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The History and Interviewing Process

Tools

Physical Examination

AB
Focused HistoryTaken during an acute situation requiring immediate attention
Present ProblemStep-by-step evaluation of circumstances
Complete HistoryHistory completed the first time a patient is seen
Social HistoryEducation, home environment, hobbies
Medical HistoryPrevious childhood and adult illness
Systems ReviewOrganized physiologic data
Inventory HistoryTouches on major points of concern without detail
Chief ComplaintBrief description of the perceived problem
Interim HistoryA chronicle of events since last meeting with patient
Family HistoryPedigree diagram

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