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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":337,"internal":347},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":239,"author":261,"readDuration":269,"readDurationFormatted":270},"An ingenious approach to taking a complete patient history","Learn how to take a complete patient history from a true infectious disease master!",{"id":215,"name":216},1,"Course previews",[218,229,234],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},189,{"platform":223,"name":224,"url":225,"size":226},"YouTube","Taking a complete history - learn from an infectious diseases master!","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=3GSFDZWo9Sw",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},12.266666666666666,"\u003Cp> \u003Cstyle type=\"text\u002Fcss\">\u003C!--td {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}--> \u003C\u002Fstyle> 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 video, from 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, using the \u003Cem>three paragraph method, \u003C\u002Fem>to take a patient's history. Be sure to check out our \u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fhow-get-right-diagnosis-masterful-patient-history\">interview with Dr Fisher\u003C\u002Fa>, too!\u003C\u002Fp>",{"type":230,"data":235},{"readDurationInSeconds":236,"title":237,"text":238},79.46666666666667,"Video Transcript","\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:00:00] \u003C\u002Fb>The key to medical and surgical diagnosis is to have the same orderly approach to every patient. It is well known that 70% of diagnoses can be made by excellent history taking. Physical exam and labs make about 30% of diagnoses. When taking a history, I recommend using a \"three paragraphs\" approach to ensure you don't miss anything.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:00:30] \u003C\u002Fb>The chief complaint or presenting complaint is the key. The first step in taking a great history is to make the patient decide what is the worst of all symptoms, and then allow a description in his or her own words without interrupting. If the patient strays from describing the chief complaint, get the patient back to it. No other symptom descriptions are allowed at this point. When the physician has a complete understanding\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:01:00] \u003C\u002Fb>of this chief complaint, that completes paragraph one of the history template. In paragraph two, the patient may now describe all symptoms associated with the chief complaint in their own words. The physician should now have a reasonable idea of the organ system causing the trouble. In paragraph three, the physician inquires of symptoms in the suspected organ system which the patient\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:01:30] \u003C\u002Fb>did not complain of. At this point, the history taking a present illness is finished. The remainder of the history can be considered with the offending organ system in mind. For infectious diseases, a travel history is very important. As the patient is describing the circumstances surrounding the chief complaint, travel history might well come up. But if it hasn't, it should be addressed at this point along with other relevant social factors such as occupation, smoking\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:02:00] \u003C\u002Fb>history, and sexual history. With respect to the physical exam, the exam of the offending organ system must be comprehensive, that is world-class. At least a cursory exam should be done of other systems with emphasis on certain points in some cases. Previously seen patients are evaluated in exactly the same way except that the medical record should be at least briefly reviewed before interviewing the patient.\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-db959a36-7fff-f8ba-0b6c-96b687a5122c\">[00:02:30]\u003C\u002Fb> If you stick to this template with every patient, you'll compose a thorough and complete history of the present illness. This will allow you to be better equipped to make a quick and accurate diagnosis for your patient. \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],97,"2m",[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":332,"internal":333},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. Learn to recognize and report it with exercise stress ECG.",{"alt":323,"title":278,"size":324,"location":326},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).",{"width":325,"height":325},1200,{"bucket":282,"key":327},"\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":329,"weight":250},{"name":291},"\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,"3m",{"created":334,"updated":335,"published":336},1778115738,1778799792,1778118255,{"seo":338,"og":340},{"title":339,"description":213},"An ingenious approach to taking a complete patient history | Medmastery",{"title":339,"description":213,"image":341},{"alt":278,"title":278,"size":342,"location":345},{"width":343,"height":344},303,182,{"bucket":282,"key":346},"\u002Fmigrated-images\u002Fingenious-approach-taking-complete-patient-history-magazine-preview.png",{"id":348,"created":349,"updated":350,"published":349},317,1566897996,1655189586]