Authors :
Metta Nirosha; Aqila Babu Abdullah; Ajay Reddy K
Volume/Issue :
Volume 9 - 2024, Issue 8 - August
Google Scholar :
https://rb.gy/p93u4d
Scribd :
https://rb.gy/36c1wz
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24AUG436
Abstract :
Background:
Diagnosis is traditionally made by taking a medical
history and performing a medical examination. These
have become less useful in contemporary emergency and
critical care medicine.
Objective:
The objective was to show the importance of
obtaining the medical history and re-evaluating it in
medical emergencies for diagnosis and management.
Methods and Materials:
In our instance, a female patient, age 22, was taken
to the emergency room by her parents when she was
unconscious and exhibiting tonic posture in all limbs. Due
to our insufficient medical history, we ended up doing
unnecessary and expensive investigations. The re-
evaluation of the patient played a crucial role in diagnosis
and management.
Results:
The patient's re-evaluation to obtain a proper
medical history revealed the actual cause of
unconsciousness in our case, which led to proper
management.
Conclusion:
Our case showed the importance of obtaining a
medical history in a medical emergency.
Key message:
In cases of unconsciousness or other medical
emergencies, taking a proper medical history and
conducting a clinical examination are crucial. A re-
evaluation of the patient helps in taking a proper medical
history. It helps in proper diagnosis and management.
Keywords :
Medical History, Unconsciousness, Re- Evaluation of the Patient, Diagnosis.
References :
- Steinkellner C, Schlömmer C, Dünser M. Anamnese und klinische Untersuchung in der Notfall- und Intensivmedizin [Medical history taking and clinical examination in emergency and intensive care medicine]. Med Klin Intensivmed Notfmed. 2020 Oct; 115 (7):530-538. German. doi: 10.1007/s00063-020-00731-x. Epub 2020 Sep 3. PMID: 32885280; PMCID: PMC7653795.
- Aysun S, Yetük M. Clinical experience on headache in children: analysis of 92 cases. J Child Neurol. 1998 May; 13(5):202-10. doi: 10.1177/088307389801300502. PMID: 9620010.
- Maan JS, Duong TvH, Saadabadi A. Carbamazepine. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482455/
- Wijdicks EFM. Taking a History in Neurocritically Ill Patients. Neurocrit Care. 2020 Jun; 32(3):677- 682. doi: 10.1007/s12028-020-00979-3. PMID: 32346841.
- Wirfs L, Whitworth K, Kellar J. Nystagmus Associated with Carbamazepine Toxicity. Clin Pract Cases Emerg Med. 2017 Oct 18; 1(4):441-442. doi: 10.5811/cpcem.2017.6.34772. PMID: 29849417; PMCID: PMC5965243.
- Born J, Bohn A, Kümpers P, Juhra C. Verfügbarkeit von Patienteninformationen in der Notaufnahme: Wunsch und Wirklichkeit [Availability of patient information in the emergency department: Wish and reality]. Med Klin Intensivmed Notfmed. 2023 Feb; 118(1):54-61. German. PMID: 34709427; PMCID: PMC9873775.
Background:
Diagnosis is traditionally made by taking a medical
history and performing a medical examination. These
have become less useful in contemporary emergency and
critical care medicine.
Objective:
The objective was to show the importance of
obtaining the medical history and re-evaluating it in
medical emergencies for diagnosis and management.
Methods and Materials:
In our instance, a female patient, age 22, was taken
to the emergency room by her parents when she was
unconscious and exhibiting tonic posture in all limbs. Due
to our insufficient medical history, we ended up doing
unnecessary and expensive investigations. The re-
evaluation of the patient played a crucial role in diagnosis
and management.
Results:
The patient's re-evaluation to obtain a proper
medical history revealed the actual cause of
unconsciousness in our case, which led to proper
management.
Conclusion:
Our case showed the importance of obtaining a
medical history in a medical emergency.
Key message:
In cases of unconsciousness or other medical
emergencies, taking a proper medical history and
conducting a clinical examination are crucial. A re-
evaluation of the patient helps in taking a proper medical
history. It helps in proper diagnosis and management.
Keywords :
Medical History, Unconsciousness, Re- Evaluation of the Patient, Diagnosis.
