Chief
This is defined as the major symptom(s) that prompted the patient to present to hospital, or his doctor, and their duration.
Questions
- What’s the problem today?
- Can you tell me what your symptoms are?
- Have you ever had these complaints before?
- When did you start feeling poorly?
- Does anyone else in your family have the same problem at the moment?
- Do you have any children?
Presenting
such as - Shortness of breath/ 1 hour,Chest pain/6 hour It should be:
- Short and specific
- In one clear sentence for each symptom, in a separate line
- Include the duration
More than one: list acc to their duration; the earlier comes first
- If all simultaneous: list in order of severity; the more severe comes first
Is a known case of CRF on haemodialysis
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State-known chronic clinical problems: diabetes, hypertension….etc. and their durations
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Some patients present to hospital for a follow-up of a certain disease or to do surgery.