What time of the onset of the disease?

At the same time it is necessary to specify, how the patient felt oneself till this time (day, month) as quite often it appears, that considers the occurrence of the disease beginning and the expressed symptoms. Whereas actually number of other "unimportant" phenomena with vital diagnostic importance preceded them.

How began disease, the characters of the first symptoms: suddenly, gradually, from what signs (symptoms), what developed sequence, character’s change, expressiveness, etc.

What the reason of this disease in patient’s opinion? The patient can’t usually specify true reason of disease, but at enquiry often informs very essential circumstances which preceded and could promote development of disease (supercooling, an infection, overfatigue, conflict situation, an error in a eatten, a way of life disturbance and etc.).

The course of the disease, before patient receipt to the clinic proceeded: continuously, cyclically, paroxysmal (attack-like); dynamics of initial manifestation (amplification, easing, disappearance). Proceed with a chronological account of the mode of onset and course of patient illness.

In parallel with it describe treatment carried out earlier stage by stage (out-patient, stationary, sanatorium), its efficiency, results of laboratory – instrumental researches if the patient remembers of them or represents corresponding documents.

Course of the disease in clinic: improvement, deterioration — in exactly, carry out treatment.

The basic contents of this anamnesis unit — dynamics of disease development clinical presentations. For each symptom is necessary to find out: time of occurrence, speed of development, a causal connection, a constancy or periodicity, qualitative character, expressiveness degree, sequence of development with other symptoms.

Дата добавления: 2015-11-16