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▪ Activity Level: Sedentary lifestyle vs. active engagement in exercise or
physical therapy.

The Role of Effective History-Taking in Patient Outcomes

• Enhances diagnostic accuracy by uncovering contributing factors.
• Aids in risk assessment for complications or delayed healing.
• Guides imaging and laboratory testing by narrowing down differential diagnoses.
• Improves patient-provider communication and fosters trust and engagement in the
treatment process.

By systematically collecting and documenting patient history, orthopaedic technologists can
provide valuable support in diagnosing and managing musculoskeletal conditions, ultimately
improving patient care and outcomes. The history-taking process should be structured and
include the following key elements:

1. Chief Complaint (CC) – The primary reason for the patient’s visit, described in their
own words.
2. History of Present Illness (HPI) – Detailed information regarding the onset, duration,
nature, and progression of symptoms. Key questions include:
o When did the symptoms start?
o What were the circumstances leading to the injury?
o What aggravates or relieves the symptoms?
3. Past Medical History (PMH) – Includes previous musculoskeletal injuries, chronic
conditions (e.g., osteoporosis, arthritis), and past surgeries.
4. Medications and Allergies – Documentation of current medications, including blood
thinners and pain relievers, as well as known drug allergies.
5. Family History – Identifying hereditary conditions such as rheumatoid arthritis or
connective tissue disorders.
6. Social History – Factors such as occupational demands, recreational activities, and
lifestyle habits that may influence injury or recovery.

A well-documented patient history allows clinicians to narrow down potential diagnoses and
develop an effective treatment plan.

Recognizing Signs and Symptoms of Orthopaedic Injuries

Orthopaedic technologists must be able to identify common signs and symptoms of
musculoskeletal injuries to facilitate accurate diagnosis and treatment. Early recognition of these
signs allows for timely intervention, reducing the risk of complications and improving patient
outcomes. Each symptom provides valuable insight into the underlying condition and should be
assessed comprehensively to determine the severity of injury and necessary course of action.

Key Signs and Symptoms