The Role of History Taking in the Diagnosis of Asthma

1996 ◽  
Vol 31 (10) ◽  
pp. 155-156
Author(s):  
Stuart W. Stoloff
Keyword(s):  
2012 ◽  
Vol 52 (1) ◽  
pp. 51 ◽  
Author(s):  
Titi Sularyo ◽  
Bernie Endyarni ◽  
Tri Lestari H ◽  
Tirza Z. Tamin ◽  
Gitayanti Gitayanti

Background Autism spectrum disorder (ASD) and attention deficitand hyperactivity disorder (ADHD) are nowadays becoming moreand more frequently found. Parents are worried of the possibilitythat their children suffer from them. Growth and developmentclinics (GDC) should be able to deliver professional services. Thusa practica~ applicable, objective, valid, reliable, and able to measuredevelopment quotient (DQ) values instrument is needed.Objective To find out whether the Denver II instrument andDQ values can be used in the management of children with ASDandADHD.Methods A study was carried out on cases of children withASD, multisystem development disorder (MSDD), pervasivedevelopment disorder - n ot otherwise specified (PDD-NOS), andattention deficit and hyperactivity disorder (ADHD), consistingof history taking, physical examination, establishing diagnosis,therapy, evaluation, and follow-up. The Denver II instrumentwas used and DQ values in all development streams established.The study was done at the GDC of Hermina Depok Hospital inJuly 2008 - June 2009.Results It revealed that results of the Denver II as seen on thefilled Denver II form showed "typical" features related to kind ofdisorder as far as category ofDQ value, dissociation, global delayeddevelopment (GDD) as well as abnormality of the test behaviorwere concerned. It also revealed that establishing the diagnosesby the use of the Denver II and DQ values gave exactly the samediagnoses as when using the conventional way by the expert.Conclusion The Denver II instrument with DQ values can beused in the management of ASD and ADHD cases. [Paediatrlndones. 2012;52:51-6].


Author(s):  
Arup Deuri ◽  
Bikram Dam ◽  
Naveen Kumar

A 10-year-old girl presented to our O.P.D. with intra-orbital trauma. On radiological workup following admission, USG B Scan, MRI Brain and 3D reconstructed faciomaxillary imaging were indeterminate for presence of foreign body, whereas CT scan showed a hyperdense lesion suggestive of intra-orbital foreign body. In this condition of imaging dilemma, surgical exploration was decided since there was no improvement in clinical symptoms via lateral orbital approach. Two small wooden pieces were detected in orbital exploration. This case highlights the role of history taking, clinical judgement in all cases of intraorbital tumour more so in paediatric population than solely going by the investigative modalities.


Porta Lingua ◽  
2020 ◽  
pp. 103-110
Author(s):  
Kata Eklics ◽  
Judit Fekete

Medical terminology is a specific code, also labelled as the language of medical communication. Methods including simulation-based doctor-patient encounters enable students to start using that language already during their undergraduate years, often prior to or parallel to their clinical practices. Yet, one party in the conversation – mainly the patient – is most often unable to use that code. The simulation-based history taking course at the University of Pécs facilitates the students’ improvement of awareness in code-switching from a doctor-patient scenario to a doctor-doctor or health personnel scene. Focusing on fundamental elements of the specific language use, students have a chance to revise medical and/or more precisely, clinical terminology by simplifying, defining terms to lay patients – simulated by actors –, as well as present the term-loaded case history to a fellow colleague. Thus, by awareness raising, theoretical knowledge of previous years may be activated. The paper introduces how history taking simulations and case presentations in the English programme empower medical students in the confident use of medical terminology.


2019 ◽  
Author(s):  
Bagas Candra Kurniawan

This study is a related research on the role of history taking to cure cephalgia patients. This study was conducted with the aim to determine the role of history for the recovery of cephalgia patients, how much influence the history of the cure for cephalgia patients, and the factors that influence the recovery of cephalgia patients. The research method carried out in this study was an interview with a qualitative approach. The results of this study indicate that the history carried out by doctors is very instrumental in the recovery of cephalgia patients. With history taking, you can find out the things that are being felt by the patient and know the background of the patient. The patient's lifestyle can affect the emergence or loss of an illness.


Author(s):  
Jian Hui Koo ◽  
Kim Yao Ong ◽  
Yun Ting Yap ◽  
Kum Ying Tham

Abstract Introduction Peer assessments are increasingly prevalent in medical education, including student-led mock Objective Structured Clinical Examinations (OSCE). While there is some evidence to suggest that examiner training may improve OSCE assessments, few students undergo training before becoming examiners. We sought to evaluate an examiner training programme in the setting of a student-led mock OSCE. Methods A year‑2 mock OSCE comprised of history taking (Hx) and physical examination (PE) stations was conducted involving 35 year‑3 (Y3) student examiners and 21 year‑5 (Y5) student examiners who acted as reference examiners. Twelve Y3 student-examiners attended an OSCE examiner training programme conducted by senior faculty. During the OSCE, Y3 and Y5 student examiners were randomly paired to grade the same candidates and scores were compared. Scores for checklist rating (CR) and global rating (GR) domains were assigned for both Hx and PE stations. Results There was moderate to excellent correlation between Y3 and Y5 student examiners for both Hx (ICC 0.71–0.96) and PE stations (ICC 0.71–0.88) across all domains. For both Hx and PE stations, GR domain had poorer correlation than CR domains. Examiner training resulted in better correlations for PE but not Hx stations. Effect sizes were lower than the minimum detectible effect (MDE) sizes for all comparisons made. Discussion Y3 student examiners are effective substitutes for Y5 student examiners in a Y2 mock OSCE. Our findings suggest that examiner training may further improve marking behaviour especially for PE stations. Further studies with larger sample sizes are required to further evaluate the effects of dedicated examiner training.


2016 ◽  
pp. 1-15
Author(s):  
Marcin Komosa

Tervuren. The Belgian MirrorThe paper describes the history and the ideology of the Royal Museum for Central Africa in Tervuren, Belgium, founded in 1898. The role of the museum and its exhibition is analysed in the context of Belgian history, taking into account the tensions between Flemings and Walloons as well as changes in the attitude towards Africa and Africans. The author proposes to divide the history of the evolution of the RMCA exhibition into four stages: from the colonial exhibition to the current reconstruction of the museum.Tervuren, czyli belgijskie lustroArtykuł opisuje historię i ideologię powstałego w 1898 roku Królewskiego Muzeum Afryki Cen­tralnej w Tervuren w Belgii. Znaczenie muzeum i jego wystawy jest analizowane w kontekście belgij­skiej historii, z uwzględnieniem napięć pomiędzy zamieszkującymi Belgię Flamandami i Walonami, a także zmiany postaw wobec Afryki i jej mieszkańców. Autor proponuje podzielić ewolucję muzeum na cztery etapy: od wystawy kolonialnej po obecną przebudowę.


Vulval pain gives an overview of the aetiology, clinical features, management, and prognosis of this, at times, poorly understood and distressing clinical condition. Definitions of provoked, spontaneous, and mixed vulvodynia are given, and local (vestibulodynia) and generalized vulvodynia are differentiated. Important features to explore on history-taking and examination are highlighted, and practical advice on management is given. This includes patient information, topical treatment, systemic treatment (with neuropathic pain agents) and the role of psychosexual therapy, clinical psychology, and pelvic floor physiotherapy are outlined. There is a section on ‘other’ treatments to consider, including more advanced pain management and surgical options. Prognostically partial relief of symptoms occurs in 40–50% of women.


2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Paul Denvir

Previous research has shown that lifestyle discussions (e.g. substance use, sexuality, diet, exercise) tend to be challenging for physicians and patients, in part because of the moral and normative concerns that these topics can engender. Patients who have problematic lifestyle information to disclose to their physicians may experience a dilemma: on the one hand, they may be motivated to disclose the problematic information so that their physicians can treat them appropriately; on the other hand, they may be motivated to withhold or misrepresent information that could serve as a basis for unflattering identity attributions. Drawing on video recordings of primary care consultations in the northeastern United States, I describe and illustrate three remedial strategies that patients employed in order to navigate this dilemma: (1) displaying independent awareness of the problem; (2) framing the problem as ‘in my past’ or as already resolved; and (3) downplaying the role of personal agency in the problem. Implications for patient participation in lifestyle history taking are provided.


2019 ◽  
Vol 49 (3) ◽  
pp. 250-251
Author(s):  
Sajitha Venkatesan ◽  
Pugazhenthan Thangaraju

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