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In a medical encounter, a past medical history (abbreviated PMH),〔 〕 is the total sum of a patient's health status prior to the presenting problem. ==Questions to include== Different sources include different questions to be asked while conducting a PMH, but in general, they include the following: * General state of health: e.g. excellent, good, fair, poor. Note any significant change from previous state. * Past illnesses: e.g. cancer, heart disease, hypertension, diabetes. * Hospitalizations: including all medical, surgical, and psychiatric hospitalizations. Note the date, reason, duration for the hospitalization. * Injuries, or accidents: note the type and date of injury. * Surgeries: note the type of procedure, date, hospital, surgeon, and any complications. * Current medications: note name, dosage, frequency of any medication, including any over-the-counter medications and herbal remedies. Note whether patient is taking the medications according to the prescribed instructions. * Allergies: note any environmental, food, or drug allergies, as well as the specific type of reaction, e.g. anaphylaxis, rash, itching. * Immunizations: take a careful record of all immunizations, including tetanus, diphtheria, pertussis, polio, Hepatitis B, measles, mumps, rubella, ''Haemophilus influenzae'' type B, influenza. * Substance abuse: note any alcohol, tobacco, and illicit drug use, include type, amount, and duration, as well as any past treatment or drug rehabilitation. * Diet: ask about everything the patient has eaten the day before and for the past week. Note the type of food consumed and do a nutritional status assessment. * Sleep: a useful mnemonic for sleep patterns is BEARS, for Bedtime problems (e.g. snoring, sleep apnea, or nightmares), Excessive daytime sleepiness, Awakenings at night, Regularity and duration of sleep, Snoring.〔http://www.sciencedaily.com/releases/2004/09/040907083159.htm Science News: Enlarged Tonsils, Adenoids And Allergies May Affect A Child's Bite, Facial Appearance And/Or Behavior〕 * Alternative therapies: e.g. acupuncture, massage, herbal medicine, vitamins, chiropractice. * Obstetric/Gynecologic history (if female): include total number of pregnancies, whether they are full term, preterm, miscarriages, abortions, living, as well as any complications. Include menopause and date. Include sexual history and any history of sexually transmitted diseases. * Birth history: details of labor and delivery of patient, admission to NICU, maternal fever, duration of rupture of membranes, Apgar scores (particularly import in first three months of life) * Growth and development: plots of height, weight, and head circumference are standard content for pediatric records, any change in trajectory (e.g. growth plots which cross percentile lines rather than running parallel), developmental mile stones, any IQ or other developmental testing 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Past medical history」の詳細全文を読む スポンサード リンク
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