Kórtörténete

Kórtörténete, often translated as "medical history" or "case history," refers to the detailed account of a patient's health journey. It is a fundamental component of medical documentation and patient care. The information gathered within a kórtörténete provides a chronological overview of a patient's past and present medical conditions, treatments, and overall health status.

The process of compiling a kórtörténete typically involves a thorough interview with the patient, often referred to as taking a medical history. This includes inquiries about current symptoms, their onset, duration, and severity. It also delves into the patient's past medical illnesses, surgeries, hospitalizations, allergies, medications, and family medical history. Lifestyle factors such as diet, exercise, smoking, and alcohol consumption are also often included.

A comprehensive kórtörténete is crucial for accurate diagnosis, effective treatment planning, and ongoing patient management. It allows healthcare professionals to understand the context of a patient's current health issues, identify potential risk factors, and avoid redundant or contradictory interventions. In emergency situations, a well-organized kórtörténete can be vital for rapid assessment and decision-making. The information is usually recorded by physicians, nurses, or other healthcare providers and forms part of the patient's permanent medical record. It is treated with strict confidentiality, adhering to privacy regulations.