The next part of the medical interview
that you will want to ask a patient about
is their family history. As we've talked about, this
includes three generations. It will depend on the
age of your patient as to which way those
generations go. In the case that your patient
is between somewhere in their late adolescent
teens, 20s, 30s, 40s, you will first of all, always find out about
the patient's history, which you've done
with the past medical history and their siblings. That is considered
one generation. And then you will
either go down and ask about their children
if they have them, or you will go above their age bracket and you
will go into their parents. If there are no
children, you want to ask about the patient
and their siblings, their parents, and
their grandparents. Now, obviously that if you're talking to
someone in their 80s, they may be able to be able
to tell you about themselves, their parents, their children,
or their grandchildren. So you have to adjust depending
on the patient's age to determine which collection of three generations you want to
talk to the patient about. Miss Smith, I'm going
to talk with you now about your family history. And sometimes we
want to talk about several generations in this,
usually three of them, because we want
to find out about generations that may genetically run in your family or illnesses
that run in your family, that you're concerned about. And so I was to
start out and say, what illnesses are there in your family that you know
about or you've been told stories about that you
are concerned about. High blood pressure
runs in my family. And sometimes I'm a little concerned if I get that as well. We'll talk a little
bit more about that, and we're going to find out who had that high blood pressure. Now, what is your age, please? 29. 29. Do you have siblings? Yes. And I this is one thing I want to
make sure is clear when this interview is part of the
interview is done is that the information that I'm seeking here primarily is genetically. So I'm very interested to
know, are your siblings, your biological siblings, your parents, your
biological parents? Yes. So what I want to know
is with your siblings, tell me how old your
siblings are, you're 29. I have two brothers. One is 34, and one is 32. And health problems that they have, you mentioned
hypertension. They both have been diagnosed with
high blood pressure. And are they treated for
it at this time? Do you know? Yes. And tell me about
let's go to your parents. Tell me about your parents.
Are your parents living? My mother is. And how old is she? She's 60. Health concerns
or health things that she is treated for. She's treated for
high blood pressure. She is. Your father? He died in a car accident. And how old was
he when he passed? About 55. And was his health good or what do you
know about his health? As far as I know
what was good. Let's go let's talk about your grandparents,
your grandparents. Tell me first about
your father's parents. They died of natural causes, but I'm not sure we
know when they died or how old they were
when they died. And your mom's
parents, are they living? No. They they're
dead as well. They both had strokes
in their 80s. And were you aware
was their hypertension diagnosed with them
also or do you know? I don't know. Okay. Well, we've talked
about that the concern that you have is the
hypertension in your family, and that's certainly something
that it sounds you have a family history of and that we should look at more closely. This concludes the
family history.