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chdd > CHDD conditions > Flashcards

CHDD conditions Flashcards

1
Q

AKI

A
  • Sudden onset
  • Less urine production
  • Fatigue
  • SOB
  • Nausea
  • Confusion
  • Swelling in limbs and eyes
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2
Q

CKD

A
  • Chronic onset
  • Less urine production
  • Fatigue
  • SOB
  • Vomiting
  • Insomnia
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3
Q

UTI

A

Urgency

  • Burning when urinating
  • Passing frequent but small amounts of urine
  • Feeling of incomplete emptying
  • Urine is cloudy or can have blood
  • Abdominal pain
  • Weeing more at night
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4
Q

Pyelonephritis

A

– sudden

  • Same as above plus: flank pain so in side, lower back and genitals
  • Shivering
  • High temperature
  • Diarrhoea
  • Nausea
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5
Q

Peptic ulcer Disease

A
  • Chest pain/heart burn
  • Early satiety
  • Weight loss
  • Vomiting blood
  • Dark stool
  • Faint
  • Weight loss
  • Triggered by fatty foods
  • Bloating
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6
Q

IBD

A
  • Diarrhoea; blood and mucus
  • Urgency
  • Abdo pain
  • Bloating
  • Fatigue
  • Ulcers
  • Weight loss
  • Red eye
  • Arthritis
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7
Q

Bowel cancer

A

Changed bowel habit

  • Tenesmus
  • Abdo pain
  • Fatigue
  • Weight loss
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8
Q

Gall stones

A
  • Central abdo pain; constant
  • Sweating
  • Vomiting
  • Jaundice
  • Fever
  • Diarrhoea
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9
Q

heart failure

A
  • Fatigue
  • Breathlessness; worse when lying own
  • Swelling on legs
  • Chest pain
  • PND
  • Palpitations
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10
Q

AFib

A
  • Fatigue
  • Breathlessness
  • Hypotension/syncope
  • Palpitations
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11
Q

Ischemic heart disease

A
  • Chest pain upon exertion or at rest
  • Dull, heavy, crushing
  • Radiation of pain from central
  • Breathlessness
  • Faint
  • Nausea
  • Autonomic symptoms if unstable or MI; pallor, nausea, sweating
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12
Q

Hypertension

A

Chest pain

  • Headaches
  • Dizziness
  • Breathlessness
  • Blurred vision
  • Nosebleeds
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13
Q

Hypercholesterolaemia

A
  • Chest pain
  • Bumps on hands, elbows and knees
  • Waxy cholesterol deposits on tendons
  • Yellow deposits near eyelids
  • Epigastric pain
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14
Q

DVT

A
  • Swelling
  • Pain/cramping/soreness
  • Red/discoloured skin
  • Warmth in the leg
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15
Q

Asthma

A
  • Dry cough; worst at night
  • Tight chest
  • Episode wheezing
  • Triggered by season, virus, cool air, GORD, exercise
  • Hx of atopy
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16
Q

COPD

A

Productive cough; worse in morn

  • Clear sputum
  • Chest tightness
  • Wheezing
  • Progressive breathlessness
  • Worsening exercise tolerance
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17
Q

Lung cancer

A
  • Chronic cough
  • Haemopytsis
  • Persistent chest/shoulder pain
  • Breathlessness
  • Weight loss
  • Changed voice; hoarse
  • Hand atrophy
18
Q

Pneumonia

A
  • Cough; purulent sputum, rusty or dry
  • Pleuritic chest pain
  • Sudden fever
  • Chills
  • Weight loss
19
Q

PE

A
  • Cough; haemopytsis
  • Pleuritic chest pain
  • Palpitations/racing heart
  • Acute breathlessness
20
Q

Questions to ask cough

A

Dry, productive, timing, onset, gradual/sudden

21
Q

Questions to ask breathlessness

A

At rest/exercise

22
Q

Questions to ask chest pain

A

Site, radiation, timing

23
Q

Liver cirrhosis

A

Lethargy

  • Red patches on palms and above waist
  • Jaundice
  • Nausea
  • Pale stool
  • Dark wee
  • Confusion
  • Fever
  • Swollen tummy
  • Abnormal periods in women
  • Itchy skin
24
Q

Alcoholic liver disease

A

Nausea

  • Weight loss
  • Loss of appetite
  • Jaundice
  • Swelling in ankles
  • Ascites
  • Confusion/drowsiness
  • Vomiting blood
  • Blood in stool
25
Q

depression

A

Depression
Anxiety
1. During the last month, have you often been bothered by feeling down, depressed or hopeless?
2. Do you have little interest/pleasure in doing things?

If the above has been present most days, most of the time, for at least 2 weeks ask about:

  • Fatigue/loss of energy
  • Worthlessness/excessive guilt
  • Thoughts of death, suicide or suicide attempts
  • Diminished ability to think/concentrate
  • Indecisiveness
  • Insomnia or hypersomnia
  • Weight loss/appetite changes
26
Q

Anxiety

A
  1. Have you experienced excessive anxiety and worry on more days than not for at least 6 months about a variety of events or activities?
  2. Do you find it hard to control worry or feelings of anxiety

3/6 of the following need to be present for at least 6 months in addition to core symptoms:

  1. Feeling of tension/restlessness
  2. Tendency to become easily fatigued
  3. Difficulty concentrating or mind going blank
  4. Irritability
  5. Significant muscle tension
  6. Difficult sleeping
27
Q

Mental health history

A

o Do you feel this is impacting on your everyday life? What do you do for a living if you don’t mind me asking?
o Do you live alone or with other people?
o Lifestyle
o PMH; ever felt like this before? Anyone in your family experienced this?
o FAM HX
o DRUG HX
o Allergies
o ICE

28
Q

Headache differentials

A
  1. Tension type
  2. Migraine
  3. SOL
  4. Medication over use
  5. Cluster
  6. Trigeminal neuralgia
  7. Giant cell
29
Q

Questions to ask headache

A

SOCRATES

  • Unilateral or bilateral
  • Tight/throb/stab/burn
  • Severity
  • Associated features; vomiting, photophobia, ptosis, lacrimation, rhinorrhoea
  • Timing
30
Q

Epilepsy

A
  • Seizures; jerking and shaking
  • Collapsing
  • Strange sensations such as unusual smells and tastes or tingling in limbs
  • Stiffness
  • Losing awareness and staring blankly into space
31
Q

Stroke/TIA

A
  • Loss of consciousness
  • Numbness/weakness in part of the body
  • Vertigo
  • Loss of balance/coordination
  • Slurred speech
  • Cant understand others
  • Blurred vision
  • Sudden/severe headache
32
Q

Anaemia

A
  • Lethargy/fatigue
  • Palpitations
  • SOB
  • Chest pain
  • Confusion
  • Headaches
  • Claudication
  • Weakness
  • Angular stomatitis
  • Glossitis
  • Spoon shaped nails
33
Q

Diabetes

A
  • Weight loss
  • Going to wee a lot
  • Thirst
  • Hungry
  • Fatigue
  • Blurry vision
  • Bruises/cuts which are slow to heal
  • Pain/numbness in hands and feet
  • Frequent episodes of thrush
34
Q

Hyperthyroidism

A
  • Intolerance to heat
  • Diarrhoea
  • Weight loss
  • Sweating/tremor
  • Loss of libido
  • Breathlessness
  • Tachycardia
  • Sweating warm hands
35
Q

Hypothyroidism

A
  • Intolerance to cold
  • Tiredness
  • Constipation
  • Bradycardia
  • Hoarse voice
  • Alopecia
  • Dry skin
  • Slow speech
  • Muscle weakness
36
Q

RA

A

Joint stiffness and pain; especially in the morning

  • Fever
  • Tiredness
  • Loss of appetite
  • Chest pain
  • SOB
  • Decreased ROM
37
Q

OA

A
  • Joint pain
  • Stiffness which is worst after activity/EOD
  • Limitation to day to day activities
  • Referred pain such as lower spine/knee if in hip
  • Loss of flexibility
  • Swelling
  • Grating/crackling sensation
  • Muscle wasting/weakness
  • Reduced ROM
38
Q

SOCRATES

A
  1. Where/point to where the pain is
  2. Did the pain come on suddenly or gradually. When did it start
  3. How would you describe the pain? Is it constant or does it come and go?
  4. Does the pain move elsewhere?
  5. Are there any other symptoms which seem to be associated with the pain?
  6. Has the pain changed over time? Is it worst at any particular time in the day?
  7. Does anything make it worse or better?
  8. On a scale of 0-10 how severe is the pain if 0 is no pain and 10 is the worst evER
39
Q

Rheumatoid problems

A

o Have you noticed any new rashes or skin lesions?
o How you noticed any changes to your nails?
o Have you experienced any stiffness? When is it at its worse? How does it impact on your daily activities?
o Have you noticed any weight loss? Night sweats? Appetite changes?
o Swelling and sweats?
o Breathlessness?

40
Q

Meningitis

A

Photophobia

  • Neck stiffness
  • Headache
  • Sudden fever
  • Confusion
  • Rash
  • Vomiting
  • Increased RR
  • Joint pain
  • Drowsiness
  • Cold peripheries

chdd (1 decks)

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