Taking a detailed history of the present illness is an important step in patient assessment.
It helps the healthcare provider understand the current problem and plan treatment.
Four key points usually included are:
1. Onset of Illness: When did the symptoms start? Knowing the exact duration helps in diagnosis and deciding treatment.
2. Progression of Symptoms: How have the symptoms developed over time — getting worse, improving, or staying the same.
3. Severity and Nature of Symptoms: Details about the type of symptoms, their intensity, location, and factors that increase or relieve them.
4. Associated Signs or Other Complaints: Any other related problems like fever, weight loss, or other symptoms that may help to connect conditions.
Good history-taking builds trust and gives clear direction for examination and investigation.