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Patient

A standard sets of questions across body systems ensures no issues are missed:

W ash hands, I ntroduce yourself, confirm P atient details (name/DOB), E xplain the procedure, and R eposition for comfort. patient

For pain or specific symptoms, assess S ite, O nset, C haracter, R adiation, A ssociations, T ime course, E xacerbating/relieving factors, and S everity. 2. Clinical Systems Review A standard sets of questions across body systems

Specific review of asthma, high blood pressure, and diabetes. 3. Medication & Drug History Evaluate the effectiveness and safety of current therapies: I ntroduce yourself

A complete review begins with establishing rapport and gathering a focused history.

Identify all current essential and non-essential drugs.

Allow the patient to explain their reason for seeking care using open-ended questions.