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🌱 來自：how to write a history and physical see also prechemo_TNBC

PMH

MEDICAL HISTORY AND RISK FACTORS

• denied HTN, DM, viral hepatitis
• Obstetric/Gynecologic:
  • G<>P<>AA<>SA
  • Age at first pregnancy:
  • Age at first menarche: < 14 >
  • LMP: < YYYY-MM-DD >
  • <> days per cycle, <> days with < moderate > amount
  • *or postmeopause at age <>
  • HRT: < for contraception, for postmeopausal symtpom >
  • breast feeding: < one month >
• Past surgical history:
  • NIL
  • < disease > - < operation > - in < hosptial > - in age <>
• Allergy: NKDA < >
• Concurrent medication/supplement/herb:
  • NIL
  • <>
• Personal/Social history:
  • Smoking history: < denied > < pack per year >, < from age to >
  • Alcohol consumption: < calculate: Beer, 5%(250ml)/1unit >
  • Betel nuts: denied
  • Recreational drug: < cannabis, amphetamine, etc. >
  • Occupation: <>
  • Residence: Taipei City <>
  • Education Level: college <>
• Family history:
  • Siblings [1] <> [2] <> [3] <>
  • lives with husband (age <>) and < sons, mother in law, boyfriend, roomate…>
  • mother of [1] < son/daugher > ( < age > ) [2]
  • Family cancer history:
    • < breast cancer > - maternal <>, diagnosed at age <>
    • < prostate cancer > - paternal <>, diagnosed at age <>
  • Other family medical history:
    • < e.g. HTN > - < mother >
    • < DM > - < paternal > < grandmother >