EC
Elizabeth Craigover 3 years ago
Why does a doctor ask about family history?
Top rated comment
over 3 years ago
A doctor asks a list of questions. They may be bothering for many but they are important. A doctor needs to know the diseases running in family and the medicines a person takes to better analyze the condition and pursue a definitive diagnosis. It highly affects the treatment.
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Obstetrics - GravidityFor those who were asking for clinical examination steps, here are some info: To have a proper full examination, first of all you need to know the patient in front of you, is he a child, is he an adult, is he an old man, because for a child( baby) the history is different from an adult of an old man, due to the fact that the history of a baby starts usually from the moment of the pregnancy for ecample whether the pregnancy was normal or whether there was any signs of infection, if the mother is an alcohol abuser, if she suffered from any medical issue such as pre eclampsia.. the delivery if it was normal or CS, the condition after birth, The Apgar score of the baby, the nutrition, the immunizations, all of these need to be taken into consideration. However back to clinical examination here how we usually need to start: 1) general condition: is it good, is it satisfactory (stable vital signs, conscious, and presence of some pathological symptoms), serious( seriously ill, unstable vital signs, altered state of conscious), critical(unstable vital signs, unconscious) or last one dead. 2) skin: check the color of the skin because it can be indication of serious diseases( jaundice ex in case of hepatitis, cyanosis for respiratory or cardiovascular diseases, rashes in case of viral infection, hyperpigmentation in case of endocrinological diseases, check for signs of dehydration because it may indicate malnutrition..), check for sclera colour, tongue.. 3) head specially in baby the circumference of the head microcephaly macrocephaliy, dysmorphic signs and always do check for the fontanelles whether they are bulging or depressed. 4) chest deformities any scars any signs of respiratory insufficiency for example tachypnoea, dyspnea, percussion auscultation of heart and lungs, heart needs to include heart rate rhythm, murmurs in case there is any and where is the maximum intensity of it. 4) abdomen: normal movement with respiration, any scars because it can indicate previous operations, palpation whether there is any irritation or bulging, palpable tumour masses, auscultation to check the peristalsis(normal increased or absent) 5) kidneys usually not palpable in case they are means there is a pathological condition(tumour, trauma..) 6) genitalia, buttocks ( for pathology specially in STDs) 7) limbs any deformities 8) neurological examination( muscle tone, reflexes missing, neuroinfection suspension specially meningitis...)Surgical intervention back in 1910How do I get medical information about people whom I don't know in family?Does ethnicity matter in familial health conditions?What if I don't have the right medical information about people of my family?What health conditions run in families?What does a doctor need to know in an appointment?History taking of patient
Obstetrics - GravidityFor those who were asking for clinical examination steps, here are some info: To have a proper full examination, first of all you need to know the patient in front of you, is he a child, is he an adult, is he an old man, because for a child( baby) the history is different from an adult of an old man, due to the fact that the history of a baby starts usually from the moment of the pregnancy for ecample whether the pregnancy was normal or whether there was any signs of infection, if the mother is an alcohol abuser, if she suffered from any medical issue such as pre eclampsia.. the delivery if it was normal or CS, the condition after birth, The Apgar score of the baby, the nutrition, the immunizations, all of these need to be taken into consideration. However back to clinical examination here how we usually need to start: 1) general condition: is it good, is it satisfactory (stable vital signs, conscious, and presence of some pathological symptoms), serious( seriously ill, unstable vital signs, altered state of conscious), critical(unstable vital signs, unconscious) or last one dead. 2) skin: check the color of the skin because it can be indication of serious diseases( jaundice ex in case of hepatitis, cyanosis for respiratory or cardiovascular diseases, rashes in case of viral infection, hyperpigmentation in case of endocrinological diseases, check for signs of dehydration because it may indicate malnutrition..), check for sclera colour, tongue.. 3) head specially in baby the circumference of the head microcephaly macrocephaliy, dysmorphic signs and always do check for the fontanelles whether they are bulging or depressed. 4) chest deformities any scars any signs of respiratory insufficiency for example tachypnoea, dyspnea, percussion auscultation of heart and lungs, heart needs to include heart rate rhythm, murmurs in case there is any and where is the maximum intensity of it. 4) abdomen: normal movement with respiration, any scars because it can indicate previous operations, palpation whether there is any irritation or bulging, palpable tumour masses, auscultation to check the peristalsis(normal increased or absent) 5) kidneys usually not palpable in case they are means there is a pathological condition(tumour, trauma..) 6) genitalia, buttocks ( for pathology specially in STDs) 7) limbs any deformities 8) neurological examination( muscle tone, reflexes missing, neuroinfection suspension specially meningitis...)Surgical intervention back in 1910How do I get medical information about people whom I don't know in family?Does ethnicity matter in familial health conditions?What if I don't have the right medical information about people of my family?What health conditions run in families?What does a doctor need to know in an appointment?History taking of patient
