Which question is most appropriate to elicit the patient's history of her present illness?
a. What caused you to seek health care today?
b. When did you first start experiencing these health problems?
c. How has this condition affected your lifestyle?
d. Describe the condition you are experiencing from the earliest time that it occurred to the present.
D
The history of the present illness (HPI) is a chronological account of the patient's CC and the events surrounding it. The chronology can be taken in one of two ways: from the current state of the problem back to its origin (reverse chronology) or from the origin of the symptom leading to the current status (forward chronology). Option "d" allows the patient to give the HPI in forward chronology. The question in option "a" elicits the reason the patient is seeking health care today. The question in option "b" is appropriate in obtaining the timing of the CC. It asks for the onset of the CC or the time at which it began. The question in option "c" elicits the meaning or significance of the CC to the patient and the impact of the CC on the patient's lifestyle.
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