History-taking, summarising and presenting

History taking:

1. Pre-morbids (D2FMC3):
1. Duration
2. Diagnosis
3. follow-up
4. Medication
5. Compliance
6. Control
7. Complications
2. Presenting complaints:
1. Open questioning
2. Closed questioning: relevant negatives

Summarising:

1. How was the diagnosis made?
2. What was done and why.
3. What you doing and why.
4. What you will be doing and why.

Presenting:

1. History:
1. Presenting symptoms improving or not?
2. Side-effects of your treatment.
3. Basic functions:
1. Eat
2. Drink
3. Sleep
4. Pass motion
5. Pass water
2. Vital signs and observations.
3. Examination.
4. Investigations results.
5. Plan.