TAKING FULL CASE HISTORY

Authors

  • Asatullayev Rustamjon Baxtiyarovich, Erkinova Afruza Scientific supervisor,Student

Keywords:

Medical history, Patient interview, Diagnosis, Symptoms, Healthcare, Case history components, Clinical examination, Medical documentation, Doctor-patient communication, History taking techniques

Abstract

Taking a full case history is a critical step in medical practice that enables healthcare professionals to accurately diagnose conditions, guide investigations, plan treatment, monitor progress, and establish trust with patients. A comprehensive case history includes key components such as patient demographics, chief complaints, history of present illness, past medical history, medication history, family history, social history, and a review of systems. Effective history-taking techniques involve creating a comfortable environment, using open-ended questions, practicing active listening, and adapting to special patient populations, including pediatric, geriatric, psychiatric, and emergency cases. By following a structured and patient-centered approach, medical professionals can enhance clinical decision-making and optimize patient care.

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References

Bates, B. (2017). Bates' Guide to Physical Examination and History Taking (12th ed.). Lippincott Williams & Wilkins.

Epstein, R. M., & Street, R. L. (2011). Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. National Cancer Institute.

Macleod, J. (2018). Macleod's Clinical Examination (14th ed.). Elsevier.

Segen, J. C. (2019). The Dictionary of Modern Medicine. CRC Press.

Talley, N. J., & O’Connor, S. (2021). Clinical Examination: A Systematic Guide to Physical Diagnosis (9th ed.). Elsevier.

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Published

2025-02-28

How to Cite

Asatullayev Rustamjon Baxtiyarovich, Erkinova Afruza. (2025). TAKING FULL CASE HISTORY. Journal of Applied Science and Social Science, 15(02), 642–644. Retrieved from https://www.internationaljournal.co.in/index.php/jasass/article/view/688