Case Taking Proforma
Case Taking Proforma
Medicine, Paediatrics & OBG
ISBN 9789395986427
 Publication Date
  Pages 120

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Description

Case Taking Proforma has been diligently designed by the practicing Dr. Salman Saeed, to serve as a reference book, and as a guide to the process of history taking and physical examination. Divided into two parts, the first part deals with history taking followed by physical examination in the second part of the book. It attempts to prime up your clinical skills and documentation. It will also come in handy for quick reference while gathering information. Though, it doesn’t aim to replace any standard clinical methodology textbook, nevertheless it can be categorized as a workbook to establish and streamline your comprehensive case taking skills. Towards the end, there’s a brief topic on Cardio-Pulmonary Resuscitation (CPR), that covers the basic parts of CPR. This section has been adapted from the American Heart Association.

Cover
Half title
Title page
Copyright page
Preface
Table of Contents
HISTORY TAKING
Part 1 General Information
Part 2 Chief Complaints
Part 3 History of Present Illness
General—Fever, Oedema/Swelling, Pain
Symptoms suggestive of Cardio-Respiratory disease
Symptoms suggestive of G.I.T. disease
Symptoms suggestive of Urinary tract disease
Symptoms suggestive of C.N.S. disease
Consumption of poison
Joint pains
Obstetrical H/O/P/I
Part 4 Past History
Part 5 Menstrual History
Part 6 Obstetric History
Part 7 Personal History
Part 8 Diet History
Part 9 Treatment History
Part 10 Family History
Part 11 Immunisation History
Part 12 Developmental History
Part 13 Sexual History
Part 14 Socio-Economic Status History
EXAMINATION
Part A Appearance
Part B General Examinations
Vital Signs
General head to toe examination
Part C Systemic Examination
1. Respiratory System
Upper Respiratory Tract
Lower Respiratory Tract
Inspection
Palpation
Percussion
Auscultation
Special Tests
2. Cardio-Vascular System
Peripheral CVS
Central CVS
Inspection
Palpation
Percussion
Auscultation
3. Abdominal Examination
Inspection
Palpation
Percussion
Auscultation
4. Central Nervous System
Higher mental function
Cranial nerves
Motor system
Sensory system
Cerebellar signs
Stance/Gait/Attitude
Miscellaneous
5. Examination of Obstetrics
Inspection
Palpation
Percussion
Auscultation
Per vaginal examination
EXTRA
APGAR score
Pain Rating Scale - Wong Baker Faces
CPR
BLS
ALS
Back cover
DR. SALMAN SAEED has been practicing critical care medicine for more than five years. In addition to fellowship in internal medicine and geriatrics, Dr. Salman has significant experience in emergency medicine, cardiology, respiratory medicine and infectious diseases. He is associated with Saradamba Institute of Medical Sciences, Hyderabad, as an intensivist. His area of focus has been to minimise the gap between quality care of patients and affordability of health care services. This, he believes, is possible to achieve by first point contact of a doctor and a patient through case taking. This methodology or medical practice empowers doctors to rule in and rule out a lot of medical conditions. This further leads to adequate resource utilisation, timely intervention and necessary specialist onboarding which assimilates better clinical outcome within the means. Dr. Salman, with his vision of a teacher, believes that the medical profession can achieve a lot by spreading knowledge and skills within the community.
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