Collect
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PERSONAL DETAILS: Name, Age, Sex, Nationality, Martial/Occupation status
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PRESENTING COMPLAINT: What are you complaining of?; record patients own words, in order of severity & Chronicity
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HISTORY OF PRESENT ILLNESS: Full analysis of complain’s, get right back to the beginning of the trouble, analysis of possible related system. Common Complaints includes Abdominal pain, Abdominal mass/ swelling, Abdominal distension, Changes in bowel habit, Vomiting, Discharge (abdomen, perineum, Bleeding, Weight loss
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PAST MEDICAL/FAMILY/MEDICATIONS/SOCIAL/GYNECO/SURGICAL HISTORY