Past Medical History refers to a patient's previous medical conditions,surgeries, hospitalizations, medications, family history, social, immunization, and other significant health events that occurred before the current medical encounter. I
Hospitalizations:
- Dates and reasons for hospital stays
- Emergency department visits
- Intensive care admissions
Medications:
- Current medications and dosages
- Previous medications tried
- Drug allergies or intolerances
Family History:
- Hereditary conditions in immediate family
- Genetic predispositions
Social History:
- Smoking, alcohol, or substance use
- Occupational exposures
- Travel history (when relevant)
Immunization History:
- Vaccination records
- Recent immunizations
The PMH helps healthcare providers understand a patient's baseline health status, identify risk factors, avoid potential drug interactions, and make informed decisions about diagnosis and treatment. It's typically gathered during the initial patient interview and updated regularly as new information becomes available.
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Step 7 Past Medical History • General state of health and past illnesses • Past injuries, accidents, psychological problems, unexplained problems, procedures, tests, psychotherapy • Past hospitalizations (medical, surgical, obstetric, rehabilitation, psychiatric) • Immunization history • Status of age-appropriate preventive screening • Female patient’s women’s health history • Current medications, including dose and route • Allergies
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- Chronic diseases (diabetes, hypertension, heart disease, etc.)
- Previous acute illnesses
- Mental health conditions
- Allergies and adverse drug reactions