Clinical Skills History Taking Flashcards
1
Q
Main order of history
A
PC
HPC
PMH
Drugs and Allergies
SH
2
Q
HPC main synptom questions
A
SOCRATES
Site Onset Character Radiation Associated symptoms Timing (duration, course, pattern) Exacerbating/relieving symptoms Severity Functional consequences
3
Q
PMH
A
Notable:
Illness
Surgeries
Long term conditions
Notable adverse events/ problems inc anesthesia
4
Q
Drugs and allergies
A
Drugs: Name Dose Frequency Route
Inc prescriptions and OTC
Herbal medicines
Rec drugs
Any allergies to drugs or anything else
Sensitivities
What happens
5
Q
FH
A
Notable illnesses, causes of death and age of death for:
Parents
Siblings
Children
Any other notable illnesses
6
Q
SH
A
Do they live alone? Work? Drive? Activity level? Typical diet Smoking DURATION AND AMOUNT alcohol AMOUNT AND TYPE rec drugs Hobbies Pets Travel
7
Q
General systemic enquiry
A
Fatigue/malaise Fever/chills Weight and appetite change Skin- rashes, bruising, bleeding, itching Sleep disturbance Thirst Night sweats Neck swelling/lumps
8
Q
Resp systemic enquires
A
Cough- type, duration, pattern Sputum- change, colour Heamoptosis SOB Wheeze Chest pain Sinusitis- blocked/runny nose, facial pain Earache Sore throat covid
