Admission in DY Patil Medical College – Management Quota
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Donation Direct MBBS Admission in DY Patil Medical College, Pune –Kolhapur-Navi
Mumbai through Management Quota…
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on +91-9742479101 [Ankit Mishra] +91-9742886036 [Anis] +91-9632226036 [Shekhar]
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Admission in DY Patil Medical
College – Management Quota
Medical
history:
Compiling
your medical family tree-
Admission in DY Patil Medical
College – Management Quota
Your
family medical history provides insight into the conditions that are common in
your family. Use this history to give you clues about your risk of disease.
Admission in DY Patil Medical
College – Management Quota
Your family medical history,
sometimes called a medical family tree, is a record of illnesses and medical
conditions affecting your family members. Here is why a family medical history
can come in handy — and how to create a family medical history of your own. Admission
in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
How is a
family medical history used?
You inherit half of your genetic
profile from each parent. Along with the genetic information that determines
your appearance, you also inherit genes that might cause or increase your risk
of certain medical conditions. A family medical history can reveal the history
of disease in your family and allow you to identify patterns that might be
relevant to your own health. Admission in DY Patil Medical College – Management
Quota
Admission in DY Patil Medical
College – Management Quota
Your doctor might use your family
medical history to:
·
Assess your risk of certain diseases- Admission in DY Patil Medical College – Management Quota
·
Recommend treatments or changes in
diet or other lifestyle habits to reduce the risk of disease- Admission in DY Patil Medical College – Management Quota
·
Determine which diagnostic tests to
order-
Admission in DY Patil Medical
College – Management Quota
·
Determine the type and frequency of
screening tests-
Admission in DY Patil Medical
College – Management Quota
·
Determine whether you or family
members should get a specific genetic test- Admission
in DY Patil Medical College – Management Quota
·
Identify a condition that might not
otherwise be considered-
Admission in DY Patil Medical
College – Management Quota
·
Identify other family members who
are at risk of developing a certain disease- Admission
in DY Patil Medical College – Management Quota
·
Assess your risk of passing
conditions on to your children- Admission
in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
What's the
best way to gather family medical information?
Your family might want to work
together to develop a family medical history. Consider kicking off the project
at a family gathering, such as a holiday or reunion. Keep in mind, however,
that some loved ones might be uncomfortable disclosing personal medical
information. Admission in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
The U.S. Surgeon General has created
a computerized tool called My Family Health Portrait to help you create a
family medical history. Alternatively, you can compile your family's health
history on your computer or in a paper file. Admission in DY Patil Medical
College – Management Quota
Admission in DY Patil Medical
College – Management Quota
If you encounter reluctance from
your family, consider these strategies:
·
Share your
purpose. Explain that you are creating
a record to help you determine whether you and your relatives have a family
history of certain diseases or health conditions. Offer to make the medical
history available to other family members so that they can share the
information with their doctors. Admission in DY Patil Medical College –
Management Quota
Admission in DY Patil Medical
College – Management Quota
·
Provide
several ways to answer questions. Some
people might be more willing to share health information in a face-to-face
conversation. Others might prefer answering your questions by phone, mail or email.
Admission in DY Patil Medical
College – Management Quota
·
Word
questions carefully. Keep your questions short and
to the point.
Admission in DY Patil Medical
College – Management Quota
·
Be a good
listener. As your relatives talk about
their health problems, listen without judgment or comment.
Admission in DY Patil Medical College – Management Quota
·
Respect
privacy. As you collect information
about your relatives, respect their right to confidentiality.
If information about a disease or
cause of death is unknown, do not guess at the answer. An incorrect guess can
result in a poor interpretation of your medical history. Do not worry if some
details are missing. Admission in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
What other
sources of information may be beneficial?
You might want to consult family
documents, such as existing family trees, baby books, old letters, obituaries
or records from places of worship. Public records — birth certificates,
marriage licenses and death certificates — are usually available in county
record offices. If you or your family members maintain electronic personal
health records, use them.
Admission in DY Patil Medical
College – Management Quota
Admission in DY Patil Medical
College – Management Quota
If you're adopted, ask your adoptive
parents if they received any medical information about your biological parents
at the time of your adoption. Adoption agencies also might have family medical
information on file. If you were adopted through an open adoption process, you
might be able to discuss your family's medical history directly with members of
your biological family.
Admission in DY Patil Medical
College – Management Quota
Admission in DY Patil Medical
College – Management Quota
Give your doctor a copy of your
family medical history and ask him or her to review it with you. Your doctor
might ask you questions for clarification and can help you interpret the
relevance of certain patterns in your medical history, including the need for
preventive measures or screening tests. Admission in DY Patil Medical College –
Management Quota
Admission in DY Patil Medical
College – Management Quota
As children are born and family
members develop illnesses, update your family medical history. Share relevant
updates with your doctor. It might take time and effort, but this tool can help
improve the health of your family for generations to come. Admission in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
Rest of the History
The remainder of the history is obtained after completing the
HPI. As such, the previously discussed techniques for facilitating the exchange
of information still apply.
Admission in DY Patil Medical
College – Management Quota
Past Medical History: Start
by asking the patient if they have any medical problems. If you receive
little/no response, the following questions can help uncover important past
events: Have they ever received medical care? If so, what problems/issues were
addressed? Was the care continuous (i.e. provided on a regular basis by a
single person) or episodic? Have they ever undergone any procedures, X-Rays,
CAT scans, MRIs or other special testing? Ever been hospitalized? If so, for
what?
Admission in DY Patil Medical
College – Management Quota
Past Surgical History: Were
they ever operated on, even as a child? What year did this occur? Were there
any complications? If they don't know the name of the operation, try to at
least determine why it was performed. Encourage them to be as specific as
possible.
Admission in DY Patil Medical
College – Management Quota
Medications: Do
they take any prescription medicines? If so, what is the dose and frequency? Do
they know why they are being treated?* Medication non-compliance/confusion is a
major clinical problem, particularly when regimens are complex, patients older,
cognitively impaired or simply disinterested. It is important to ascertain if
they are actually taking the medication as prescribed. Admission in DY Patil
Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
It
helps to clearly explain that without this information your ability to assess
treatment efficacy and make therapeutic adjustments becomes
difficult/potentially dangerous. If patients are, in fact, missing doses or not
taking medications altogether, ask them why this is happening. Perhaps there is
an important side effect that they are experiencing, a reasonable fear that can
be addressed, or a more acceptable substitute regimen which might be
implemented. Do not forget to ask about over the counter or
"non-traditional" medications.
Admission in DY Patil Medical
College – Management Quota
Allergies/Reactions: Have
they experienced any adverse reactions to medications? The exact nature of the
reaction should be clearly identified as it can have important clinical
implications. Anaphylaxis, for example, is a life threatening reaction and an
absolute contraindication to re-exposure to the drug. A rash, however, does not
raise the same level of concern, particularly if the agent in question is
clearly the treatment of choice.
Admission in DY Patil Medical
College – Management Quota
Smoking History: Have
they ever smoked cigarettes? If so, how many packs per day and for how many
years? If they quit, when did this occur? The packs per day multiplied by the number
of years gives the pack-years, a widely accepted method for smoking
quantification. Pipe, cigar and chewing tobacco use should also be noted.
Admission in DY Patil Medical
College – Management Quota
Alcohol: Do
they drink alcohol? If so, how much per day and what type of drink? Encourage
them to be as specific as possible. One drink may mean a beer or a 12 oz glass
of whiskey, each with different implications. If they do not drink on a daily
basis, how much do they consume over a week or month?
Admission in DY Patil Medical
College – Management Quota
Other Drug Use: Any
drug use, past or present, should be noted. Get in the habit of asking all your
patients these questions as it can be surprisingly difficult to accurately
determine who is at risk strictly on the basis of appearance. Remind them that
these questions are not meant to judge but rather to assist you in identifying
risk factors for particular illnesses (e.g. HIV, hepatitis). In some cases,
however, a patient will clearly indicate that they do not wish to discuss these
issues. Admission in DY Patil Medical College – Management Quota
Admission in DY Patil Medical
College – Management Quota
Obstetric (where appropriate): Have they ever been pregnant? If so, how many times?
What was the outcome of each pregnancy (e.g. full term delivery; spontaneous
abortion; therapeutic abortion).
Admission in DY Patil Medical
College – Management Quota
Family History: In
particular, you are searching for heritable illnesses among first or second
degree relatives. Most common, at least in America, are coronary artery
disease, diabetes and certain malignancies. Patients should be as specific as
possible. "Heart disease," for example, includes valvular disorders,
coronary artery disease and congenital abnormalities, of which only coronary
disease has genetic implications. Admission in DY Patil Medical College –
Management Quota
Admission in DY Patil Medical
College – Management Quota
Work/Hobbies/Other: What
sort of work does the patient do? Have they always done the same thing? Do they
enjoy it? If retired, what do they do to stay busy? Any hobbies? Participation
in sports or other physical activity? Where are they from originally? These
questions do not necessarily reveal information directly related to the patient's
health. However, it is nice to know something non-medical about them. This may
help improve the patient-physician bond and relay the sense that you care about
them as a person.
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Contact
Person(s):
[+91-9742479101]
- Ankit Mishra
[+91-9742886036]
- Anis
[+91
9632226036] - Shekhar
[080-42173206]
- Office Reception
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