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 account. The anamnesis is carried out by a doctor, physiotherapist or other healthcare professional before a diagnosis is made or treatment is prescribed.

Which questions are asked during anamnesis?

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

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

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

The aim of anamnesis is to gain a clear understanding of the patient's complaints. Only then can the practitioner make the right 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 physiocheck is also a form of anamnesis.

Why is anamnesis so important?

Anamnesis is an important first step in identifying a condition and determining the right treatment. It also helps to rule out possible causes of complaints and to map out present risk factors. After anamnesis the healthcare professional can have additional tests carried out to confirm the diagnosis or to gather more information.

How best to prepare for anamnesis?

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

• Make a list of all current complaints: when they started, how often they occur, and what makes them worse or better.
• Set out your medical history, including previous operations, illnesses and conditions.
• Take an overview of all medicines you are currently using, including the dosages. Ask the pharmacy for an up-to-date medication overview and supplement this with medicines you use without a prescription, such as paracetamol.
• Take someone with you to the appointment to help answer questions and provide support.
• Write down the questions you have. That way you will not forget anything.
• Be honest and open. It is important to share all relevant information, even if it is sensitive or personal.