Anamnesis I. Anamnesis (Anamnesis; Greek. Anamnēsis Memory)

a combination of information about the patient and its diseases obtained by surveying the most patient and (or) knowledgeable individuals and used to establish the diagnosis, the forecast of the disease, the choice of optimal methods of its treatment and prevention. A. As the process of obtaining this information is one of the main methods of clinical examination of the patient (survey of the patient) .

The patient's survey method was purposefully developed and introduced into the clinical practice of the classics of domestic medicine M.Ya. Mudrov, G.A. Zakharin, A.A. Outrium. In modern clinical medicine, A. continues to play a significant role in the knowledge of the patient and illness. It is of paramount importance in the diagnosis of mental illness and a number of forms of somatic pathology. So, for the diagnosis of angina, A. on informativeness exceeds many other methods of heart research.

The new direction in the development of an anamnestic method is to introduce a programmed survey in various specific sections (, chest pain, etc.), which is carried out by filling out the questionnaire, which can be entered into programs for machine diagnostics. However, when filling out the questionnaire, there is no direct impression of the patient's personality very important for a doctor and is not often important for a patient confidence in the correct understanding of his physician.

Reliability A. is evaluated when comparing with the data of an objective examination and medical records.

Anamnesis in children Collected mainly by the poll of the mother, father and those surrounding the child. Some questions need to ask a child of preschool and school age in order to establish due contact with him, but the child's answers should be assessed with caution, because Children are easily inspired and insufficiently differentiate their feelings. Listening to the Mother's complaints, it is necessary to tactfully, skillful questions to give the desired direction. It is necessary to clarify the time of the occurrence of the disease, the peculiarities of its beginning and the flow, changes in the body temperature, manifestations from individual organs and systems, which was carried out, its results, the presence of reactions to drugs.

A. Life in children under 3 years old begins with information about the mother. You need to learn: from which pregnancy and childbirth child; the course of pregnancy, mode and pregnant; Mother's health (if he was sick, than and in what time of pregnancy than was treated), as what time to childbirth went on vacation, the presence of bad habits. Further find out whether it ended on time, prematurely or transferred; Features of childbirth (fast, protracted) whether an obstetric manual was applied and what; shouted the child immediately after birth or after the revival measures; His mass and; What day did the mother brought a child for feeding, as she took for the first time and the following days; When the rest of the umbilical What was and when the physiological loss of body weight was restored; diseases in the period of newborn (what and their treatment); What day and with some body weight the child is discharged from the hospital. The data on the nature of feeding (natural, mixed, artificial) was largely important, whether it was conducted by the clock or randomly, when and what they were introduced, luch,; When a child is taken from the chest; with artificial feeding - from what age and what the baby was fed, in what quantity and in which sequence; What was the meal after a year and later, the features of taste and appetite. To assess the physical and psychomotor development of the child, find out: an increase in body weight and growth of the child in the first year of life and after a year; When I began to keep my head, sit, stand, walk, utter the first words, phrases, the stock of words; , his feature and duration; walks ,; When the first and order of their teething was cut. A. necessarily includes information on the suffering diseases (their course, was a child under dispensary observation), preventive vaccinations, reactions neither of them; on the result of a tuberculin sample, when was carried out; About contact with infectious patients.

Collecting A. Life of older children, find out what kind of child, as developed during early childhood; What are the houses and in the team, school performance in school; What caused the disease, preventive vaccinations; when it was conducted and what is its result; Was contact with infectious patients.

In a family history, there must be information about the age of parents, their profession, material security; When and what diseases were sick; about other children in the family, their age and development, health (if dyed, then from what causes); On visiting children's institutions, schools, compliance with the regime of the day, nutrition, at schoolchildren - about academic performance, additional loads. Special detection to identify hereditary diseases.

In the process of examining and treating the patient, A. is specified by additional information.

History of mentally ill. The influence of the mental illness on the patient and its attitude to the past causes the need to distinguish between subjective A. and objective A., each of which is important for understanding the features and flow of the disease. When the first signs of the disease should be taken into account that the patient in pathological condition often interprets the past under the influence of certain disorders determining the patient's condition (delusional interpretation, etc.). By interviewing both the patient and those who close to him, it is necessary to carefully explore the hereditary burden, the state of the mother during pregnancy, the features of childbirth, the early development of the child, physical and mental injuries. Of particular importance are the study of the nature of the child, the change in its qualities and properties, features of development in critical age periods. It is necessary to find out if the patient has no delay in physical and mental development, clarify what exactly it was. It is important to determine the features of contacts with others in children's, youth and mature ages. Special attention should be paid to, youthful hobbies, a tendency to drink alcohol or drugs. Subsequently, it is necessary to carefully ask the patient about his studies, family life, professional activity, because a number of difficulties, failures, difficulties can be explained by the disease, often developing urgent. At the same time, it is necessary to find out the emergence of feasures in the child, obsessions, to clarify their character, change their manifestations, ascertaining impulsive actions.

Explicit signs of the disease must be investigated in detail, because it is often precisely the nature and illness. It should be carefully refer to the data of A. On the importance of the various hasslings preceding or allegedly preceding the disease. Often, harmful effects are not true reasons, but by factors provoking the disease and imposing a certain shade on it.

If in connection with the mental state of the patient to collect subjective anamnestic information is not possible, only objective history is collected. It is necessary to achieve information from giving information to the unexpected description of the characteristics and changes in the personality of the patient, behavior in everyday life, at work, contacts with others. At the same time, it is necessary to especially pay attention to the nature of thinking, erroneous judgments of the patient, incomprehensible actions, strange (unjustified) actions. Recommended with great care to treat attempts to close and relatives to interpret the destructive acts and the action of patients

Bibliography: Botkin S.P. Course of the clinic of internal diseases and clinical lectures, t. 1, M., 1950; Mazurin A.V. and Vorontsov I.M. childhood diseases, p. 416, M., 1985; Guide for pediatrics, ed. R.E. Bermana and V.K. Wash,. from English, kN. 1, p.148, M., 1987; Psychiatry Guide, ed. G.V. Morozova, t. 1, p. 212, M., 1988; Psychiatry Guide, ed. A.V. Snezhnenevsky, t. 1, p. 187, M., 1983; Psychiatry Handbook, Ed. A.V. Snezhnenevsky, with. 9, M., 1985; Tour A.F. Propaedeutics of childhood diseases, p. 231, L., 1971; Shelagurov A.A. Research methods in the clinic of internal diseases, M., 1964; Skill B.S. internal diseases, p. 12, Kiev, 1971.

II. Anamnesis (Anamnesis; Greek. Anamnēsis Memory)

the combination of information obtained in a medical examination by surveying the most surveyed and (or) knowledgeable persons.

Anamnesis obstetric (a. obstetrica) - Part A., dedicated to the generative (core) function of the woman (the nature of menstruation, the number of pregnancies, abortions and childbirth, the features of their flow and character of complications).

Anamnesis Allergological (A. ALERGOLOGICA) - Part A., dedicated to the manifestations of allergic diseases in the most patient, his parents and other relatives, as well as possible contact with allergens.

Anamnesis of the disease (a. Morbi) - Part A., dedicated to the emergence and course of this disease and the effectiveness of the previously carried out treatment.

Anamnesis of life (a. Vitae) - Part A., dedicated to the physical, mental and social development of the surveyed.

Professional history (a. Professionalis) - part of A. Life dedicated to the nature and working conditions of the patient, such as the presence of professional harm.

Anamnesis Psychiatric (a. Psychiatrica) - A., including features of mental development, heredity, personality warehouse, training and professional activity of the patient, circle of his interests and deposits, family relationships.

Anamnesis of family (a. Familiaris) - part of A. Life dedicated to the composition of the patient's family, psychological situation in it, diseases of its individual representatives, etc.

Anamnesis social - Part of A. Life, describing household conditions, social status and social patient.

Anamnesis sports - A., collected in athletes and relating to their physical development, physical fitness, methods and training modes, tolerance of training loads, the dynamics of sports results.

Anamnesis pharmacological - Part A. Diseases dedicated to doses, ways to use, therapeutic and side effects of previously used drugs, as well as information about drug intolerance.

Anamnesis of epidemiological - A., collected in the event of an infectious disease in order to establish a possible source of infection and ways to transfer its pathogen. Big medical encyclopedia

The result of a patient's survey with information about its former life, the course of the disease, well-being and other things recorded in memory. A full dictionary of foreign words included in Russian. Popov M., 1907. Anamnesis of the same condition ... Dictionary of foreign words of the Russian language

Modern encyclopedia

Anamnesis - (from the Greek Anamnesis Memories), information about the patient (history of life) and its disease (history of illness), collected in the survey of the patient and (or) those who know his persons in order to establish the diagnosis, the forecast of the disease, the choice of optimal methods of its ... ... Illustrated Encyclopedic Dictionary

anamnesis - A, m. Anamnèse F. G.Namnesis memories. Information on the conditions of life, transferred diseases, the history of the development of the disease, obtained from the patient or its loved ones. Bass 2. Lex. Yuzhakov: Anamnesis; SIS 1937: Anamne / s; Bass 1 1948: Ana / Moon ... Historical Dictionary of Gallicalism Russian Language

anamnesis - (incorrect anamnesis). Pronounced [Anamnez] ... Dictionary of the difficulties of pronunciation and stress in modern Russian

Composite part of medical examination Information, a list of information about the course of the disease, previously transferred diseases, injuries, surgical interventions, residual phenomena. The most valuable information about diseases associated with nervous, cardiovascular ... Business Terms Dictionary

- [NE], and, husband. (specialist.). A combination of medical information received by a survey of the surveyed who knows his persons. Allergic a. Psychiatric a. | arr. Anamnestic, Aya, OE. Explanatory dictionary of Ozhegov. S.I. Ozhegov, N.Yu. Swedov. 1949 1992 ... Explanatory dictionary of Ozhegov

Number of synonyms: 1 Message (87) ASIS Synonyms Dictionary. V.N. Trishin. 2013 ... Synonym dictionary

Anamnesis - information about the life of a person who suffered from diseases, their beginning and the flow, data on the professional, mental and physical performance of the employee, his behavior in the team and the family ...

In the translation from the Greek "Anamnesis" - this is a memory. The meaning of this word regarding medicine is information on the current and past state of the patient's health, the study of factors affecting it. The history of the patient and, in most cases, the diagnosis is made after it after it. Information obtained from the patient helps not only determine the cause of the disease and ailment without any further procedures and research, but also to appoint the necessary treatment. Thus, anamnesis (what it is, we have considered above) is a universal diagnostic method used in any field of medicine. This article is devoted to the story about him.

History (history) disease

With a history of disease, the attending physician can identify:

  • the date of the beginning of the disease and how it began;
  • flow of flow;
  • what already applied and that they managed to find out;
  • what was the treatment and what is its results.

About the overall picture of the disease makes it possible to find out anamnesis. What does a doctor give? As mentioned earlier, the patient's survey gives the initial representation of what an agement is about. If the patient appealed to the symptoms described for the first time, the doctor asks questions about what he did to eliminate them. If signs are repeated, the doctor will find out from the client, how often they are (exacerbation, relapses, etc.), which was the treatment during their primary appearance. Anamnesis of the disease gives a doctor the necessary information for diagnosis.

History (history) of life

The patient's story about his life, habits makes it possible to determine the cause of the symptoms. Anamnesis (which is an effective means of diagnosis, proven more than once) is assembled as follows:

  1. General:
  • place of birth (it is possible that diseases are caused by territorial features);
  • the presence of premorbid states;
  • age of parents at the time of the birth of the patient;
  • the course of the course of pregnancy (threat of miscarriage, transferred diseases) and childbirth;
  • living conditions in orphanage;
  • the degree of mental and physical development;
  • puberty.

2. Information on the suffering diseases and infections:

  • infectious diseases in childhood;
  • congenital diseases;
  • And they cause complications.
  1. Contact information with toxic and harmful substances (for example, for work).
  2. Information about bad habits (alcoholic, nicotinic and narcotic dependence).
  3. Parent health information.

Anamnesis of life helps the doctor find out the conditions for the occurrence of the disease and its cause.

conclusions

Based on the data received, the doctor sets:

  • affected organs or systems of the body;
  • the date of commencement of the disease;
  • its character, form (acute, chronic, undercaping);
  • the course of the disease (exacerbation, stabilization, improvement);
  • reasons provoking the development of the disease;
  • treatment methods (preparations, therapy);
  • the results of treatment.

Thus, it is possible to sum up: anamnesis (what it is, we learned at the very beginning of the article) gives a practical picture of the development and progression of the disease.

Anamnesis in medicine determines the set of information that the doctor receives with a primary examination of the patient using communicative techniques. Translated from Greek means "Memory".

In other words, the doctor calls on the patient to surrender memories, remember everything that was regarding his real ailment. He polls a patient or his loved ones about the conditions of his life suffering from diseases.

The doctor should know: What injuries and surgery behind the patient are inherent whether he has any hereditary and chronic pathologies, whether allergic reactions have been observed, how many pregnancies have a woman; How, when and where the first manifestations of the disease began. All this information is the anamnesis data. The purpose of their collection is the exact diagnosis of the disease, the choice of the treatment method or preventive measures to prevent the impending disease, the selection of medicines, physiological treatment and other, possibly non-traditional treatment methods. A conservative or radical way to solve the problem is also often solved after such complete verbal diagnosis.

The exact definition and the result of treatment in many ways depend on the compatibility of the study with the studied, that is, a doctor with a patient, therefore here the defining aspects are, of course, the style of the conversation.

The people say: There are no absolutely healthy people, there are no sustained. The primary inspection with a complete verbal examination is an important stage in the formation of a diagnosis, the right path in identifying hidden problems.

Anamnesis in medicine Refers to medical research methods, being a universal diagnostic method. Found widespread use in all areas of medicine. When it combined in a compartment with a common inspection, you can get the most complete picture of the course of the disease and put an accurate diagnosis without any additional diagnostics.

Varieties

There are several types of anamnesis:

  • anamnesis of the disease;
  • anamnesis of life;
  • gynecological;
  • obstetric;
  • allergic;
  • history of nutrition;
  • insurance;
  • epidemiological;
  • family.

Anamnesis of the disease Reveals all aspects of the disease itself: how, where and when it all started, what kind of symptoms it was designated, what changes they were subjected to the disease itself, which factors in the opinion of the patient contributed to the development of this ailment, which measures were taken to cure, which studies What are the results of all these actions.

Anamnesis of life Lifens the living conditions of the studied, all transferred injuries, operations, diseases and their chronic manifestations throughout their lives on the surface.

Gynecological Determines everything as regards the sexual sphere of the patient, starting with menstruation (beginning, frequency, duration, flow), all possible diseases and gynecological operations.

Obstetric Reveals the presence and number of pregnancies, their outcome, the process of leakage.

Allergological Describes all allergic reactions (on which drugs, products, plants, or components of the external environment), their manifestations.

History character - It contains all information relating to the food diet of the subject throughout some definite period (usually 3-7 days). When, what and in what quantity it was eaten, what is the frequency of feeding and other subtleties. Based on these data, a nutritionist forms an individual diet and power regimen is personal recommendations.

Insurance, It is called expert - determines the presence and number of medical insurance policy with fixation of the actual disability period throughout the last year preceding the disease.

Epidemiological - here usually contain all information about visiting countries and regions, endemic due to any infection; Contacts of a patient with infected. In the case of food poisoning, the patient is interviewed for the identification of a product or an item that has revealed the source of poisoning or infection.

Family history It is drawn up for the identification of hereditary diseases and the presence of similar symptoms in relatives, close blood.

In clinical medicine, especially in psychiatry, similar actions to identify all causes of the disease are another name - katamnez. The term for the first time used by the German psychiatrist Gagen, translated from Greek denoting the completion of the action associated with the memory. Katamnez - systematized collection of all patient information. It is usually drawn up at the end of the study, the completion of the treatment phase or discharge from the medical institution.

This is an extensive result of primary observation of the patient, so all medical information is reduced here, including important discharge from the history of the patient's disease. In essence, this is a comprehensive analysis of the entire history of the psychic patient, built during the studies of all stages of the disease and taking into account all means and methods of treatment.

Anamnesis - An integral part of the complete diagnosis preceding the right choice of treatment and the very process of treatment aimed at the positive trend of healing.

Anamnesis (from Greek. Anamnesis - Memories) - this is the amount of information that is surveyed - a patient or a healthy person (during dispensary) - reports on the state of his health, about its disease, about its experiences and sensations due to the disease, about the reactions of its body on external influences. The doctor uses this information when making a diagnosis and forecast, as well as when prescribing treatment. The question of possible (from the point of view of the patient) causes of the disease, its beginning, development and course is the historical method of studying the disease, aims to establish the correct diagnosis. Currently, this method continues to purchase an increasingly wide character, including data on the reactivity of the body, its compensatory abilities, etc. This includes data that are of great practical importance, about allergic reactions, individual intolerance, complications, hematological and other manifestations The use of antibiotics, corticosteroids, etc.

The most important condition for the proper recognition of the disease is a thorough methodological examination of a patient consisting of two sections: study of the manifestations of the disease only by patients (subjective symptoms of the disease detected when collecting anamnesis, asked), and studying the signs of the disease available to medical observation (objective examination of the patient with the help physical, as well as various laboratory, instrumental and other research methods).

Collecting anamnesis of the patient precedes an objective examination (see diagnosis). The opposition of these methods of examination, as well as the underestimation of one of them, erroneously, as they complement each other and ensure the study of the body as a whole. In each individual case, depending on the individual characteristics of the patient and the nature of the disease, any of these methods may have something more, less meaning. An anamnestic method allows to study the identity of the patient, the nature of nervous processes, which brings to understanding the type of higher nervous activity. The totality of all methods of the survey makes it possible to make a conclusion about the diagnosis of the disease, forecast and treatment.

Outstanding Russian doctors M. Ya. Mudrov, S. P. Botkin and especially G. A. Zakharyin belongs to the most important role in the development and development of an anamnestic method.

Anamnesis is of great importance for studying the disease in development, in dynamics. On the basis of the history, it is possible to establish more or less precise the origin, causes and conditions for the occurrence of the disease; Examine the diseases transferred in the past (as well as the body's reactions to certain impacts), the living conditions of the subject, the presence of prof. Herdictions, bad habits, etc. With the help of anamnesis, recognition of functional disorders that are manifested in the subjective sensations of the patient during the disease occasion when there are no organic changes available to an objective survey. When collecting anamnesis and questioning, it is important to pay attention not only to what the patient reports, but also to hold on, to hold on to his manner, a call manner, his reaction to questions, etc. It allows you to study the identity of the patient, features His character, behavior, nervous psychic state. The interview between the doctor and the patients contributes to the emergence of contact between them, confidence in the doctor, which helps in recognizing the disease and especially in treatment, in particular in psychotherapy. One of the important tasks during the examination of the patient, the establishment of a diagnosis and treatment is the clarification of those individual characteristics that characterize the manifestations of this disease in this patient. The same disease in different people proceeds in different ways, with their own characteristics, which depends on the age, hereditary signs, reactivity and other properties of the organism of the patient. To clarify these features, along with an objective examination, the history of the history contributes. Like all methods of examination, the collection of history should be carried out in a certain sequence and for a clear plan. The more facts - signs, symptoms - on the basis of a questioning and an objective examination will be able to collect a doctor, the more accurate will be the diagnosis of the disease.

It is customary to distinguish between the history of this disease - anamnesis of the disease (Anamnesis Morbi) and the history of the patient's life, or a general history (Anamnesis Vitae).

Anamnesis of the disease includes information relating to the present disease. It is the first stage in the survey of the patient, on the basis of which the doctor has an initial representation, a hypothesis about the nature of the disease.

Anamnesis of the disease should answer the following questions.
1. What complains of the patient? The patient reports its feelings and experiences, as well as other information about the manifestations of the disease (for example, pain in the heart, heartbeat, vomiting, black chair). The patient's complaints enable the doctor to assume violations in a particular system of the body (cardiovascular, digestion) and, without retreating from researching the body as a whole, pay special attention to this system.

2. When is the patient got sick when the first signs of the disease appeared? This question makes it possible to decide with a significant accuracy, whether this disease is acute or chronic.

3. How was the disease, what are the first signs that they preceded? The diagnostic significance of this question is that some diseases have a characteristic start with the consistent development of the clinical picture (for example, a sudden beginning with a brunt inflammation of the lungs and gradual, slower development at bronchopneumonia).

4. The course of the disease, its development from the moment of emerging to the present. The clarification of this issue makes it possible to identify the dynamics of the disease, the gradual development of symptoms and various manifestations of the disease, the change of periods of improvement and deterioration, exacerbation of the disease, which was carried out and what effect was the effect.

When collecting anamnesis, it is necessary to critically evaluate the patient's complaints. Collecting anamnesis is a creative act of studying subjective symptoms of the disease, their comprehension, comparison, scientific and logical interpretation. After listening to the story of the patient and asking him, the surveyer should always remember the essential position of I. P. Pavlov on the integrity of the body, about the unity of the body and the environment. For complaints of the patient and subjective symptoms, the doctor should see the pathological process occurring in the body, the importance of damage and the degree of participation of certain bodies and systems in the development of the painting of the disease.

When picking up the history of the patient's life, they note those features of the biography and conditions of his life, which may have importance to the formation of a constitutional type and type of nervous system and could play a role in the occurrence of this disease. The type of higher nervous activity is formed under the influence of the external environment on the inherited features of the body. In this regard, when collecting anamnesis, it is necessary to pay attention to the hereditary features of the patient, on the state of the health of the nearest relatives and the transfer of the disease.

In the formation of typical characteristics of the body, the factors are particularly important. Therefore, in detail, material and consumer conditions, working conditions, the presence of professional hazards, recreation conditions, etc. are described in detail in detail, since each disease may be a consequence, complication or exacerbation or transferred in the past or chronically occurring diseases. It must be remembered that the collection of anamnesis is only part of the work that precedes the diagnosis to establish, and that even in very detailed and carefully assembled history does not allow the right to put the final diagnosis without these objective research.

Distribution should be detailed and systematic, especially in chronic diseases. With acute diseases, especially for states that threaten the life of the patient, it is brief. In these cases, the doctor has no time to collect detailed anamnesis, and urgent, immediate action to save the life of the patient. On patients who are unconscious, anamnestic information is obtained from relatives or others.

Call the collection of information about life and diseases obtained by survey from the patient's patient, close relatives or well-knowledgeable people. The term itself occurred from the Greek word Anamnesis - a memories. The data obtained by the doctor about the development of the disease, the life of the patient transferred to diseases and operations, the course of previous pregnancies, chronic and hereditary diseases, possible allergic reactions is the types of anamnesis.

One of the main methods of diagnostic studies used in all sectors of medicine. In some diseases, after collecting anamnesis and examination of the patient, you can diagnose without additional research methods.

It is important! The accuracy of the diagnosis of the diagnosis, the quality and duration of treatment, the psychological compatibility of the doctor with a patient depends on the accuracy of the diagnosis, the very style of the conversation.

Anamnese classification

Allocate two main partitions of the history: (Anamnesis Vitae) and (Anamnesis Morbi). Consider each section more.

Collection of anamnesis disease

Information about the beginning of the disease and its course, the doctor can obtain when the patient's first survey at the time of his appeal to the clinic or entering the hospital. The patient's survey is conducted according to a specific scheme, the foundations of which were developed yet by Zakharian. To form a preliminary diagnosis, it is necessary to find out:

  • Patient Passport details (name, age, address, place of work).
  • The time of the first symptoms of the disease (it can vary from several hours to several years in chronic diseases).
  • Acutely or gradually began a disease
  • What events and factors associate a man of the disease.
  • What was undertaken (whether a doctor was treated for a medicine, if so, what).
  • In acute disease, the exact time of the first complaints is found. In chronic - whether there are often exacerbations and how they proceed.
  • When entering the hospital in the history of the disease, it is indicated as and when the patient entered and who was sent.

Collection of anamnesis of life

Anamnesis of life is called information that characterize the mental and physical condition of the patient, social and professional position, the presence of hereditary and acquired pathologies. The amount of information obtained depends on the conditions for the provision of medical care - when urgent situations are collected information that can help in diagnosing the disease and first aid.

The following types of anamnesis of life are distinguished:

    1. To assess the development of the patient in childhood, find out the features of development in early childhood, at what age he began to go to school, as studied, whether sports sections attended or engaged in other circles.
    2. Endemic history - knowing place of birth and ethnicity and receiving information about excursion and business travel and accommodation in some regions can be suspected of the presence of endemic diseases (such as malaria, for example).
    3. - The conditions and place of human residence, an active or passive lifestyle he leads whether harmful habits and what.
    4. Power history - will help determine the character and volume of food consumed by the patient, diet and power mode. Such information acquire greater importance in diseases of the digestive tract and obesity.
    5. Climate history - to determine this type of life history, find out, in which locations lived or had a person, how long stayed periods in certain areas.
    6. Professional history - consists of information about all types and places of work, service in the armed forces, about all professions, the age of the start of labor activity, the presence of disabilities and the causes of it. It is necessary to find out the working day mode, learn about all the professional harm (physical, bacteriological, chemical), whether sanitary standards are respected in work premises. Clarify whether the patient does not associate the emergence of disease with labor loads and conditions. In the people of old age, to find out if they participated in World War II, have long been retired, or not, whether to clarify whether to clarify whether public activities are engaged.
    7. Information about infectious and chronic diseases, injuries, operations, wounds and contuses. Information about all diseases transferred from early childhood in chronological order are needed. Having learned all about the diseases that a person had previously had, it is possible to determine the possible connection of the existing disease with previously transferred.
    8. Obstetric anamnesis helps to find out the reproductive features of a woman. For this, information is collected about all previous pregnancies and their results, the beginning of the first menstruation and sexual life. Sometimes, during pregnancy, hidden chronic diseases are first diagnosed, previously not manifested.
    9. - He speaks of all transferred gynecological diseases and their treatment (conservative and surgical).
    10. - Determines the presence of allergic reactions of the organism in the patient itself and its blood relatives. Find allergen and clinical manifestations that appear when contacting it. In the presence of a sensitization reaction to drug drugs, they specify which medicinal substances and what symptoms it is manifested (pharmacological history).
    11. The genealogical (family) history - determines the role of heredity in the development of the disease, for this find out the cause and age of the death of close relatives in various generations, as well as what diseases they suffered. Specify whether there are similar diseases from parents and their relatives on both sides.
    12. Insurance history (clinical expert) - the presence of an insurance policy, the term and duration of the last disease with the design of the hospital leaf (over the past year).

Anamnesis of the child's life is going with the words of parents, some questions are asked personally to a child school and preschool age, but his answers should be assessed very carefully. Finding out the history of the child, you should find out what kind of account he in the family, as developed at an early age, as learns and communicates with peers. In addition, it turns out all about vaccinations and tuberculin samples, as well as possible contact with causative agents of infectious diseases.

The history of the life of patients with psyche disorders The influence of the psyche disorders to consciousness determines the anamnesis division of the life of such a patient into two types: subjective and objective.