Overview Physical Exam & History Taking

Question 1

The following information is recorded in the health history: “The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time, it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastic area” What category does it belong to?

Answer 1

Present Illness
-information described the problem of abdominal pain, which is present illness. The interviewer has obtained the location, timing, severity and associated manifestation of the pain.

Question 2

Personal and social history includes

Answer 2

educational level, family or origin, current household status, personal interests, employment, religious beliefs, military history and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history.