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11 PSH * TEST/ SURGICAL PROCEDURE/ IMPLANTATI ON

12 FH GEN 1

FH GEN 2

FH GEN 3

13 SH + PH 1.MARITAL STATUS

2.DRUG USE [ANALGESICS]

3.ALCOHOL CONSUMPTION

*Max : M = 21 glass/week

F = 17 glass/week

(CAGE Question)

- Cut down- Annoyed by people- Guilty feeling- Eye opener

4.SMOKING

*Number of pack years :(number of cigarettes smoked per

day number of years smoked) / 20

5.ECONOMIC STATUS

6.EDUCATION LEVEL

7.HOBBIES

8.TRAVEL9.SEXUAL HISTORY

10.LIVING CONDITION

14 DH *ALTERNATIVE MEDICINE/ CURRENT MEDI CATION

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o Fits/ Seizureso Loss of consciousnesso Muscle weaknesso Numbnesso Tingling sensationo

Tremorso Paralysiso Paresiso Abnormal sensationo Tremoro Behavioural changes

6.URINARY o Frequencyo Polyuriao Pain in urinationo Dysuriao Urgencyo

Hesitancyo Terminal dribblingo Nocturiao Back/ Flank/ Loin paino Incontinence

7.O&G o Paino Discomforto Itchingo Dischargeo Bleedingo Miscarriageo

Abortiono Contraceptiono Menopauseo Pregnancyo Pattern of period

8.MESCULOSKELETAL o Pain [Muscle/ Bone/ Joint]o Swellingo Weaknesso Deformitieso Gaito Crampso

Stiffnesso Limitation of motion/ activity

9.HAEMOTOLOGICAL o Anemiao Easy bruisingo Bleedingo Transfusion reaction

10.ENDOCRINE o Heat/ cold intoleranceo Excessive sweating

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o Excessive thirst/ hungero Change in clothes/ shoe sizeso Polyuria

11.SKIN o Rasheso Lumpso Soreso Itchingo Drynesso Changes in hair/ nailso Changes in sizes/ color of

moles

12.NECK & BREAST o Neck lump/ swellingo Neck paino Neck stiffnesso Breast nipple dischargeo Breast paino

Breast lumpDIAGNOSIS :

1. FIND THE DETAILED HOPI FOR + SUPPORTIVE SYMPTOM2. FIND SYMPTOM THAT THE DIFFERENTIAL DIAGNOSIS

16 DIAGNOSIS

17 DIFFERENTIALDIAGNOSIS

*DIAGNOSIS INVOLVI NG ORGAN

18 INVESTIGATION *FULL BLOOD PICTURE/ RENAL FUNCTION/ LI VER

FUNCTION/ FLUID ANALYSIS/ ULTRASOUND/ XRAY