- Family history (medicine)
medicine, a family history consists of information about disorders that a patient's direct blood relatives have suffered from. Genealogytypically includes very little of the medical historyof the family, but the medical history could be considered a specific subset of the total history of a family.
Although often neglected, [Rich EC, Burke W, Heaton CJ, Haga S, Pinsky L, Short MP, Acheson L. "Reconsidering the family history in primary care." J Gen Intern Med 2004;19:273-80. PMID 15009784.] many doctors glean information on family morbidity of particular diseases (e.g.
cardiovascular diseases, autoimmune disorders, mental disorders, diabetes, cancer) to appreciate whether a person is at risk for developing similar problems. Use of a genogramcan be helpful in a family history, which is in the format of a family tree.
Family histories may be imprecise because of various possible reasons:
* Adoption or illegitimacy
* Lack of contact between close relatives
* Uncertainty about the relative's exact diagnosis
In complex situations, a
family treemay be necessary to cover the necessary aspects.
Not all positive family histories imply a genetic cause. If various members of the same family have been exposed to the same
toxin, then they may develop similar symptoms without a genetic cause.
If a patient has a strong family history of a particular disorder (or group of disorders), this will generally lead to a lower threshold for investigating symptoms.
In diseases with a known hereditary component, many healthy people are now tested early to prevent the symptoms from developing. This has become accepted in
cystic fibrosis, hemochromatosisand various other disorders.
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