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structure of history take-reduced
presenting complaint ( why have been called), history of complaint ( description of the complaint), past medical history (other issues), drug history , Family history, social history, system review (identify the system but nay other symptoms)
what’s does SAMPLE stand for
S - Signs and Symptoms, A - Allergies, M - Medications, P - Past Medical History, L - Last Oral Intake, E - Events Leading Up
what’s SOCRATES means for signs and symptoms
S - Site, O - Onset, C - Character, R - Radiation, A - Associations, T - Time course, E - Exacerbating/relieving factors, S - Severity.
what’s are example of red flags
sudden chest pain/ collapsed/ uncontrolled bleeding/ stroke/ signs of sepsis
what’s does consultation made up of
primary survey ( general impression how they presenting
history taking ( SAMPLE)
secondary survey( reassess vital signs )
reassessment ( review treatment, monitor patient)