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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":271,"meta":336,"internal":346},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":239,"author":261,"readDuration":269,"readDurationFormatted":270},"How to get to the right diagnosis—mastering the patient history!","BONUS INTERVIEW: Learn how to take a thorough patient history with infectious disease specialist, Dr John Fisher.",{"id":215,"name":216},1,"Course previews",[218,229,234],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},272,{"platform":223,"name":224,"url":225,"size":226},"YouTube","INTERVIEW: How to get to the right diagnosis with a masterful patient history","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=PlJ90B2WHv0",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},13.333333333333334,"\u003Cp>Taking a thorough patient history (history of the present illness) is a form of art that should be learned from a true master! In this interview with the expert behind our \u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fshortcourse\u002Ftaking-complete-history\">Infectious Disease Essentials\u003C\u002Fa> course, Dr John Fisher explains his ingenious approach of using the \u003Cem>three-paragraph method\u003C\u002Fem> when taking a patient's history. Check out the \u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fingenious-approach-taking-complete-patient-history\">explanation video\u003C\u002Fa> on this topic, too!\u003C\u002Fp>",{"type":230,"data":235},{"readDurationInSeconds":236,"title":237,"text":238},137.86666666666667,"Video Transcript","\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:00] \u003C\u002Fb>Franz: So John, you have this great approach on how to take a history, the three-paragraph approach. Can you elaborate on that a little bit?\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:09] \u003C\u002Fb>John: Sure, Franz. I actually kind of stumbled into it after many years of practice. We require medical students to present in an orderly way and I wondered why do we teach them to do that? And then it dawned on me, it's not so that they can present, it's so that they can be better doctors at the bedside. So if you can think in an orderly way, you can take an accurate history and think your way to the diagnosis. So I figured out that paragraph one of this three-paragraph approach would be--\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:47] \u003C\u002Fb>Franz: And you do the paragraph, sorry for interrupting.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:50] \u003C\u002Fb>John: Yeah.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:50] \u003C\u002Fb>Franz: But you do it in your head, right?\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:52] \u003C\u002Fb>John: I do.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:52] \u003C\u002Fb>Franz: That's the way you think about it.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:53]\u003C\u002Fb> John: Yes.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:53] \u003C\u002Fb>Franz: That you just make the, in your head, you write that first paragraph, right?\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:00:57] \u003C\u002Fb>John: Exactly. And so the first paragraph, I'm trying to discern what the patient's main trouble is. And you know, some patients come in with a lot of different complaints, so one of the tricks I use is I'll say, \"Well, Mr. Jones, you've got a lot of different symptoms but pretend like I was a doctor that, you know, if you gave him too much to work with, I fell apart. What one thing would you have me fix first about the way you feel?\" And they usually will come up, \"Well, fix my shortness of breath or fix my pain.\" You know, so you usually can identify what the main thing is using kind of a trick like that but it ain't right. Once I feel like I understand what the main thing is, then it's my job in my head to have them stay on point until I am certain that I understand it. So they say it in their own words, I don't put words in their mouth, I hear it in their own words, but if they stray from that pain or shortness of breath, I'm going to get them back on point again, I'm going to say, \"Well, Mr. Jones, I want to hear about your pain in your foot in a little bit but get back to this pain in your chest. I don't quite understand it completely. Tell me more about it.\" And so once I really fully understand it, that to me is paragraph one. And right away, I'm beginning to think, \"You know, this sounds cardiac or this sounds respiratory or this sounds GI,\" whatever the complaint was, and I'm not sure that's the system yet but I'm trying to identify the system that went afoul. And so paragraph two would be, \"Let's hear about the associated symptoms.\"\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:02:44] \u003C\u002Fb>Franz: That pain in the foot.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:02:45] \u003C\u002Fb>John: Yeah. Tell me what else was going wrong with you? And so they tell me some other things. And now I'm saying, \"Now, this really does sound cardiac or this really does sound respiratory or musculoskeletal,\" whatever the case may be. Because really, the history of present illness is nothing more than the exposition of some system and so I'm trying to figure out what system it is. So then, paragraph three would be for me to inventory the rest of that system that I got a hunch it is and I'll ask them about things they didn't complain about. If it's, for example, cardiac, I might ask them if they had, you know, paroxysmal nocturnal dyspnea. I don't say it that way. I might say, \"How do you sleep at night?\" And the say, \"Well, I don't sleep so well.\" \"You ever wake up?\" \"Yeah, I do.\" \"What wakes you up?\" In other words, I'm trying not to suggest anything. \"Well, sometimes I have to sit up on the side of the bed.\" \"Why is that?\" So I'm getting a history of paroxysmal nocturnal dyspnea that way but I'm going through the other symptoms that the patient didn't complain about so that I can know for sure what the system is. That's my idea.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-75984132-7fff-07ab-7d08-0fe9f486e6fa\">[00:04:07] \u003C\u002Fb>Franz: That's really awesome. Thanks for sharing that. \u003C\u002Fp>",{"courses":240,"showAwardsBelow":48},[241],{"id":242,"isFreeCmeCourse":243,"title":244,"type":245,"specialization":246,"teachers":248,"cmeCredits":250,"teacherIllustration":251,"backgroundImage":252,"relativeUrl":253,"lastChanged":254,"created":255,"description":256,"relativeURL":253,"meta":257},6227,false,"Infectious Disease Essentials","course",[247],"Infectious diseases",[249],"John F. Fisher, MD MACP FIDSA",4,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55ee0-5ed5-48d3-b452-1bcd47dfacf4","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55ee1-2b09-4606-9d99-42ec696992f3","\u002Fcourses\u002Finfectious-disease-essentials","1779279232","1558283407","Manage common infections with confidence in this course. You’ll cover viral, bacterial, fungal, and parasitic disease processes, plus learn a systematic approach to differentiating between and treating various life-threatening infections as well as less serious cases. Learn to determine whether urgent empirical therapy is needed or if it is safe to pursue an exact diagnosis before treating.",{"duration":258,"quizzes":259,"lessons":260},10854,7,48,{"id":262,"name":249,"image":263,"profession":264,"relativeUrl":267,"specializations":268},6228,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf01-43e4-4f97-aaa2-a135cbc31096",{"name":265,"description":266},"Infectious Diseases Specialist","John is a Professor of Medicine (Infectious Diseases) at the Medical College of Georgia, Augusta University, USA.","\u002Fteachers\u002Fjohn-f-fisher-md-macp-fidsa",[247],158,"3m",[272,299,318],{"id":273,"title":274,"text":275,"image":276,"author":284,"path":292,"readDuration":293,"readDurationFormatted":294,"internal":295},1352,"Injectable cholesterol medication: using PCSK9 inhibitors","Not all patients reach their LDL targets with oral therapy. Learn when injectable cholesterol medication helps and how PCSK9 inhibitors work.",{"alt":277,"title":278,"size":279,"location":281},"Two PCSK9 inhibitor autoinjector pens—an injectable cholesterol medication—shown on a light blue background.","",{"width":280,"height":280},900,{"bucket":282,"key":283},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC121(3)_magazine image.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":290,"weight":250},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":291},"Internist","\u002Fmagazine\u002Fpcsk9-injectable-cholesterol-medication",279,"5m",{"created":296,"updated":297,"published":298},1779483663,1779495630,1779495631,{"id":300,"title":301,"text":302,"image":303,"author":309,"path":311,"readDuration":312,"readDurationFormatted":313,"internal":314},1351,"Starting statins as first-line therapy for hyperlipidemia","Starting statins: how to choose the right agent for your patient, match statin intensity to cardiovascular risk, and monitor effectively after initiation.",{"alt":304,"title":278,"size":305,"location":307},"Healthcare provider discussing starting statins with a patient and reviewing a medication bottle",{"width":306,"height":306},660,{"bucket":282,"key":308},"\u002F2026-05\u002FC121(2)_magazine image.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":310,"weight":250},{"name":291},"\u002Fmagazine\u002Fstarting-statins-first-line-therapy",238,"4m",{"created":315,"updated":316,"published":317},1778960150,1779196374,1778961827,{"id":319,"title":320,"text":321,"image":322,"author":328,"path":330,"readDuration":331,"readDurationFormatted":270,"internal":332},1350,"How to recognize INOCA (ANOCA) on an exercise stress test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. 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