Items in AFP with MESH term: Medical History Taking

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The Care of Low Back Problems: Less Is More - Editorials


Tension-Type Headache: A Challenge for Family Physicians - Editorials


A Common Sense Approach to Perioperative Evaluation - Editorials


Suspected Pulmonary Embolism: Part I. Evidence-Based Clinical Assessment - Point-of-Care Guides


Whitish Papules and Plaques on the Tongue - Photo Quiz


Physical Examination Before Initiating Hormonal Contraception: What Is Necessary? - Editorials


Evaluation of Apparent Life-threatening Events in Infants - FPIN's Clinical Inquiries


Sleep Apnea - Clinical Evidence Handbook


Documenting History in Compliance With Medicare's Guidelines - Feature


Recognizing Occupational Illnesses and Injuries - Article

ABSTRACT: Given the burden of occupational illnesses and injuries in the United States, family physicians should understand the role workplace exposures may play in patients' chief concerns. Incorporating employment screening questions into patients' intake questionnaires is an efficient means of identifying potential occupational causes of symptoms. Recommended questions include what kind of job patients have; whether their symptoms are worse at work; whether they are or have been exposed to dust, fumes, chemicals, radiation, or loud noise; and whether they think their health problems may be related to their work. These questions are especially important when the diagnosis or etiology is in doubt. Depending on patients' responses to the screening questions, a more detailed occupational history may be appropriate. It can be useful to ask about routine tasks performed during a typical work shift, as well as anything out of the ordinary (e.g., a change in routine, an injury or accident). The occupational history should include information about alcohol and tobacco use, second or part-time jobs, military service, hobbies, and home environment. Patients with suspected occupational illnesses or injuries may benefit from referral to an occupational medicine specialist for a more detailed assessment and follow-up.


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