Anamnesis

Anamnesis is the medical term that refers to gathering information about a patient's health and medical history. This is done by asking questions and listening to the patient's story. The anamnesis is performed by a doctor, physical therapist, or other healthcare professional before they make a diagnosis or prescribe a treatment.

What questions are asked during the anamnesis?

During an anamnesis, the healthcare professional asks about the symptoms, medical history, family history, medication use, allergies, lifestyle, and other information. Examples of questions include:

• What are the symptoms and how did they start?
• How long have the symptoms been present?
• Have the symptoms changed over time?
• Are there other diseases, physical limitations, or psychological problems?
• Are you currently taking any medications? If so, for what?
• Is there unexplained weight loss, severe nighttime pain, or a history of cancer? These are so-called ‘red flags’ (risk factors) that may indicate a serious condition.

Questionnaires are often used to get an even better picture of the symptoms. These are part of the anamnesis, but are often completed by the patient before or after the first consultation.

The goal of the anamnesis is to gain a clear understanding of the patient's complaints. Only then can the practitioner make the correct diagnosis and prescribe the best possible treatment. It is therefore very important to be open and honest during this interview. The questions are tailored to the answers the patient gives. The physio check is also a form of anamnesis.

Why is the anamnesis so important?

The anamnesis is an important first step in identifying a condition and determining the right treatment. It also helps exclude possible causes of symptoms and map out existing risk factors. After the anamnesis, the healthcare professional can have additional tests performed to confirm the diagnosis or to gather more information.

How do you best prepare for the anamnesis?

A doctor sometimes has little time, and you may be a bit nervous about the appointment. Before you know it, you are back outside. So make sure you go into the conversation well prepared. You can do this:

• Make a list of all current symptoms: when they started, how often they occur, and what makes them worse or better.
• Outline your medical history, including previous surgeries, illnesses, and conditions.
• Bring an overview of all medications you are currently taking, including the dosages. Ask the pharmacy for an up-to-date medication overview and supplement this with over-the-counter medicines you use, such as acetaminophen.
• Take someone with you to the appointment to help answer questions and provide support.
• Write down the questions you have so you do not forget anything.
• Be honest and open. It is important to share all important information, even if it is sensitive or personal.