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Family trees became popular among neurologists during the late 19th century. "Family trees" that allow GPs to see hereditary family diseases. The genogram gives rise to work hypotheses: hypotheses about patients' risks for family related illnesses or stressors, such as diabetes, hypertension, coronary heart disease, substance abuse, depression, or hereditary disease as kidney diseases a family history of these problems often allows a GPs to generate a hypothesis about a patient's presenting complaint quickly and then develop questions that help in coming to a diagnosis and management plan. Genogram may reflect: 1) Family structure 2) Life cycle in which that family is 3) Important vital events 4) Family resources and 5) Relational family patterns. The genograms are formats to draw a family tree and thus have information about it quickly and clearly. There are several conventional signs that represent the various structures, functions, etc. The genogram is an instrument that allows us to easily incorporate and retrieve information about the family in which the patient is immersed, as well as to analyze and better understand that information in order to achieve a better resolution of their problems. The genogram is a schematic model of the structure and processes of a family. Many times, the family tree or genogram is the chosen way to record the family history of a patient because drawing it is easier than writing the information and transmission patterns can be detected as the drawing is made (20). Thus, family history can be recorded in several ways: you can create tables, checklists, forms or drawings of a family tree. It is about presenting a situation that may seem unusual, and yet it is a very ordinary (family care), and draw conclusions that can be applied to the generality of consultations in general medicine. In addition, the case report can be immediately understandable by clinicians the clarity of its elements allows inducing concepts. A great deal of information can be conveyed in a case report that would be lost in a clinical trial or survey. Although this type of research is traditionally considered to be relatively weak scientific evidence, case reports are of scientific value.
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Clinical case reports must be seen as the first link in the chain of evidence. That is, it is intended that the clinical presentation allows going, from the particular of a family case, to the general family care. In this context, a case report of 3 patients in a family is described, to illustrate the condition of hereditary kidney diseases and to reflect and deepen in the induction of the concepts of family care in general medicine. Thus, in actual practice, it is common to understand the consultation and approach the patient as an isolated individual who presents a health problem. On the other hand, while family history collection is a core responsibility of primary care providers, and family-oriented care is an inherent trait of general practice, GPs offer great variability in their practice regarding family counselling and few details about this practice is known, as well as about the importance of family stories, or intergenerational narratives, and their health benefits across the lifespan. But, of course, this is only a simplification of the importance of the factors that surround the individual. Thus, when thinking about assistance or health care, there is a tendency to conceive it as an individual situation. The importance of the family in the health and illness of its members is not discussed, neither theoretically or conceptually, but most of the work of the general practitioners (GPs) occurs with individuals in everyday medical practice the family is a frequently forgotten or only partially considered element.