Test Checklist – Medscholar Academy

Medicine and Surgery, Personalised Clerking Checklist

Medicine and Surgery, Personalised CLERKING CHECKLIST

1 / 11

BioData

Name

Age

Tribe

Religion

Occupation

Marital Status

Level of Education

2 / 11

Review of Systems

Medicine and Surgery
CLERKING CHECKLIST

Run over from head to toe calling at least two symptoms for each system

Don't Run over from head to toe calling at least two symptoms for each system

3 / 11

Drug and Allergy History

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Current medications

History of allergies or reactions to any drugs

4 / 11

Social History,

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Smoking: Number of packs per day

Alcohol consumption: Quantity and duration:

illicit drug use or other substance abuse

5 / 11

Family History,

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Family history of similar/related illnesses

History of any diseases that run in the family:

6 / 11

Past Medical and Surgical History,

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Similar illnesses in the past:

History of conditions like SCD, Hypertension, Asthma, Diabetes, Epilepsy, Tuberculosis, PUD

Previous hospital admissions (reason):

Previous blood transfusions

Previous surgeries (reason)

7 / 11

DOCTOR,

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Duration

Onset

Course

Character

Timing

Other related phenomenon/associated manifestation

8 / 11

History of Presenting Complaint(s) (5Cs),

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Character: Describe each symptom.

Course: Progression of symptoms since onset.

Character and Course (symptom analysis): Analyze using DOCTOR or SOCRATES.

9 / 11

Chief/Presenting Complaint(s),

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Document 2-3 symptoms of concern to the patient

Ask: "What brought you to the hospital?"

10 / 11

Reliability,

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Source of history (if patient is a child, unconscious, or unable to communicate)

Reliability of source (e.g., parent, spouse, close relative)

Note if the history is reliable or not

11 / 11

Introduction (GITE),

Medicine and Surgery
Personalized
CLERKING CHECKLIST

Greet examiner and patient

Introduce self to patient

Take/obtain consent

Establish a rapport

Your score is

The average score is 5%

Obstetrics and Gynecology, Personalised Clerking Checklist

Obstetrics and Gynecology, Personalised CLERKING CHECKLIST

1 / 10

Drug and Allergy History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Current medications

History of allergies or reactions to any drugs

2 / 10

Review of Systems

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Run over from head to toe calling at least two symptoms for each system

Do not Run over from head to toe calling at least two symptoms for each system

3 / 10

Social History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Smoking: Number of packs per day

Alcohol consumption: Quantity and duration

Illicit drug use or other substance abuse

Plan for breastfeeding

4 / 10

Family History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Family history of similar/related illnesses

History of any diseases that run in the family

Family history of twins

5 / 10

Past Medical and Surgical History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Similar illnesses in the past

History of conditions like SCD, Hypertension, Asthma, Diabetes, Epilepsy, Tuberculosis, PUD

Previous hospital admissions (reason)

Previous blood transfusions

Previous surgeries (reason)

6 / 10

Past Gynecological History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Age at menarche

Menstruation details (duration, regularity, excessive bleeding, menstrual pain, pain during sex)

Contraceptive use (type, duration)

Pre or post-coital practices (douching, lubricants)

Pap smear history (results)

History of infertility, abnormal vaginal discharge

Previous miscarriages/abortions (reason)

7 / 10

Past Obstetric History

Obstetrics and Gynecology Personalized CLERKING CHECKLIST

Details of each previous pregnancy (year, booking, term, delivery method, baby cry after birth, normal puerperium, hospital stay, baby's status):

Do not ask for Details of each previous pregnancy (year, booking, term, delivery method, baby cry after birth, normal puerperium, hospital stay, baby's status):

8 / 10

Chief Complaint

Obstetrics and Gynecology

Personalized CLERKING CHECKLIST

Ask: "What brought you to the hospital?"

Note if the visit is for antenatal booking, routine antenatal care, or a new complaint:

For new complaints, analyze using the 5Cs first, then go back to the index pregnancy:

9 / 10

Introduction (GITE)

Obstetrics and Gynecology

Personalized
CLERKING CHECKLIST

Greet examiner and patient

Introduce self to patient

Take/obtain consent

Establish a rapport

10 / 10

Biodata/Identifying Data (NASTROMA-L)

TITLE OF THIS CHAPTER
SHALL GO HEREPersonalised
CLERKING CHECKLIST

Name

Age

Sex

Tribe

Religion

Occupation

Marital status

Level of education

Gravidity (previous pregnancies)

Parity (pregnancies carried to 28 weeks, deliveries, miscarriages, living children)

Last Child Birth

Last Menstrual Period (LMP)

Expected Date of Delivery (EDD)

Estimated Gestational Age (EGA)

Your score is

The average score is 0%

Pediatrics Personalised Clerking Checklist

Pediatrics Personalised CLERKING CHECKLIST

1 / 13

Review of Systems,

Personalized CLERKING CHECKLIST Pediatrics

Run over from head to toe calling at least two symptoms for each system

Do not Run over from head to toe calling at least two symptoms for each system

2 / 13

Drug and Allergy History,

Personalized CLERKING CHECKLIST Pediatrics

Current medications

History of allergies or reactions to any drugs

Use of herbal concoctions/medications

3 / 13

Family and Social History,

Personalized CLERKING CHECKLIST Pediatrics

Family setting (monogamous/polygamous):

Position of child in the family

History of similar illness in siblings

Genotype of parents

Socioeconomic status of parents

Housing details (size, occupants)

Source of water and toilet facility

School performance

4 / 13

Developmental History,

Personalized CLERKING CHECKLIST Pediatrics

Milestones (head control, sitting, crawling, standing without support)

5 / 13

Immunization History,

Personalized CLERKING CHECKLIST Pediatrics

Immunization status

Vaccines received and dates

History of side effects

Completion of immunization schedule

6 / 13

Dietary/Nutritional History,

Personalized CLERKING CHECKLIST Pediatrics

Breastfeeding details

Weaning details

For older children

Frequency of meals

Adequacy of meals

Nutritional content of meals

Growth and digestion details

7 / 13

Prenatal, Natal, Postnatal History,

Personalized CLERKING CHECKLIST Pediatrics

Pregnancy booking details

Tetanus toxoid doses

Fever and rash during pregnancy

Medication use during pregnancy

Prolonged labor details

Delivery at term

Baby's cry after birth

Hospital stay after delivery

Birth weight and Apgar score:

8 / 13

Past Medical and Surgical History,

Personalized CLERKING CHECKLIST Pediatrics

Previous history of similar illness

History of SCD, asthma, seizure disorders

Previous hospital admissions

Previous surgeries

Previous blood transfusions

9 / 13

Presenting Complaint,

Personalized CLERKING CHECKLIST Pediatrics

Ask for the reason for the visit:

Clerk the presenting complaints using the 5Cs

10 / 13

Reliability,

Personalized CLERKING CHECKLIST Pediatrics

State if the information is reliable and the reason

Do not State if the information is reliable and the reason

11 / 13

Biodata/Identifying Data (NASTROMA-L), FOR CHILD

Personalized CLERKING CHECKLIST Pediatrics

Name

Sex

Age

Relationship to caregiver

Schooling status

12 / 13

Biodata/Identifying Data (NASTROMA-L), FOR CAREGIVER

Personalized CLERKING CHECKLIST Pediatrics

Name

Age

Sex

Tribe

Religion

Occupation

Marital status

Level of education

13 / 13

Introduction (GITE)

Personalized CLERKING CHECKLIST Pediatrics

Greet examiner and patient

Introduce self to patient

Take/obtain consent

Establish a rapport

Your score is

The average score is 0%

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