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

HISTORY TAKING PSYCHIATRY

ID – nama,age,sex,occupation,marital status,duduk dengan siapa

History of presenting illness(OPQRST)

- Mood change – ada rasa lemah semangat?(depression)
- Anxiety-worry-stress – ada rasa resah?
- Panic – ada rasa panic?
- Sleep pattern- ada kurang tidur?mania
- Obsessive compulsive disorder – ada rasa suatu benda tu macam suatu kewajipan?
- Post traumatic stress disorder – penah rasa suatu pengalaman yang menakutkan?rasa trauma?
- Appetite – sy tgk badan awk kurusla, awk makan tak tadi?eating disorder
- Hallucination-delusion –ada tak org ckp dengan awk bile xder org kat sekitar awk? skizophrenia
- Delirium –dementia – tau tak hari ni hari ape?
- Somatisation disorder – ada x rase sakit yang dr lain x Nampak?
- Drug usage –amphetamin(skizo),
- Alcohol and caffeine –women - major depression, anxiety, panic disorder, bulimia, post-traumatic stress disorder (PTSD), or borderline personality disorder. Men with alcohol-use disorders more often have co-occurring diagnosis of narcissistic and antisocial personality disorders, bipolar disorder, schizophrenia, impulse disorders and attention deficit/ hyperactivity disorder.[74]
- Experience yang effect patient( post traumatic disorder)
- Ada rasa xberguna tak hidup kat dunia ni?if yes, ada rasa macam nak bunuh diri x? pernah ada problem relationship? Personality disorder

Past history

- Treatment yang dah buat
- Pernah kena tak benda yang sama dulu?
Social history
- Background? Pernah kena dera masa kecik?
- Head injuries?infection
- Parents divorce? Macammana tangani benda tu?
- Relationship?friends?academic?
- Type of job?wut do u really do?
- Camne handle stress?
- Suruh patient describe diri dia sendiri?

Family history

- Ada family ade sakit jiwa?
- Ada family yang penah bunuh diri?
- Ada family ambil ubat sakit jiwa?
- Background family?family tree?
- Mcm mana hubungan family dengan awak atau adik beradik awk?

History taking neurology

1. ID – nama, age, kerja

2. Chief complaint

3. History of presenting illness

- Berapa lama?
- Berapa kali?
- Rasa sakit macam mana?
- Apa yang menyebabkan benda tu sakit (aggravating factor)
- Apa yang menyebabkan benda tu hilang sakit (relieving factor)
- Ada sakit tempat yang lain?
- Ada penah jumpa dr
- Ada dpt ubat?

4. Past history

- Ade penah sakit lain?
- Ada surgery?
- Ada allergy?
- Penah dapat blood transfusion?

5. Social history

- Kerja apa?
- Merokok?
- Minum arak?
- Dah kahwin?
- Ada dekat dengan org sakit?
- Sosio-ekonomi?

6. Family history

7. Sistem review

- Ada pening?
- Ada penah terlupa(memory lost)?
- Ada susah nak focus?
- Ada pengsan,sawan?
- Ada masalah pendengaran atau penglihatan?
- Ada rasa nak muntah?
- Ada rasa kebas ,lemah atau gerak2(clumsiness) pada tangan atau kaki?
- Penah dapat stroke ?
- Selalu mengantuk?
- Ada rase lemah semangat(depressed) atau sedih?
- Ada penah kena diperkosa?

common cases for dermatology

1. psoriasis
2. contact dermatitis
3. tick
4. oral herpes
5. photosensitivity rash
6. rash by drug
7. pemphigo vulgaris
8. acne

kena baca!!
a. rabies
b. komedo
c. kusta
d. tb kulit
c.autoimmune pemphigoid
d.measles
e.eczema
f.lichen planus
g.dermatophytosis
h.erythema multiform
i.type 1 hypersensitivity
j.seborrheic keratosis

common case related to psychiatry

1. skizophrenia
2. major depression disorder
3. bipolar
4. dementia

common disease related to the nose and throat

1. dry mucosa
2. trauma to the mucosa
3. allergic
4. sinusitis
5. 1st cranial nerve problem
6. tonsilopharyngitis

most common disease related to ear

1. benign positional vertigo
2. labyrintis
3. menier's disease
4. vestibulo neuritis
5. otitis media acute
6. otitis media chronic
7. otitis media supuratif
8. gentamycin side effect