CARDINALS

Question 1

NEURO CARDINALS

Answer 1

headache
n+v
vision problems
hearing problems
taste/smell disturbances
problems w speech, language, or swallowing
dizziness, fits, or loss of consciousness
change in cognition, feeling, personality
unsteadiness/decreased balance/clumsiness
weakness, stiffness, tremor
sensations-numbness, pins and needles, tingling, pain
sphincter disturbances
general: fever, rash, confusion, weight loss

Question 2

EYE CARDINALS

Answer 2

vision problems-vision loss, blurred vision, double vision, visual disturbance 
eye pain 
eye discharge 
eye irritation 
swelling in/around eye 
change in appearance of eye 
general: headache, fever, rash, malaise

Question 3

INFECTION CARDINALS

Answer 3

appetite and weight change
malaise 
fever
fatigue 
night sweats 
rigors 
alertness 
fluid intake/urination 
rash

Question 4

things to ask in travel history

Answer 4

location of stay-country, rural/urban
duration of stay-be specific about date of return
food and water-where did they get it from, did they boil water/use tablets to purify?
prophylaxis eg mosquito nets, tablets
infection exposure contacts
freshwater swimming
tattoos/IVDU/sex

Question 5

CARDIOVASCULAR CARDINALS

Answer 5

chest pain-socrates
SOB: on exertion/orthopnoea/nocturnal 
palpitations 
dizziness/syncope 
ankle swelling 
general: fatigue, weight loss, fever

Question 6

MSK CARDINALS

Answer 6

pain-socrates (joints, muscle, soft tissue)
stiffness-on activity, inactivity, early morning
swelling of joints
rash
redness/heat
general: fever, weight loss, malaise, fatigue

Question 7

SEXUAL CARDINALS

Answer 7

discharge (from where, character, volume)
dysuria/unusual pee eg blood
dyspareunia (pain during sex)-superficial/deep
skin changes-itching, soreness, sores, lumps, rash
pelvic pain
F: abnormal bleeding, LMP, cycle
M: pain/swelling of testes
general: fever, weight loss, malaise

Question 8

EAR CARDINALS

Answer 8

pain 
discharge 
hearing impairment 
tinnitus 
dizziness/balance 
irritation/itching 
associated neurological-headaches, nausea, vision 
general; fever, weight loss, malaise, rash

Question 9

GI CARDINALS

Answer 9

painful mouth (ulcers, teeth)
difficulty/pain on swallowing (solids/liquids)
indigestion/heartburn 
N+V
vomiting blood 
burping/farting 
abdo pain (SOCRATES)
bloating 
change in bowel habit 
rectal bleeding 
rectal mucous
tenesmus/anal pain
jaundice 
itching 
rigors 
dark urine 
fluid retention
easy bleeding

Question 10

BREAST CARDINALS

Answer 10

breast lump-location, progression, size, change with cycle, tenderness, trauma related 
breast pain-SOCRATES
skin changes of breast
change in shape of breast 
nipple changes 
nipple discharge/bleeding
gynaecomastia (M)

Question 11

RESPIRATORY CARDINALS

Answer 11

chest pain-SOCRATES 
SOB-on exertion/at rest/onset/duration
sputum-volume, colour, consistency
cough 
wheeze
coughing up blood 
general: fatigue, weight loss, fever, night sweats