History Components

  1. Establishing a good relationship with the patient (introduction& Permission)
  2. Personal Data
  3. Chief Complaints or presenting symptom
  4. History of Present Illness [HPI]
  5. Review of systems [ROS]
  6. Past medical and surgical history
  7. Family history
  8. Drug & Allergy history
  9. Social history
  10. Behavioral history
  11. Summery of the History

History Taking

History taking is not science, but rather, art, because it requires interpretation and clarification.

  • Introduce your self 
  • Explain your procedure (what you will do?) (consent)
  • Confirm your patient
  • Assure privacy

Ask for Demographic data; Name, age, gender, nationality, marital status, occupation, address, Eligibility Insurance; Always, read the patient’s past records (if available)

and most importantly Chief complain