Medical history (history of the patient) represents an important component in the diagnosis of open wound.
Family history
Social history
- What is your occupation?
Current medical history/systemic history (somatic and psychological complaints).
- Where, in what situation, and how did you injure yourself/fall?
- Was there an adequate or inadequate injury (accident)?
- Did the open wound result from self-inflicted or third-party fault?
- Are you in pain? Where is the pain localized?
- What other complaints do you have?
- Do you suffer from nausea, dizziness, shortness of breath?* .
- Have you noticed sensory disturbances in the affected extremity?*
- Can you move the affected extremity? Do you feel any pain when doing so?
Vegetative history incl. nutritional history- of importance for wound healing.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Are you underweight? Please tell us your body weight (in kg) and height (in cm).
- Do you get enough exercise every day?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, which drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (eg, diabetes mellitus due to wound healing).
- Vaccination status (because of tetanus vaccination).
- Allergies
- Medication history (due to blood clotting)
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
