General Scheme of Case Taking

History Taking

• 1. Particulars of the Patient-

     • Name-

     • Age-

     • Sex-

     • Religion-

     • Social Status-

     • Occupation-

     • Residence-

  2. Chief Complaints-

  3. History of Present Illness-

  4. Past History-

  5. Drug History-

  6. History of Allergy-

  7. Personal History-

  8. Family History-

  9. History of Immunization-

PHYSICAL EXAMINATION

A. General Survey-

• 1. General assessment of illness-

  2. Mental state & Intelligence-

  3. Build & State of Nutrition-

  4. Attitude-

  5. Facies-

  6. Decubitus-

  7. Colour of the skin-

  8. Pallor-

  9. Cyanosis-

  10. Jaundice-

  11. Skin eruption

  12. Pulse-

  13. Respiration-

  14. Temperature-

B. Local Examination-

• 1. Inspection-

  2. Palpation-

  3. Percussion-

  4. Auscultation-

  5. Movements & Measurements -

  6. Examination of the draining lymph nodes-

C. General Examination-

Provisional Diagnosis-

Special Investigation-

Clinical Diagnosis-

Treatment-

Prognosis-

Follow-up-

Termination-

A few special Symptoms & Signs

Clubbing

History Taking & Examination