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Учебное пособие НАР.ШАМ. 2008.doc
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Illness: described as to the time of onset, mode of onset, duration,

and reaction to symptoms.

D. Past Illnesses 1. Diseases of childhood; 2. Serious illnesses; 3. Injuries;

4.Surgery and hospitalisations.

E. Personal I. Marital status, duration, health of partner,

History: compatibility, number of children, ages;

2. Habits: alcohol, tobacco, sedatives or other medication,

sleeping habits, narcotic drugs;

3. Occupation: present and past work, exposure to

occupational hazard, emotionally satisfactory or not

F. Family Father, mother, sisters, brothers. Diabetes,

History and familial hypertension, tuberculosis, apoplexy (CVA), nervous

tendency and mental diseases, cancer, familial tendency.

G. System 1. Head: headaches (duration, severity, character,

Review: location); vertigo/dizziness/giddiness, etc.

2. Nose, throat: running nose/caryzo/nasal cold ;sore

throat, tonsillitis, quinsy, etc.

3. Respiratory: cough, expectoration, blood/pus in the

sputum, pleurisy, asthma, etc.; date of recent chest X-ray.

4. Cardiovascular; breathlessness, substernal pain,

palpitation, blood pressure, etc.

5. Gastrointestinal: appetite, distress before or after meals, nausea,vomiting, diarrhea, constipation, gastric оr abdominal pain or colic, change in form and colour of stools, jaundice, etc.

Enquiring into the Case History (Speech Models)

A. Passport Data/Identification Data:

— What is your full name?

— What is your surname?

— What is your first (Christian) name?

— How old are you?

— What is your nationality?

— Are you single?

— Are you married?

— Are you widowed?

— Are you separated?

— Are you divorced?

— What is your profession?

— What do you do for a living?

— Where do you work?

— What is your business address?

— What post do you hold?

— Are you a housewife?

— Are you on pension/retired?

— Where do you live?

— What is your home address?

— When were you born?

  • Where were you born?

B. Chief Complaints:

— What kind of trouble do you have?

— What is the matter with you?

— What is wrong with you?

— What are your complaints?

— Any other problems?

  • No complaints?

C. Present illness:

Onset and Duration

— Is the trouble acute or chronic?

— How long have you been ill?

— When were you last well?

— When did your symptoms first begin?

— Was the onset of the disease sudden or slow?

  • Are there any known precipitating factors associated with the onset of illness?