Comm Skills- Hx Taking

Question 1

structure of Hx taking

Answer 1

presenting complaint
Hx presenting complaint
PMHx
DHx
FHx
SHx

Question 2

Hx presenting complaint topics

Answer 2

onset, duration + pattern of symptoms
predominant symptom
(mechanism of injury)
part of body affected
SOCRATES
anything similar in past

Question 3

SOCRATES (pneumonic for pain)

Answer 3

site
onset
character
radiation
associated symptoms
time/duration
exacerbating (+ relieving) factors
severity (1-10)

Question 4

PMHx

Answer 4

normally well?
any conditions treated for?
previous operations?

Question 5

DHx

Answer 5

regular medication- comorbidities?
over the counter medication?
painkillers?
any drug allergies?

Question 6

FHx

Answer 6

rheumatic conditions?
higher risk of fractures/other ortho injuries?

Question 7

SHx

Answer 7

occupation
living circumstances
daily living activities
recreational activities (hobbies)
drinking/smoking status

Question 8

joints commonly affected by inflammatory arthritis

Answer 8

MCPs
wrists
elbows
shoulders
ankles
2nd-5th MTPs

Question 9

polyarthritis usually associated with what type of arthritis

Answer 9

inflammatory

Question 10

inflammatory features of arthritis

Answer 10

joint swelling
redness
prolonged morning stiffness
usually better with movement

Question 11

other constitutional features

Answer 11

fatigue + disturbed sleep
fever/weight loss

Question 12

associated symptoms of RA

Answer 12

rheumatoid nodules
sicca features (dry)
raynaud’s
ocular inflammation
pulmonary involvement