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32 6. Causes of pain, 7. Factors that increase pain, 8. Factors that ease pain (medications, physical factors-heat or cold, posture), 9. Symptoms associated with pain (nausea, dizziness, etc.), 10. Patterns of pain (if any). All complaints presented to patients are recorded in edited form, in the correct and understandable language. In addition, the patient may present complaints chaot- ically. The task of the doctor is to «sort» them individually or systemically, so that a certain picture of the disease emerges, write them down in detail, briefly and clearly. Development of this disease The peculiarity of diseases in General and internal diseases in particular is their dynamism over time. Some of the subjective symptoms that have been bothering the patient since the beginning of the disease may disappear after some time, and new signs appear. Some sensations may increase (decrease), acquire a different character. Reflects the development of the disease from its beginning to the present moment. When you find out the history of this disease, you will find out when, where and under what circumstances for the first time in your life you got sick. The reasons that caused the disease (according to the patient). Conditions preceding the disease (hypothermia, neuropsychiatric fatigue, etc. They ask how, acutely or gradually, the disease began and how it appeared at first. Then, in chronological order, de- scribe the entire dynamics of symptoms and the appearance of new signs of the disease. Find out the causes of remission, their duration, as well as the causes and frequency of exacerbations of the disease. They reveal in detail when and to which medical institutions the patient ap- plied, what types of examinations were performed and their results. In this case, you can use not only oral information from the patient, but also all the medical documents available to him (statements, results of examinations, etc.). be Sure to find out how and with what effect the patient was treated. This information is valu- able not only in terms of diagnosis, but also the choice of further treatment tactics. Find out how the patient’s ability to work changed during the illness, the number of days of disability over the past year. Specify the reasons for this hospitalization (wors- ening of the disease, examination to clarify the diagnosis, examination, etc.). and again, do not focus on the previous diagnosis, which was previously exposed to the patient, because it may be incorrect or incomplete. If the patient is already in the hospital and goes under the supervision of another doctor, the dynamics of the patient’s condition in the hospital from the moment of curation to the day of examination of the patient is reflected. When collecting a medically competent medical history of the disease, it is unacceptable to allow unfilled «dips», sometimes reaching several years. The end of the history of the present disease must, therefore, correspond to the patient’s complaints about the present time, recorded earlier.