History taking kulit

ID – name,age,sex,occupation

Chief complaint – OPQRST ( onset,palliating,quality,radiation,severity,temporal), BCDELMNRST (borders,consistency,discharge,edge,location,movement,no,radiation,shape,size,surface,temperature)

History of present illness

- sejak bile?
- penah kena?
- waktu bile,malam?siang?
- berapa lama benda tu ada?
- Ada jumped r?
- Ada dapat ubat?
- OPQRST ( onset,palliating(makanan/ubat),quality,radiation,severity,temporal),
- BCDELRST (borders,consistency,discharge,edge,location,radiation,shape,size,surface, temperature)

Past history

- penah kena penyakit kulit lain?
- Ada penah surgery?
- Penah ada penyakit sistemik lain?
- Allergy?makanan? ubat?
- Ada dapat blood transfusion?

Social history

- Kerja apa?
- Ada merokok?
- Ada minum arak?
- Sosioekonomi macam mana?
- Ada dekat dengan orang yang sakit kulit?
- Dah kahwin?

Family history

- Ada family yang ada penyakit kulit?

Sistem review

- Ada rasa numb?
- Ada rase perut tak selesa?
- Ada demam?batuk?selsema?
- Ada rasa susah bernafas?
- Ada rasa susah nak bergerak?musculoskeletal
- Ada rasa lemah?anemia hematology
- Ada rasa panas/sejuk? endocrinology