SE

introduction, history taking,

physical examination
it gives valuable data about present condition
by introduciton and estabilishing patient's comfort

ask follow-up questions, show interest, nodding their head

closed can be answered yes/no, open must be answered with their own words
closed

"Have a seat
and tell me
about it"
simple and whitout medical terms
PMH
genetic diseases, e.i. family photos

doctor makes sure that patient said all the necesary facts about their condition

intro

HPC
 ALL, DH

pain in lower chest area

no problems with heart

SH

shortness of breath, rusty sputum, had pneumonia, cough

lack of appetite, no weight loss, had gallbladder removed, had appendicitis

FH ------------------------

have to sleep on 2 pillows

------------------------
 amily ositive

ocial moking

iagnostic

resenting omplaint

istory

ignificant eport

elevant
llness

ontributory

llergies