Critical Phenomena by L. Garrido, J. Brey, R.B. Jones

By L. Garrido, J. Brey, R.B. Jones

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Are you allergic to anything? Is there anything else that you would like to tell me? I appreciate your co-operation. Thanks and take care. 14. BLEEDING PER RECTUM Mrs. Robert is 30 years old. She has come with complaints of bleeding from back passage. Elicit history from her. Hello Mrs. Robert, how are you feeling? I am Dr. XYZ, Senior House Officer in Medicine. I am here to ask you few questions regarding your complaint so that we PLAB-2 can find out what is causing it.  When did you first notice this problem?

You are the SHO in Medicine. Take history from him. Hello Mr. Alexander. I am Dr. XYZ, Senior House Officer in Medicine. How are you feeling? As far as I know you have come here with runs. I would like to ask you a few questions regarding this to find out what’s causing it. Is that OK?  Since when are you having runs? How many times in a day do you poo? Does anything worsen it? What makes you feel better? Is it watery or semi-solid? Does it contain blood in it? Does it have a bad smell? Do you find difficulty to flush the waste?

Did you have fits? (Meningitis, encephalitis)  Do you have problems with your vision? (Refractive error)  Could you be pregnant? Are you on pills? (Pregnancy)  Did you open your bowel? Did you pass wind? (Intestinal obstruction)  Have you had similar such episodes previously? Any other medical illness or surgeries that you have undergone? History Taking 31  Do you smoke? Do you drink or use drugs?  What about your blood sugar and blood pressure?  Are you on any medication? Are you allergic to anything that you know?

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