Presenting concern
Ask about site, onset, duration, symptoms and change.
OBSERVE / REASON / EXPLAIN
Take a focused history for an oral complaint.
A patient reports a persistent mouth discomfort. Demonstrate your opening questions and how you would organise the history.
A focused history describes the concern, time course and relevant medical, medicine and social factors.
Ask about site, onset, duration, symptoms and change.
Review relevant medical history, medicines and exposures respectfully.
State key positives, negatives and further assessment needed.
Try answering aloud, then open the suggested answer. Examiner questions vary.
The time course affects the differential and urgency.
They may influence symptoms, oral findings or management.
No. Significant disease can be painless.
Assessment and communication should address their concerns.