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  • Anamanesis Tutor GSGHP

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    Mario Saragih
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    This document provides guidance on conducting an anamnesis, or patient medical history. It outlines the four fundamental parts of an anamnesis: 1) presenting complaint, 2) past medical history, 3) family history, and 4) lifestyle and social history. For each, it gives examples of the types of questions that should be asked to gather relevant information from the patient. The goal is to obtain a comprehensive understanding of the patient's condition and relevant risk factors to aid in diagnosis.

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    This document provides guidance on conducting an anamnesis, or patient medical history. It outlines the four fundamental parts of an anamnesis: 1) presenting complaint, 2) past medical history, 3) family history, and 4) lifestyle and social history. For each, it gives examples of the types of questions that should be asked to gather relevant information from the patient. The goal is to obtain a comprehensive understanding of the patient's condition and relevant risk factors to aid in diagnosis.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views10 pages

    Anamanesis Tutor GSGHP

    Uploaded by

    Mario Saragih
    This document provides guidance on conducting an anamnesis, or patient medical history. It outlines the four fundamental parts of an anamnesis: 1) presenting complaint, 2) past medical history, 3) family history, and 4) lifestyle and social history. For each, it gives examples of the types of questions that should be asked to gather relevant information from the patient. The goal is to obtain a comprehensive understanding of the patient's condition and relevant risk factors to aid in diagnosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 10

    Anamnesis

    • Recalling; patient's medical history, especially based on


    the patient's memory; immunologic memory
    • Anamnesis result contains the main complaints and
    accompanying complaints that are often submitted by the
    patient or the patient's family. Tracing the history of
    current illnesses, other diseases that are risk factors,
    family history, social history, and history of allergies are
    other information on this. In some diseases, this section
    contains specific information that the doctor must obtain
    from the patient or patient's family to confirm the
    diagnosis of the disease.
    The Fundamental Four

    1. Presenting complaint
    2. Past Medical History
    3. FAMILY HISTORY
    4. Lifestyle and Social History
    1. Presenting Complaint
    To get Information about all the complaint
    complained by the patient
    7

    P
    1. Presenting complaint
    Scenario :
    • Pain
    – Where is the pain? Can u show me the pain? → epigastrium
    – Quantity → Very
    • Any other complaints that followed? → Melena
    - Every bowel movement? Or not?
    - Accompanied by blood?
    - Is it watery? How watery?
    • Timing
    – Onset : Melena → since 3 days ago
    – Duration
    – Frekuensi
    – Progression →The pain gets worse after eating how many hours?
    • Modifying factor
    – Aggravating factor→ the pain gets worse after eating
    – Relieving factor
    2. Past Medical History

    Drug History
    • Regular medicine?
    • Allergies?

    Scenario :
    • Patient has gout
    - Since when?
    - How bad?
    - What is the medical history of gout? →
    • Rarely control to the puskesmas and often consume medicine stalls to
    treat their illness.
    3. Family History
    • Is there a family affected or not?
    • Is there a family that feels something like this
    before?
    • If yes, ask about the medical history

    Scenario : NONE
    4. Lifestyle and Social History
    • Smoke?
    • Any Alcohol?
    • Food, etc

    Scenario :
    • Frequent consumption of drug stalls to treat
    gout
    Terima Kasih
    Danke
    감사합니다
    XIE XIE
    Спасибо
    Matur nuhun
    cảm ơn bạn
    Arigatou
    ‫شكرا‬
    tak skal du have
    Merci
    ขอขอบคุณ
    Thank You
    Referensi
    1.Burns EA, Korn K, Whyte J, Thomas J,
    Monaghan T. Oxford American Handbook of
    Clinical Examination and Practical Skills. New
    York: Oxford University Press; 2011.

    2. Turner R, Hatton C, Blackwood R. Lecture


    notes on Clinical Skills. 4th ed. Malden:
    Blackwell Science; 2003

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