Medicine at a Glance by Patrick Davey (ed)

By Patrick Davey (ed)

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G. 5 miles, quarter of a mile), if they are housebound or using a zimmer frame for mobility, etc. It is also important to ascertain what symptom limits them. ’ Sometimes patients find it difficult to accurately recall chronology – in this situation, establish when the patient was last completely well, as this will often tell you for how long they have been ill. g. past medical history or social history) relevant to the presenting complaint, although they are conventionally analysed separately, commonly arise during discussion of the presenting complaint and can receive detailed attention at this point.

The consent form is not a contract. Therefore, it is illegal (battery – see below) to proceed with a medical intervention if the patient withdraws his consent, even if he has previously signed a consent form. For patients to be ‘informed’, they should be given general information about the purpose and nature of the proposed course of action. Failure to do this could result in the patient making a Medicine at a Glance, Fourth Edition. Edited by Patrick Davey. © 2014 John Wiley & Sons, Ltd. Published 2014 by John Wiley & Sons, Ltd.

What medication has the patient been intolerant of and why? Allergies It is vital to obtain an accurate and detailed description of the patient’s allergic responses to drugs and other potential allergens. The patient should be asked if they are allergic to anything. They should be asked specifically whether they are allergic to any antibiotics including penicillin. It is also important to elicit the precise nature of the allergy. Was there true allergy with a full-blown anaphylactic shock, an erythematous rash or an urticarial rash, or did the patient only feel nausea or experience another drug side effect?

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