Kamis, 24 Juli 2008

Anamnesis

When a patient enters a medical facility, seeking help. A medical doctor will promptly ask for their identity, this is a first step which gathers personal data, name, age, sex, and other relevant basic data. this is a moment to develop a doctor-patient relationship.

"what is the problem ?" or similar question is the second important step that will eventually lead to a diagnosis. this is a main symptom question, it is the symptom that prompt the patient to seek help to a medical facility, the complaint that bother him/her very much. the answer to the question above will guide the doctor's mind and produce a series of new questions that leads to several possible diagnosis, it is called a differential diagnosis.

those new questions must describe the history of the main symptom, when does its first felt ?, does it accompany by other complaint ?, describe its character. the questions here must obtain a typical symptom of a suspected disease. Next is obtaining history of previously acquired disease and other existing disease including present drug consumption.

history of allergic is always reviewed, depend to the patient, we could also need history of pregnancy, immunization, growth and development, etcetera

with anamnesis we can limit the possible diagnosis to several disease only, before we enter the physical examination stage. the doctor bears in his mind those possbile diagnosis, and continue his/her search by looking other sign and symptom. the doctor may need certain laboratory examination to confirm or eliminate suspected disease resulting in a working diagnosis.

di publikasi juga di Knol saya Anamnesis

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