Table of Contents

Part I. Clinical Clerking: 1. Introduction; 2. Scheme for clinical clerking; Part II. The History: 1. General; 2. Basic data; 3. Presenting complaint; 4. History of the presenting complaint; 5. Past medical history; 6. Family history; 7. Medication and allergy; 8. Personal and social history; 9. Minimal statement of personal and social history; Part III. Psychiatric History: 1. Complaints; 2. History of presenting complaints; 3. Previous history; 4. Family history; 5. Personal history; 6. Mental state at interview; 7. Intellectual function; Part IV. Functional Enquiry: 1. General; 2. Cardiovascular system; 3. Respiratory system; 4. Alimentary system; 5. Genito-urinary system; 6. Central nervous system; 7. Locomotor system; 8. Minimal statement of the functional enquiry; 9. Initial differential diagnosis; Part V. Physical Examination: 1. Introduction; 2. General examination; 3. Examination of the cardiovascular system; 4. Examination of the respiratory system; 5. Examination of the alimentary system; 6. Examination of the nervous system; 7. Examination of the locomotor system; Part VI. Documentation of the Medical Record: 1. Documentation of the medical record; 2. Problem orientated medical record; 3. Case illustration; Appendices.