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How to collect the medical records of oral assistant doctors' practical skills examination
Medical history collection: oral examination, 5 points; I have a medical history of 12 and passed the examination of 1. The assistant recited 7 and got 1. There are many contents and scattered knowledge points, which basically cover common oral symptoms. As long as you recite carefully, the exam is comprehensive, and the goal is 4 out of 5. This test item is simpler than case analysis. And * * * scores a lot, it is not easy to get 5 points, but no matter how many * * * scores, it is not a big problem not to get 3 points, which is nothing more than the current medical history and related medical history.

Definition of medical history collection: through doctor's consultation, understand the reasons and requirements of patients seeking medical treatment, and obtain the information of patients' systematic medical history and oral medical history. This is a medical history collection.

Therefore, no matter what symptoms we encounter in the exam, the current medical history and related medical history are what we need to focus on.

Outpatient medical records include: comprehensive requirements

Name, sex, age, marriage, occupation, place of birth, location of complaint, time, nature and degree, current medical history, relevant medical history, allergic history and physical examination.

X-ray, cold and hot diagnosis and other laboratory tests, preliminary diagnosis and treatment advice, signed by the doctor.

Especially in relation to the mouth and teeth:

Current medical history and related medical history:

The number of teeth (whether the patient can locate), the nature of pain, the inducement, what situation is relieved, the difference between day and night, local or radiation pain, whether it has been treated, whether there is systemic disease, and whether there is a history of injury;

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