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Chief complaints |
These are the complaints in terms of symptoms either put forth by the patient or the patient's relatives. These complaints are further analyzed by the doctor for diagnosis |
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History of present illness |
Investigation of the current lifestyle of the patient, whether the patient is alcoholic or a smoker or on some medication, his behavior within the family, his office environment etc |
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History of past illness |
It refers to the investigation of whether the patient has undergone through any stressful situation like accident, surgery, loss of family member, hectic job schedule etc |
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Family history |
It looks into whether the family has any heredity of having similar illness |
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Personal history |
It looks into the lifestyle of the patient, his family or work environment or whether the patient had been suffering from some illness |
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Social history |
Investigations in relation to the social behavior of the patient |
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History of alcohol |
Investigation regarding alcohol consumption by the patient, which also includes the frequency of alcohol consumption |
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Physical exam |
The height, weight, etc of the patient are recorded for further analysis |
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Mental status exam |
This consists of IQ tests to check the mental status of the patient |
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Order investigation |
This gives the order of the tests to be done of the patient |
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Lab report entry |
The tests conducted of the patient are compiled and kept in the records for reference. |
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Diagnosis |
Based on the lab reports the diagnosis is made which further decides what treatment is to be given to the patient |
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Therapeutic plan |
Based on the diagnosis and the tests conducted of the patient, a therapeutic plan consisting of the medication or therapies like shock treatment are done |
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Electro slip |
Electro slip is a kind of psycho therapy or a part of treatment in which the doctor conducts a test through m/c and notes all results for further investigation |