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Category Archives: History Taking

Clinical Skills – Cluster the Clinical Findings


It is often challenging to decide whether clinical data fit into one problem or several problems. If there is relatively long list of symptoms and signs, and an equally long list of potential explanations, one approach is to tease out separate clusters of observations and analyze one cluster at a time. Several clinical characteristics may […]

The Comprehensive Adult Health History


Initial Information Data and Time of History The date is always important. Be sure to document the time you evaluate the patient, especially in urgent, emergent, or hospital setitngs. Identify Data These include age, gender, marital status, and occupation. The source of history or referral can be the patient, a family member or friend, an […]