history taking in neurology
Post on 06-Oct-2015
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HISTORY TAKING IN NEUROLOGY
HISTORY TAKING IN NEUROLOGYHistory taking is a diagnostic instrumentIndicating the site and the nature of the lesionDoctor-patient relationship built on trustThe secret of good history- taking is to be a good listener
Principles of History taking in Neurology
Patient identityAge, gender, status, ras, ethnic
History of present illnessHistory of past illnessFamily historySocial, Habits
HISTORY OF PRESENT ILLNESSPatients descriptions of the complaintTemporal course of the symptomssuddenly, gradually, or after a specific inducing eventacute, subacute, chronicCharacterization of the symptomsconstant, increasing, decreasing, fluctuatingameliorating/aggravating factorsmedication
Accompanying symptomsPast medical historyPast illnessCurrent medicationFamily HistorySocial History/Life HabitsAlcohol and tobaccoToxic environmental
Mnemonic for the differential diagnosis of neurologic disorders:
VvascularIinfectiousTtraumaticAautoimmuneMmetabolic/ toxicIiatrogenic/ hereditary, idiopathicNneoplasticDdegenerative
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