QUESTION FOR H&P
PRESENT ILLNESS
1. What brings you to the hospital today?
2. Does the pain radiate anywhere?
3. What is bothering you the most?
4. Does any position make you feel better or worse?
5. When did your problem begin?
6. On a pain scale from one to ten what is your level
7. Does anything make the pain better?
8. What medications are you taking
9. Is the pain intermitent or constant?
10. Any traditional Chinese medications?
11. Do you have any allergies to medications?
PAST HISTORY
1. Do you see a doctor regularly?
2. When was the last time
3. What kind of illness have you had before?
4. Did you receive all your childhood vaccinations?
5. Have you ever been heart disease,cancer,or diabetes?
6. Have you ever had heart or kidney trouble?
7. Have you ever had anything like this before?
8. Have you ever been to the hospital?
9. Have you ever had any surgery?
10. What other medical problems do you have?
11. Is your menstrual cycle regular?
III. SOCIAL HISTORY:
1. Are you married or single?
2. Who lives at home with you?
3. What is your job?
4. Do you have any children? How many?
5. \How many glasses of coffer per day?
6. \Do you have drug habit?
7. Do you drink alcohol?
8. Do you smoke> how many a day? For how many years?
9. What is your religion
IV: FAMILY HISTORY:
[Link] the family have any medical history?
2. Did anyone in your family ever have
Hypertension / heart attack?
3. Are your father or mother alive?
4. What did your parents do for work?
5. Have any of your parents or siblings been like this?
6. Did anyone in your family ever have Diabetes?
7. Does anyone in your family smoke?
