúÓMÉ? Ans: EÚò汃 ´Éä±Éè
How much do you earn per day? +Éä°ü xÉɱÉèCEÖò B´´É±É´ÉÖ {ÉhɨÉ ÊEòbè CEÖò¨É
What is your religion? =ÆMÉ ¨Én ¨É BzÉ
What is your caste? =ÆMÉ VÉÉÊiÉ BzÉ
Are you married? Eò±ªÉÉhɨÉ +ÉSSÉÉ
HISTORY OF PRESENTING COMPLAINTS

What is the difficulty? BzÉ Eò¹]õ¨ÉÂ

Tell in an order? ´ÉÊ®úºÉèªÉÉ ºÉÉä±±ÉÖÆMÉ
How long is this difficulty? B´´É±É´ÉÖ xÉɱÉÉ <xn Eò¹]õ¨É <°üCEÖò

[6]
Were you perfectly well before that? <nÖ CEÖò ¨ÉÖzÉÉÊb xɱ±ÉÉ <°Æün ÓMɱÉÉ
How did the trouble start? B{{ÉÊb <xn Eò¹]õ¨É +É®Æú¤É¨É +ÉSSÉÖ
What happened next? +{{É®ú¨É BzÉ +ÉSSÉÖ
How do you feel now? <{{ÉÉä B{{ÉÊb <°üCEÖò
TREATMENT HISTORY

Have you shown to Doctor? b ÉC]õ®ú ÊEò]Âõ]äõ EòÉʨÉSSÉÓMɱÉÉ

Have you taken medicine? ¨É°ÆünÖ /¨ÉÉjÉè ºÉÉ{]õÓMɱÉÉ (drugs)

Is that all? +´´É±É´ÉÖn ÉxÉÉ

PAST HISTORY

Diabetes Mellitus? ºÉCEò®èú ʴɪÉÉÊn <°üCEòÉ

Hypertension? ®úkÉ EòÉäÊn {{ÉÖ <°üCEòÉ
Tuberculosis? EòÉºÉ xÉÉäªÉ <°üCEòÉ
Treatment? ¨É°ÆünÖ ºÉÉÎ{{Éb Ê®úªÉÉ
Leprosy? {Éä°ü ʴɪÉÉÊn /EÖò¹]õ ®úÉäMɨÉ <°üCEòÉ
Operations? +É{É®äú¶ÉxÉ ºÉäªn ÉÆMɱÉÉ
Blood transfusion? ®úkɨÉ BÊkÉxÉÉÆMɱÉÉ
Allergy? B±±ÉÉ ¨É°ÆünÖ ¨É +ÉäkÉÖCEÖò¨ÉÉ
PERSONAL HISTORY

How is the sleep? iÉÚÆMÉ Eò¹]õ¨É <°üCEòÉ / iÉÚCEò¨É ´É°ün É

How is your appetite? {É漃 BbÖ CEÖòn É / {É漃 B{{ÉÊb <°üCEÖò
How is your micturition? +ÉähhÉÖCEÖò {ÉÉä®úÊn ±É Eò¹]õ¨É <°üCEòÉ
How is your bowels? ´ÉäʱÉÎCEò {ÉÉä®úÊn ±É Eò¹]õ¨É <°üCEòÉ
Addictions: Alcohol? ºÉÉ®úɪɨÉ EÖòÊb Î{{ɪÉÉ
Tobacco? {ÉÉäMÉè<±Éè {ÉÉäbÖ Ê´ÉªÉÉ
Betel? ´ÉäÊkɱÉè {ÉÉäbÖ Ê´ÉªÉÉ
Smoking? ʺÉMÉ®äú]õ, ¤ÉÒÊb Ê{ÉÊb Î{{ɪÉÉ
FAMILY HISTORY

Anybody at home has TB, DM, HT, etc.? =ÆMÉ ´ÉÒ]Âõ±É ªÉÉ°üCEòÉ´ÉnÖ EòɺÉxÉÉäªÉ <°üCEòÉ
Anybody at home has similar problems? =ÆMÉ ´ÉÒ]Âõ±É ªÉÉ°üCEòÉ´ÉnÖ <xn ¨ÉÉÊn Ê®ú Eò¹]õ¨É <°üCEòÉ

[7]
In the neighbourhood? ´ÉÒ]Âõ]Öõ {ÉCEòkÉÖ±É (next door)
Mother/Father healthy? +{{ÉÉ, +¨¨ÉÉ xɱ±ÉÉ <°üCEòÉÆMɱÉÉ

SYMPTOMATOLOGY
(Common to all cases)
......... <°üCEòÉ

PAIN ( ´É汃 )

Site BÆMÉä
Severity ±ÉäºÉÉ ´ÉʱÉCEÖòn É, VÉÉκiÉ ´ÉʱÉCEÖòn É
Type: ´É汃 BzÉ ¨ÉÉÊn Ê®ú <°üCEÖòò
Throbbing Ê´ÉhhÉÖ Ê´ÉhhÉÖhhÉÖ
Pricking ºÉÖ°üCEÖò ºÉÖ°üCEÖòhhÉÖ EÖòkÉÖn É
Dull ache ±ÉäºÉÉ ´ÉʱÉCEÖòn É
Colicky {ÉäºÉèªÉ®ú¨ÉÉÊn Ê®ú ´ÉʱÉCEÖòn É
Shooting ´Éä®äú BÆMɪÉÉ´ÉnÖ {ÉÉä´ÉÖn É
Timing ´É汃 B{{ÉÉä VÉÉκiÉ <°üCEÖò
Aggravating factors B{{ÉÊb +ÊvÉMɨÉÉ +É´ÉÖnÖ
Associated factors (Fever) VÉÉä®ú¨É <°üCEòÉ
Relieving factors ´É汃 B{{ÉÊb EòÉä®úªÉÖnÖ (Reduces)

Radiation (Spread) ´É汃 {É®ú´ÉÖn É

Referred pain ´É汃 ´Éä®ú BÆMɪÉÉ´ÉnÖ {ÉÉä´ÉÖn É, ´Éä®ú BÆMÉ ´É汃 <°üCEÖò
FEVER ( VÉÖ®ú¨É )

Get fever? VÉÖ®ú¨É ´É°ün É

Low grade / High grade ±ÉäºÉÉ / VÉÉκiÉ
Timing B{{ÉÉä ´É°ünÖ
How many times? BkÉxÉè iÉb ´Éè

ABDOMEN (´Éʪɰü )

Nausea ´ÉÉÎxn ´É®ú ¨ÉÉÊn Ê®ú <°üCEòÉ

Vomiting ´ÉÉÎxn
Projectile ´ÉäMɨÉÉ ´É°ün É

[8]
 Food particles ºÉÉÎ{{É]Âõ]õnÖ ´ÉÉÎxn ÊªÉ±É ´É°ün É
Bilious Ê{ÉkÉ ´ÉÉÎxn
First time ¨ÉÖn ±É iÉb ´Éè
Dysphagia ¨ÉÖ±ÉÖÆMÉ Eò¹]õ¨ÉÉ <°üCEòÉ
Passing flatus EòÉkÉÖ {ÉÉä´ÉÖn É (Air)

Flatulence xÉä®èúªÉ {ÉÉä´ÉÖn É

Belching B{{É¨É ´É°ün É
Heartburn xÉåVÉÖ EòÊ®úCEÖòn É
Diarrhoea ¤ÉäÊn
Dysentery ºÉÒn ¤ÉäÊn
Cholera ´ÉÉÎxn ¤ÉäÊn , EòɱɮúÉ
Worms in the stools ´ÉäʱÉÎCEò±É {ÉÚÎSSÉ <°üCEòÉ
Straining at stools (Constipation) ´ÉäʱÉÎCEò {ÉÉä®ú{{ÉÉä Eò¹]õ¨É <°üCEòÉ
Mucus in stools ´ÉäʱÉÎCEò±É ºÉ汃 ´É°ün É
Black, tarry stools ´ÉäʱÉÎCEò Eò°ü{{ÉÉ {ÉÉä´ÉÖn É
Large, offensive stools xÉä®èúªÉ xÉÉkɨÉ ´ÉäʱÉÎCEò±ÉäxnÖÇ ´É°ün É
Pale stools ´ÉäʱÉÎCEò ´É䱱ɪÉÉ {ÉÉä´ÉÖn É
Fullness after food ºÉÉ{]õ{{É®ú¨É ´Éʪɰü xÉä®ÆúÊVÉ°üCEòÉ
Abdominal pain ´ÉʪÉkÉÖ ´É汃 <°üCEòÉ
Abdominal lump ´ÉʪÉkÉÖ±É EòÎ]Âõ]õ <°üCEòÉ
Hematemesis ®úkÉ ´ÉÉÎxn ´É°ün É
Malaena/Bleeding per rectum ´ÉäʱÉÎCEò {ÉÉä®ú{{ÉÉä ®úkɨÉ ´É°ün É
Jaundice ¨ÉÆVÉ±É EòɨÉɱÉè
Tiredness ºÉÉä´ÉÉÇ/ºÉÉ䨤ɱÉÉ <°üCEòÉ
RESPIRATORY SYSTEM

Cough <°ü¨É±É
Cold ºÉʱÉ
Cough with expectoration <°ü¨É±É ºÉʱÉ
Hemoptysis ºÉʱÉÊªÉ±É ®úkɨÉ ´Éxn n É
Breathlessness ¨ÉÚSSÉÖ ´ÉÉÆMÉÖn É

[9]
 Paroxysmal nocturnal dyspnoea iÉÚÆMÉÖ¨¤ÉÉänÖ ¨ÉÚSSÉÖ ´ÉÉÆMÉÖn É
(During sleep)

At rest B{{É´ÉÖ¨Éä ¨ÉÚSSÉÖ ´ÉÉÆMÉÖn É

After slight work EòÉåVɨÉ ´Éä±ÉèCEÖò +{{É®ú¨ÉÂ
Orthopnoea {ÉbÖ kÉ +{{É®ú¨É ¨ÉÚSSÉÖ ´ÉÉÆMÉÖn É
Chest pain xÉåVÉÖ ´ÉʱÉ
Wheeze ¨ÉÚSSÉÖ <±ÉÖCEÖò¨¤ÉÉänÖ ºÉkɨÉ ´É°ün É
Evening rise of temperature ºÉɪÉÆMÉÉ±É¨É VÉÉä®ú¨É ´É°ün É
Weight loss Bbè EòÉä®ÆúVÉÖn É
Hemoptysis <°üʨÉxÉÉ ºÉʱÉÊªÉ±É ®úkÉ¨É ´É°ün É
Cough with expectoration <°ü¨É±É ºÉ汃 <°üCEòÉ

Foreign body aspiration Bn É´ÉnÖ {ÉÉä®èú BÊ®úSSÉÉ

Nasal discharge ¨ÉÚCEòÉ±É ºÉ汃 ´É°ün É
Allergy to dust nÚ ÊºÉ {É]Âõ]õÉ VÉÉκiÉ iÉÖ¨¨É±É ´É°ü¨ÉÉ
(dust) (sneezing)

In childhood - ÊSÉzÉ ´ÉªÉʺɱÉä

Measles iÉ]Âõ]õ¨¨Éè ´Éxn n É
Whooping cough EòCEÖò´ÉÉxÉ <°ü¨É±É
CARDIOVASCULAR SYSTEM

Cough with expectoration, breathlessness, chest Refer ‘Respiratory System’

pain, hemoptysis

Palpitations {Éb {Éb {{ÉÖ <°üCEòÉ

Syncopal attacks ¨ÉªÉCEò¨É ´É°ün É
Pedal edema EòÉ±É ´ÉÒCEò¨ÉÂ
Puffiness of face ¨ÉÖMÉ¨É ´ÉÒCEò¨ÉÂ
Distention of abdomen, nausea, vomit Refer ‘Abdomen’

Sore throat iÉÉäxbè ´ÉʱÉ

Joint pains ¨ÉÖÎ]Âõ]õ ´ÉʱÉ
Involuntary movements (Choria) Refer ‘CNS’

Petechial hemorrhage iÉÉäʱɱÉä ʺɴÉ{{ÉÖ {ÉÉä]Âõ]Öõ ¨ÉÉÊn Ê®ú ´É°ün É

[ 10 ]
Hematuria Refer ‘Renal’

Hemiplegia Refer ‘CNS’

Cyanotic spells +±ÉÖ¨¤ÉÉänÖ ¨ÉÖMÉ¨É xÉұɨÉÉ {ÉÉäSSÉÉ

Squatting episodes EÖòkÉÖEòÉ±É +ÉäCEòÉÆn +{{É®ú¨É xÉұɨÉÉ {ÉÉäSSÉÉ
Hoarseness of voice {ÉäʺÉxÉÉ EòÉä®ú±É ¨ÉÉÊ®ú <°üCEòÉ
CENTRAL NERVOUS SYSTEM

MOTOR

Able to lift above head EèòªÉè iɱÉèCEÖò ¨Éä±Éä iÉÚCEò ¨ÉÖÊb ªÉÖ¨ÉÉ
Able to use the arm for eating EèòªÉè ºÉÉÎ{{Éb ®únÖ CEÖò iÉÚCEò ¨ÉÖÊb ªÉÖ¨ÉÉ
Able to use arm for toilet purposes ´ÉäʱÉÎCEò {ÉÉäxÉ{{É®ú¨É Eò±ÉÖ´É ¨ÉÖÊb ªÉÖn É
Writing possible B±ÉÖn ¨ÉÖÊb ªÉÖ¨ÉÉ
Climbing stairs {ÉÊb B®ú ¨ÉÖÊb ªÉÖ¨ÉÉ
Squatting EÖòkÉÖCEòÉ±É {ÉÉäb ¨ÉÖÊb ªÉÖ¨ÉÉ
Running +Éäb ¨ÉÖÊb ªÉÖ¨ÉÉ
Walking xÉb CEò ¨ÉÖÊb ªÉÖ¨ÉÉ
Standing without support Bn ªÉ֨ɠÊ{ÉÊb CEòɨÉä iÉÉxÉÉ ÊxÉCEò ¨ÉÖÊb ªÉÖ¨ÉÉ
Involuntary movements iÉÉxÉÉ´Éä +ÉbÖ n É (Eèò - EòÉ±É )
SENSORY

Tingling numbness ¨É®úkÉÖ {ÉÉäxÉ ¨ÉÉÊn Ê®ú <°üCEòÉ

Feeling hot and cold iÉÉä]Âõ]õÉ ºÉÚbÖ , ÊVɱÉ iÉäÊ®úªÉÖ¨ÉÉ
Feel the ground while walking on the ground xÉb CEÖò¨¤ÉÉänÖ iÉ®èú ¨Éä±Éä xÉb ÎCEò®ú¨ÉÉÊn Ê®ú iÉäÊ®úªÉÖn É
(on the ground) (feel like)

BLADDER

Feeling sensation of bladder fullness +ÉähhÉÖCEÖò ´É®ú ¨ÉÉÊn Ê®ú iÉÉähÉÖn É

Initiation as soon as desired +ÉähhÉÖCEÖò {ÉÉäMÉ =CEòÉxn +Éäb xÉä ´É°ü¨ÉÉ
Control once desire has occurred +ÉähhÉÖCEÖò ´É°ü¨¤ÉÉänÖ +b CEò ¨ÉÖÊb ªÉÖ¨ÉÉ
Complete evacuation. +ÉähhÉÖCEÖò B±±ÉÉ¨É {ÉÉä´ÉÖn É, <±±Éä ¤ÉÉEòÒ <°üCEÖòn É

CRANIAL NERVES

[ 11 ]
Sensation of smell. ¨ÉÚCEÖò±É ´ÉɺÉxÉè iÉäÊ®úªÉÖn É
Vision, Diplopia. Refer ‘Ophthalmology’
Dribbling of saliva from angle of mouth. ´ÉÉʪɱÉä ®úÉä¨¤É BSSÉÒ ´É°ün É
Timitus, vertigo, deafness, hoarse voice, nasal twang. Refer ‘ENT’

HIGHER FUNCTIONS
Headache. iɱÉè ´ÉʱÉ
Vomiting. ´ÉÉÎxn
Unconsciousness. ¨ÉªÉCEò¨É
Convulsion / Epilepsy ´ÉʱÉ{{ÉÖ, xÉÉäÊb {{ÉÖ
Aura before convulsions. ´ÉʱÉ{{ÉÖCEÖò ¨ÉÖzÉÉÊb ´ÉʱÉ{{ÉÖ ´É°ü¨hÉÖ iÉäÊ®úªÉÖn É
Tongue bite. ´ÉʱÉ{{ÉÖ ´É°ü¨¤ÉÉänÖ xÉÉCEèò EòÊb SSÉnÖ =hb É
Incontinence of urine/stools. ´ÉʱÉ{{ÉÖ ´É®ú{{ÉÉä ¨ÉÚjɨÉ, ´ÉäʱÉÎCEò {ÉÉäxÉnÖ =hb É
RENAL SYSTEM
Back swelling relieved by passing urine. +ÉähhÉÖCEÖò {ÉÉäxÉ +{{É®ú¨É ¨ÉÖnÖ MÉÖ ´ÉÒCEò¨É EòÉä®ÆúVÉÖn É
Blood in urine. ¨ÉÚjÉÊiɱÉä ®úkÉ¨É ´É°ün É
At beginning. ¨ÉÖn ±±Éä
At end. Eòbè ºÉÒ±Éä
Throughout. B{{ÉÉänÖ ¨É
Increased frequency. +Êb CEòÊb (every now and then)
Straining improves stream. ¨ÉÖÎCEòxÉÉ +ÉähhÉÖCEÖò ºÉÊ®úªÉÉ {ÉÉä´ÉÖn É
Straining retards stream. ¨ÉÖÎCEòxÉÉ +ÉähhÉÖCEÖò {ÉÉäMÉÉ¨É <°üCEòÉ
Not urinating. +ÉähhÉÖCEÖò ´É®úʱɪÉÉ
Dribbling. ¨ÉÚjÉ¨É ºÉÉä]Âõ]Öõ ºÉÉä]Âõ]õÉ {ÉÉä´ÉÖn É
Urine passes without warning. iÉäÊ®úªÉÉ¨É +ÉähhÉÖCEÖò {ÉÉä´ÉÖn É

SURGICAL

LUMP .. EòÎ]Âõ]õ
Duration B´É±É´ÉÖ xÉɱÉÉ, ¨ÉɺɨÉÉ, ´É¹ÉǨÉÉ EòÎ]Âõ]õ <°üCEÖò
Mode of onset Refer ‘History’

Trauma +Êb {É]Âõ]õÖ n É

Was it small in size first? ¨ÉÖn ±É±Éä EòÎ]Âõ]õ ÊSÉzÉn É <°üxnÖ n É
Did it grow in size to present size? +{{É®ú¨É {ÉäÊ®úºÉÖ +ÉSSÉÉ
Did it get ulcerated? {ÉÖhÉ ´Éxn n É

[ 12 ]
Any other lumps anywhere? ´Éä®ú BÆMÉäªÉÉ´ÉnÖ <xn ¨ÉÉÊn Ê®ú EòÎ]Âõ]õ <°üCEòÉ
Does the swelling reduce in size? EòÎ]Âõ]õ (´ÉÒCEò¨É ) EòÉä®èúªÉÖn É
Loss of weight? =ÆMÉ Bbè EòÉä®úÎxVÉ°üCEòÉ
ULCER .. {ÉÖhÉÂ
Discharge - Serum (watery) iÉÎhhÉ iÉÎhhɪÉÉ ´ÉÆnÖ n É
Pus ºÉұɠ´ÉxnÖ n É
Bloody ®úkɨÉ ´ÉxnÖ n É
Mucoid ºÉ汃 ¨ÉÉÊn Ê®ú ´ÉxnÖ n É
Abscess / boil EòÉä{{ɱɨÉÂ
Present since birth {ÉÉä®úCEÖò¨É ¤ÉÉänä <°üxnÖ n É
PERIPHERAL VASCULAR DISEASE

Are you able to walk? xÉb CEò ¨ÉÖÊb ªÉÖn É

Cramp. EòɱÉ Ê{ÉÊb {{ÉÖ (spasm)

After walking certain distance, pain.
Pain disappears on stopping.
Do you continue to walk?
Pain relieved by hanging leg below bed.
Transient ischaemic attacks.
Hemiplegia.
EòÉäxVÉ¨É nÚ ®ú¨É xÉb xn +{{É®ú¨É ´É汃 ´É°ü¨ÉÉ
ÊxÉhhÉÉ ´É汃 {ÉÉäʪÉbÖ iÉÉ
´ÉʱɪÉÉäb xÉb CEò ¨ÉÖÊb ªÉÖ¨ÉÉ
EòɱÉè EòÒ±Éä {ÉÉä]Âõ]õÉ ´É汃 {ÉÉäʪÉbÖ n É
¨ÉªÉCEò¨É ´ÉxnÖ n É
{ÉCEò ´ÉÉn ¨É ´ÉxnÖ n É (Paralysis)

Chest / abdominal pain. Refer CVS / ABDOMEN

Failure in erection. ¨ÉxÉèÊ´É ÊEò]Âõ]äõ ºÉä°ü¨¤ÉÉänÖ Eò¹]õ¨É <°üCEòÉ

(wife - with - union)

History of contact (Syphilis, STD) ´Éä®ú {ÉÉ䨤ɱÉè ÊEò]Âõ]äõ iÉÉäb ¤ÉÖÇ <°üCEòÉ
(woman) (near) (contact)

CARCINOMA TONGUE, CHEEK, LIP

Sepsis of mouth ´ÉÉʪɱÉä ºÉұɠ´É°ün É

Teeth fell off {ɱÉ ʴɱÉÖÆn n É
Tooth broken {ɱÉ =bè xVÉn É
Saliva BÎSSɱÉÂ
THYROID SWELLING

Palpitation / Dyspnoea / Dysphagia CVS / RS / ABD.

[ 13 ]
Hoarseness of voice {ÉäºÉ®ú{{ÉÉä EÖò®ú±É ¨ÉÉ°ün É
Tolerance to cold EÖò±ÉÖ®ú iÉÉÆMÉ ¨ÉÖÊb ªÉÖn É
Tolerance to heat ´ÉäʪɱÉ (ºÉÚbÖ ) iÉÉÆMÉ ¨ÉÖÊb ªÉÖn É
Excessive sweating ®úÉä¨¤É ´ÉäCEÖÇòn É
BREAST CARCINOMA

Pain in the breast before menses iÉÒ]Âõ]ÖõCEÖò ¨ÉÖzÉÉÊb ¨ÉÉ®Âú ´É汃 ´É¯ûn É
Hip pain <bÖ {{ÉÖ ´ÉʱÉ
Nipple discharge ¨ÉɱÉæ <°ÆünÖ ºÉÒ±ÉÂ, ®úkɨÉ, {ÉɱÉ, iÉhhÉÒ®ú ´É°ün É
Greenish {ÉSSÉè Eò±É®Âú
How much B´É±É´ÉÖ
Jaundice ¨ÉÆVÉ±É EòɨÉɱÉè
Bone pain B±ÉÖ¨¤ÉÖ ´ÉʱÉ
Spinal pain ¨ÉÖnÖ MÉÖ ´ÉʱÉ
Lungs Refer ‘Resp. Sys.’

Menstrual history Refer ‘O & G’

HERNIA (Refer ‘Lump’)

Disappears on lying down. {ÉbÖ kÉ +{{É®ú¨É EòÎ]Âõ]õ EòÉä®èúªÉÖn É

Persistent cough Refer ‘Resp. Sys.’

Previous operation Refer ‘Pers.Hist.’

Operation under GA +É{É®äú¹ÉxÉÖCEÖò ¨ÉªÉCEò¨É EòÉäbÖ kÉÉÆMɱÉÉ

Operation under LA ¨É°ükÉÖ {ÉÉäMÉ >ð漃 {ÉÉä]Âõ]õÉÆMɱÉÉ
PENIS CASE

Tightness of foreskin over glans +ÉähhÉÖCEÖò {ÉÉä®ú <b ÊkɱÉä iÉÉä±É Ê{ÉzÉÉÊb {ÉÉä´ÉÖn É
Swelling of glans on micturition +ÉähhÉÖCEÖò {ÉÉä®ú <b ÊkɱÉä ´ÉÓMÉÖn É
Pain during micturition. +ÉähhÉÖCEÖò {ÉÉä®{{ÉÉä ´ÉʱÉCEÖòn É
ORTHOPAEDICS

FRACTURE .. B±ÉÖ¨¤ÉÖ ¨ÉÖÊ®ú´ÉÖ

Can you walk? xÉb CEò ¨ÉÖÊb ªÉÖn É
Powder cast ¨ÉÉ´ÉÖ Eò]Âõ]Öõ {ÉÉä]Âõ]Öõn É
Difficulty in movement +ºÉèÎCEò®úÊn ±Éä Eò¹]õ¨É <°üCEòÉ

[ 14 ]
Fall of load/ weight on body +Éäb Ψ¤É±Éä ¤ÉÉ®ú¨É ʴɱÉÖÆn n É
Fall from height ¨Éä±ÉäʪɰÆünÖ Ê´É±ÉÖÆn n É
While falling, tried to catch an object ʴɱÉÖƤÉÉänÖ Bnè ªÉÉ´ÉnÖ Ê{ÉÊb SSÉÓMɱÉÉ
Fracture or broken bone B±ÉÖ¨¤ÉÖ ¨ÉÖÊ®ú´ÉÖ
Sinus ÊSÉzÉ {ÉÖhÉ
Discharge of bony spicules {ÉÖhhÉÖ±É <°ÆünÖ B±ÉÖ¨¤ÉÖ ¨ÉÉÊn Ê®ú ´Éä±±ÉèªÉÉ ´É°ün É
Force of injury +Êb ¤É±É¨ÉÉ {É]Âõ]Öõn É
Whether limb was bent at time of fall ʴɱÉÖƤÉÉänÖ EòɱÉ, Eèò ¨Éb ÎCEò <°Æün n É
Whether able to get up after injury? ʴɱÉÖÆn {{É®ú¨É B±ÉÖÆÊn °üCEò ¨ÉÖËb ÊVÉn É
Limp EòÉ±É xÉÉähb ®ún É
PAEDIATRICS

Thirst iÉÎhhÉ n ÉMÉ¨É BbÖ CEÖòn É

Immunisation iÉbÖ {{ÉÖ >ð漃 {ÉÉä]Âõ]õÓMɱÉÉ
Oral polio vaccine ºÉÉä]Âõ]Öõ ¨É°ÆünÖ
B.C.G. {ÉÉä®úCEÖÆò¤ÉÉänÖ >ð漃 xÉä°ü{{ÉÖ±É EòÉÎ]Âõ]õ {Ééä]Âõ]õÉÆMɱÉÉ
(At birth - injection - flame - shown and given)

At what month? BkÉxÉÉ´ÉnÖ ¨ÉɺÉÊkɱÉä {ÉÉä]Âõ]õÉÆMÉ

Antenatal history Refer ‘O & G’

Bottle feed {ÉÉ±É ¤ÉÉÎ]Âõ]õ±±É EÖòbÖ kÉÓMɱÉÉ

Cow’s milk {ɺÉ֨ɠ{ÉɱÉ
Mother’s milk iÉɪ{{ÉɱÉ
Colostrum given or not? ºÉÒªÉÆ{ÉÉ±É EÖòbÖ kÉÓMɱÉÉ
Weaning BÆn ¨ÉɺÉÊkɱÉä {ÉÉ±É iÉÊ´É®ú ´Éä®äú +ɽþÉ®ú¨É EÖòbÖ CEò +É®ÆúʤÉSSÉÓMÉ

Milestones - when did he first ..... B{É{ÉÉä ¨ÉÖn ±±É ....

Sit up =CEòÉÆn nÖ
Smile ʺÉÊ®úSSÉnÖ
Walk xÉbÆ n nÖ
Talk {ÉäºÉ +É®ÆúʤÉSSÉnÖ
Consanguineous marriage ºÉÉåiÉÊkɱÉä Eò±ªÉÉhÉ¨É +ÉSSÉÉ
How are you related? B{{ÉÊb ºÉÉån ¨É

[ 15 ]
Dog bite xÉÉªÉ EòÊb SSÉn É
Measles iÉ]Âõ]õ¨¨Éè
Chicken pox +¨¨Éè
How big rash B´É±É´ÉÖ {ÉäÊ®úªÉ EòÉä{{ɱɨÉ
Containing iÉÎhhɪÉÉ, ºÉÒ±ÉÉ <°Æün n É
PREGNANCY

Periods / Menses ¨ÉɺɨÉ, iÉÒ]Âõ]Öõ, nÚ ®ú¨É

Gravida BkÉxÉè MɤÉÇ¨É +É<°üCEÖò
Live children BkÉxÉè EÖò±ÉÆnè <°üCEÖò
Last menstrual period Eòbè ºÉÒ iÉÒ]Âõ]Öõ B{{ÉÉä ´ÉÆn nÖ
During pregnancy (1 trimester)
st
MɤÉǨÉÉ <°üCEÖò¨¤ÉÉänÖ - ¨ÉÖn ±É ¨ÉÚhÉÖ ¨ÉɺɨÉ
Any drug intake Bn É´ÉnÖ ¨ÉÉjÉè ºÉÉ{]õÓMɱÉÉ
Any irradiation (current, photo, Bn É´ÉnÖ {Éb ¨É Ê{ÉÊb SSÉn É
X-ray)
Any distress Bn É´ÉnÖ xÉÉäªÉ <°Æün n É
Vomiting, bowels, micturition Refer earlier.

Bleeding per vaginum Refer ‘Gynaec.’

Symptoms of PIH Refer earlier.

When did movements start? EÖò±ÉÆnè B{{ÉÉä ¨ÉÖn ±±Éä +ºÉèªÉ +É®úΨ¤ÉSSÉnÖ
Can you feel movements? EÖò±ÉÆnè +ºÉèªÉ®únÖ iÉäÊ®úªÉÖn É
TT given? MɤÉǨÉÉ <°üCEÖò¨¤ÉÉänÖ iÉbÖ {{ÉÖ >ð漃 {ÉÉä]Âõ]õÉÆMɱÉÉ
Labour pain started |ÉºÉ´É ´É汃 B{{ÉÉä ´ÉÆn nÖ
Leaking P/V {ÉÊxÉEòÉäb ¨É +ÉäbÆ VÉÖn É
Was baby born at term EÖò±ÉÆnè ÊxÉ®èú ¨ÉÉºÉ¨É {ÉÉä®Æún n É
Abortions? B{{É´ÉÉ´ÉnÖ MɤÉÇ¨É Eò±ÉéVÉn É
Spontaneous iÉÉxÉÉ´Éä MɤÉÇ¨É Eò±ÉéVÉnÖ =hb É
Induced Eò°ü Eò±Éè{{ÉÖ Bn É´ÉnÖ {ÉhhÉÉÆMɱÉÉ
Spontaneous vaginal delivery ºÉÖMɨÉÉ |ÉºÉ´É¨É +ÉSSÉÉ
Caesarean section EÖò±ÉÆnè BbÖ CEò +É{É®äú¶ÉxÉ {ÉhhÉÉÆMɱÉÉ
Forceps / vacuum (instrumental) +ɪÉÖn ¨É {ÉÉä]Âõ]Öõ BbÖ kÉÉÆMɱÉÉ
Whether child was born dead or macerated EÖò±ÉÆnè ºÉäkÉÖ {ÉÉä®Æún n É, <±±Éä Eò±ÉÆÊVÉ {ÉÉä®úxn n É

[ 16 ]
Duration of labour pain B´É±É´ÉÖ xÉä®ú¨É ´É汃 <°Æün nÖ
Weight of baby {ÉÉä®Æún {{ÉÉä EÖò±ÉÆnè ªÉÉäb Bbè B´É±É´ÉÖ
Birth anoxia {ÉÉä®úCEÖò¨¤ÉÉänÖ EÖò±ÉÆnè +±ÉÖn n É
Breech / Head came first ¨ÉÖn ±±Éä iɱÉè ´ÉÆn n É, ¨ÉkÉnÖ ´ÉÆn n É
Congenital anomalies EÖò±ÉÆnè CEÖò Ê{É®úÊ´É EòÉä±ÉÉ°ü/xÉÉäªÉ <°Æün n É
Family history of multiple pregnancy =ÆMÉ EÖòbÖ ¨¤ÉÊkɱÉä ªÉÉ°üCEòÉ´ÉnÖ +Éä®äú |ɺɴÉÊkɱÉä ®äúhbÖ EÖò±ÉÆnè
{ÉÉä®ÆúÊn °üCEòÉ
Manual removal of baby EÖò±ÉÆnè ªÉ Eèò {ÉÉä]Âõ]Öõ BbÖ kÉÉÆMɱÉÉ
Contracted pelvis <bÖ {{ÉÖ <°üCEò¨ÉÉ <°Æün n É
Post-partum bleeding EÖò±ÉÆnè {ÉÉä®Æún {{É®ú¨É ®úÉä¨¤É ®úkÉ¨É {ÉÉäSSÉÉ

Contraception Eò°ükÉbè
Oral contraceptive pills Eò°ükÉbè ¨ÉÉjÉè ºÉÉÎ{]õªÉÉ
IUCD Eò°ükÉbè ºÉÉvÉxɨÉ {ÉÉä]Âõ]õÉÆMɱÉÉ
Tubectomy EÖòbÖ ¨¤É Eò]Âõ]Öõ{{ÉÉbÖ ºÉäªn ÉSSÉÉ
Any other method (condoms, etc) ´Éä®úä Bn É´ÉnÖ ¨ÉÉä®èú
GYNAECOLOGY - MENSTRUAL HISTORY

Age at Menarche BÆn ´ÉªÉºÉÖ±É ¨ÉÖn ±É iÉÒ]Âõ]Öõ ´ÉÆn nÖ

Regular cycles ¨ÉɺÉÉ ¨ÉɺɨÉ iÉÒ]Âõ]Öõ ´É°ün É
No. of days BkÉxÉè xÉɱÉèCEÖò iÉÒ]Âõ]Öõ ´É°ünÖ
No. of pads used +Éä°ü xÉɱÉèCEÖò BkÉxÉä iÉÖÊhÉ ¨ÉÉkÉÖ´ÉÓMÉ
Flow ®úkÉ¨É VÉɺiÉÒ {ÉÉä´ÉÖn É, <±±Éä EòÉåVɨÉÉ {ÉÉä´ÉÖn É
Whether passing clots ®úkÉ¨É EòÎ]Âõ]õ EòÎ]Âõ]õªÉÉ {ÉÉä´ÉÖn É
Dysmenorrhea iÉÒ]Âõ]Öõ ´É汃 <°üCEòÉ
Does it put off her work +{{ÉÉä ´Éä±Éè ºÉäªªÉ ¨ÉÖÊb ªÉÉ¨É <°üCEòÉ
Inter-menstrual discharge ®äúhbÖ iÉÒ]Âõ]ÖõCEÖò xÉbÖ Ê´É±Éä ®úkÉ¨É ´É°ün É
LMP Eòbè ºÉÒ iÉÒ]Âõ]Öõ B{{ÉÉä ´ÉÆn nÖ
Menopause B{{ÉÉä iÉÒ]Âõ]Öõ ÊxÉhhÉÖnÖ
Age at 1 st child BÆn ´ÉªÉʺɱÉä =ÆMÉ ¨ÉÖn ±É EÖò±ÉÆnè {ÉÉä®Æún nÖ
No. of years married Eò±ªÉÉhÉ¨É +É<Ç BäkÉxÉè ´É¹ÉÇ¨É +ÉSSÉÒ
COMPLAINTS (GYNAEC.)

White discharge per vaginum ´Éä±±Éè {ÉbÖ n É

Mass descending P/V MɤÉÇ {Éè <®ÆúÊMÉ <°üCEòÉ
Mass abdomen / Pain abdomen Refer ‘Abdomen’

[ 17 ]
Post-coital bleeding {ÉÖ°ü¹ÉxÉ EÚòb ºÉä°ü¨¤ÉÉänÖ ®úkÉ¨É ´É°ün É
Bleeding per vaginum EòÒ±Éä ®úkÉ¨É {ÉbÖ n É
Continuous flow of urine +ÉähhÉÖCEÖò ´ÉÎxn ]Âõ]äõ <°üCEòÉ
OPHTHALMOLOGY

Can you see? EòhhÉÖ iÉäÊ®úªÉÖn É

Tears EòhhÉÒ®Âú ´É°ün É
Is vision reduced? {ÉÉ´Éê ¨ÉÆMɱÉÉ <°üCEòÉ
Sudden ÊiÉb ÒzÉÖÇ ´Éxn n É
Progressive EòÉåVÉ EòÉåVɨÉÉ {ÉÉ´Éê ¨ÉÆMɱÉÉ +ÉʪÉ]Âõ]Öõ ´É°ün É
Coloured haloes {ÉÉÎCEò®ú {ÉÉä°ü±Éè ºÉÖÊkÉ
ÊxÉ®èúªÉ Eò±É®Âú iÉäÊ®úªÉÖn É
Diplopia ®äúhbÖ -®äúhb É iÉäÊ®úªÉÖn É
Polyopia ÊxÉ®èúªÉ =°ü´É¨É iÉäÊ®úªÉÖn É
(shadows)

Photophobia ´ÉäʱÉSSÉ¨É {ÉÉkÉÉÇ EòhhÉÖ EÚòºÉÖn É

Watering EòhhÉÖ±Éä <°ÆünÖ iÉÎhhÉ ´ÉÆnÖ ÊEò]Âõ]äõ <°üCEòÉ
Redness EòhhÉÖ ºÉä´ÉÆnÖ <°üCEòÉ
Black spots Eò°ü{{ÉÖ {ÉÖα±É iÉäÊ®úªÉÖn É
Itching +Ê®úCEÖòn É
Not opening EòhhÉÖ ÊiÉ®úCEò ¨ÉÖÊb ªÉÖn É
Injury +Êb {É]Âõ]õn É
Lens {ÉÉ{{ÉÉ
Since birth {ÉÉä®Æún Ên ʱɰÆünÖ
Visual defect {ÉÉ´Éê EòÉä±ÉÉ°ü
Near ÊEò]Âõ]äõ
Distant nÚ ®ú¨ÉÂ
E.N.T.

Ear EòÉnÖ
Nose ¨ÉÚCEÖò
Throat iÉÉähbè
Can you hear? EòÉnÖ EäòCEÖòn É

[ 18 ]
Right ear ´É±ÉnÖ EòÉnÖ
Left ear <b nÖ EòÉnÖ
Which ear? BÆn EòÉnÖ
Tinnitus EòÉnÖ ±Éä ºÉkÉ¨É EäòCEÖòn É
Earache EòÉnÖ ±Éä ´É汃 <°üCEòÉ
Discharge ºÉÒ±ÉÂ, ®úkɨÉ, ºÉ汃 ¨ÉÉÊn Ê®ú, iÉÎhhɪÉÉ ´É°ün É
Foul smelling xÉÉkÉ¨É <°üCEòÉ
Vertigo xÉb CEÖò¨¤ÉÉänÖ iɱÉè ºÉÖkÉÖn É (dizzy)

Nasal obstruction ¨ÉÚCEÖò +bè {{ÉÖ <°üCEòÉ

Bleeding ¨ÉÚCEòÉ±É ®úkÉ¨É ´É°ün É
Nasal intonation ¨ÉÚCEòÉ±É ¨ÉÚSSÉÖ ´É°ün É
Mouth breathing ´ÉɪÉÉ±É ¨ÉÚSSÉÖ ´É°ün É
Sore throat iÉÉähbè EòÎ]Âõ]õʪɰüCEòÉ
Recurrent +Êb CEòÊb , ÊiÉ°ü¨¤É-ÊiÉ°ü¨¤É
Difficulty in swallowing ºÉÉÎ{{ÉbÖ ¨¤ÉÉänÖ ¨ÉÖ±ÉÖÆMÉ ¨ÉÖÊb ªÉÖn É
Cold ºÉ汃 Ê{ÉÊb ÎSSÉ°üCEòÉ
Hoarseness of voice iÉÉähbè Eò®úEò®ú{{ÉÖ <°üCEòÉ
(hoarseness)

[ 19 ]