4: History taking Flashcards Preview

Dermatology Week 1 2017/18 > 4: History taking > Flashcards

Flashcards in 4: History taking Deck (7)
Loading flashcards...
1

The most important part of a derm consultation is taking the patient's ___.

history

2

What are important things to ask about in a derm consultation?

History of presenting complaint

Past medical history

Drug history

Social / occupational history

Family history

 

3

History of presenting complaint

When did you first notice the lesion?

Where?

Has it changed? (Size, shape, colour etc.)

What were you doing at the time?

Associated symptoms - itching, pain

Exacerbating and relieving factors

ICE - how does it impact the patient?

4

Past medical history

Have you had anything like this before?

Past history of atopy - asthma, hayfever, eczema

Have you been in hospital before? Consider associations like sarcoidosis, Crohn's disease, HIV etc.

5

Drug history

What drugs are you currently taking?

Complementary therapies?

Make-up? Other cosmetics

6

Social / occupational history

Where do you work? Contact with chemicals, irritants etc.

Hobbies?

Alcohol intake

Smoking

Travel? Do you spend a lot of time in the sun?

Sexual history

How are things at home?

7

Family history

Does anyone in the family have the same problem?

Do any skin diseases run in your family?