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The patient with acute cardiovascular problems
Published in Peate Ian, Dutton Helen, Acute Nursing Care, 2020
Valuable information can be gained by taking account of both subjective and objective data. The patient’s experience and perspective is important and can contribute to the nurse’s understanding and identification of likely problems. Taking a brief history can identify relevant past medical history, allergies, risk factors and medication taken. Symptoms should be explored systematically to help identify underlying physiological disturbances.
Assessment skills
Published in Janet Dunphy, Mary Kiely, Communication in Palliative Care, 2020
The patient’s past medical history is important; it helps to ask the patient about any serious illnesses. This can avoid the patient giving a long history of irrelevant illnesses. Often a patient may deny having any other medical problems, but the list of medicines being taken tells another story. The patient’s answers to questions about both medical history and current medication are needed to get a full picture. A list of medicines, for example, may indicate cardiac or respiratory disease, hypertension or depression. Some medicines may clearly be being taken for prophylactic reasons, such as statins, and some for therapeutic reasons, such as antibiotics.
Telemedicine in Nepal
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
The local system collects a clinical history and images, which are then transmitted to a specialist for diagnosis. For the clinical history, both general information and discipline-specific information are collected. The general information includes the following: patient informationbasic informationpersonal historypast medical historyfamily history.
Association between vascular risk factors and cognitive impairment in amyotrophic lateral sclerosis: a case-control study
Published in Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 2023
Tianmi Yang, Qianqian Wei, Chunyu Li, Bei Cao, Ruwei Ou, Yanbing Hou, Lingyu Zhang, Yongping Chen, Huifang Shang
Demographic and clinical characteristics, as well as patients’ medical and personal history, were collected during the patient’s first visit to our tertiary referral center as previously described (3,20). We recorded age at the symptom onset, sex, height, weight, educational level, site of onset, and disease duration. The severity of the disease was assessed by the Revised-ALS Functional Rating Scale (ALSFRS-R). Progression rate was determined by (48 − ALSFRS-R total score at the first visit)/duration between onset and first visit. Positive family history was defined as a family history of ALS in the first or second generations. Classification of clinical phenotypes was based on guidelines established by Chiò et al. (23). Detailed past medical history was provided from patients and (or) caregivers.
Elevated lipoprotein A in acute on chronic CTEPH with cardiogenic shock: a case report
Published in Journal of Community Hospital Internal Medicine Perspectives, 2021
Kyaw Kyaw, Shakya Sabnam, Melanie Cheing, Fidencio Davalos, Michael Gramuglia
A 62-year-old man presented with a 1-week history of worsening shortness of breath and reduced exercise tolerance on early December 2019. He denied chest pain, cough or fever. Past medical history had a notable essential hypertension, diabetes mellitus, asthma and a remote history of hepatitis C s/p treatment. Allergies include penicillin. Family history is relevant for deep vein thrombosis in mother, sister and daughter. Social history is notable for half pack per day smoking history since teens, as well as prior opioid use disorder maintained on methadone. On admission exam: 98 F, 107/62, respiratory rate was 20, pulse rate was 96 and oxygen saturation was 96% on 3 L of oxygen. Patient was not in acute distress. Cardiac exam noted normal s1s2 and no murmurs rubs or gallops. Abdomen was soft and non-tender with no organomegaly appreciated. Patient had right-leg pitting edema and chronic venous skin changes in both legs. There were dorsalis pedis pulses bilaterally.
Current updates and future perspectives in the evaluation of azoospermia: A systematic review
Published in Arab Journal of Urology, 2021
Nahid Punjani, Caroline Kang, Dolores J. Lamb, Peter N. Schlegel
A focussed history remains a critical tool in the evaluation of infertile patients. Important categories include past medical history, past surgical history, developmental history, and family history of genetic conditions or infertility. A focussed infertility history should review and differentiate primary vs secondary infertility, the duration of infertility, partner history including age, and history of known infertility causes, e.g. undescended testis, childhood illness, pelvic or inguinal surgery, genitourinary surgery (i.e. vasectomy), trauma, infection, gonadotoxins, exogenous androgen replacement, and known genetic conditions. A sexual history should accompany the infertility history and should investigate erectile function, ejaculatory function, libido, frequency of intercourse, use of lubricants, and contraception. The history should further explore any areas of systemic disease or conditions.