History and Physical KEY WORDS chief complaint 主诉, history of present illness 现病史, onset 发病 (sudden 突然, insidious 阴险的, progressive 渐进的, gradual 渐进的), pain 疼痛, quality 质量, severity 严重程度, frequency 频率, duration 持续时间历史, associated symptoms 相关的症状, medications 药物, habits 生活习惯, substance abuse 药物滥用, medication allergies 药物过敏, medications 药物治疗, review of systems 系统的审查, physical examination 体格检查 (head 头, mouth 嘴, nose 鼻, eyes 眼, ophthalmoscopy 眼底, ears 耳, otoscopy 耳镜, neck 颈部, chest 胸部, arms 手臂, hands 手掌, 胸部 chest, abdomen 腹部, pelvis 骨盆, legs 腿, feet 脚, neurologic examination 神经系统检查, motor testing, sensory testing 感官测试, reflex testing 反射测试, mental status examination 精神状态检查, rectal tone 直肠 TEXT / 课文 The History and Physical is still the most important diagnostic tool.