Past Medical history

Mr. Smith! Now I would like to ask a few questions about your past medical health, is that OK with you? (transition sentence)

PMH:- Have you ever had any similar problems before?

Do you have any of these medical conditions like Diabetes,
High Blood Pressure, Thyroid Problems, Blood Cholesterol Problems etc.
(any relevant 4-5 conditons should be ruled out, no hard and fast rules)

Allergies:- Are you allergic to anything?

Medications:- Are you using any medications now a days?

Hospitalization:-Have you ever been hospitalized before?

Urination:- Do you have any urinary problelms?

GIT:- How is your appetite?

Have you noticed any recent change in yor weight?

How are your bowel movements?]

Sleep:- How is your sleep? (if pt. has problems, than ask)

Do you have any problems going to sleep?

Do you have any problems staying asleep?

Do you have problem of early awakening?

Family History:-Now I would like to ask a few quesitons about your family's
health, is that ok wilth you (transition)

Does anyone else in your family has similar problem?

Are your parents living? (if yes)

Are they healthy? (if yes, say)

I am very glad to hear that.

(if parents are dead)

I am very sorry to hear that, what was the cause of their
death?

Obs & Gyn:- Now I would like to ask a few questions about yoru gynecologic
health, is that ok with you? (transition)

Sexaual : - Now I would like to ask a few quesitions about your sexual
practices, let me assure you that its going to be strictly
confidential between you and me, is that ok with you?
(transition)
Are you sexually active?
(if yes)
who is your partner?

Any other partners?
(if multiple partners)
Do you relate sexully to males, females or both?

Do you use any mehtod of contraception?

(If pt. is not active, ask)
Do you have any sexual problems?

Social History:- Now I would like to ask a few questions about your social life, is that ok with
you? (transition sentence)

Do you smoke?

How much?, for how long?

Do you consume alcoholic beverages?, how much and how frequently?

Have you ever used any illicit drugs?