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History Taking in Dermatology

The document outlines the typical steps involved in taking a dermatology patient's history. This includes: 1) Introducing yourself and gaining consent; 2) Collecting demographic information like name, age, occupation; 3) Asking about the presenting complaint including symptoms, onset, location, and anything that makes it better or worse. It also involves gathering related medical information like contact history, past medical history, family history, drug history, travel history, social history, and sexual history.

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Mizrab Nadeem
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2K views2 pages

History Taking in Dermatology

The document outlines the typical steps involved in taking a dermatology patient's history. This includes: 1) Introducing yourself and gaining consent; 2) Collecting demographic information like name, age, occupation; 3) Asking about the presenting complaint including symptoms, onset, location, and anything that makes it better or worse. It also involves gathering related medical information like contact history, past medical history, family history, drug history, travel history, social history, and sexual history.

Uploaded by

Mizrab Nadeem
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HISTORY TAKING IN DERMATOLOGY

1.

Introduce yourself, stress confidentiality and gain consent to take a history from the
patient.

2.

Name, age, occupation (contact dermatitis may be caused by chemicals or


products used at work)

3. Presenting Complaint (PC) -Open questions:What seems to be the problem today?


Can you describe your skin problem?
4. Symptoms - Itch,Pain,Bleeding,Discharge,Blisters/ulcers,Swelling/new growth
5. History of Presenting Complaint - When did it start?How did it start?Where did it
start?Has it changed over time?Where is it now?Is anywhere else?
(spread/distribution)What does it feel like?Does anything make it better or worse?
Experienced this before? . Any treatment used?- medications,creams
7.

Contact history- contact with others with similar disease

8. Any problems with your mouth, nails, joints, scalp or hair?


9. Past Medical History (PMH)- How is your general health?Previous skin condition?
Asthma, hayfever or eczema? (Signs of atopy)
10. Family History (FH)-Eczema,Hayfever,Asthma,Psoriasis,Skin cancers,
11. Drug History (DH)- Current medications and length of use,Allergies,Skin
reactions,Use any cosmetics or moisturizing creams?
12. Travel History (TH)-Where do you come from?Been abroad recently?A lot of sun
exposure?
13.Social History (SH)-Alcohol,Smoking,Home situation whos there, support
available,Changes washing powder, pet (may aggravate skin conditions),Hobbies
gardening (in America plants such as poison ivy can commonly cause a contact
dermatitis),Any stressful events stress can precipitate skin conditions
14. Sexual History- Current relationship status sexually active?Any symptoms
down below pain, discharge, skin changes?Does their partner have any
symptoms?
15. How is this skin problem affecting your day to day life?

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