CVS History Taking Proforma Flashcards
1
Q
Order of History Taking:
A
Presenting Complaint History of Presenting Complaint Associated Symptoms Coronary Artery DIsease Risk Factors Past Medical History Family History Medications & Allergies Social History Systems Review
2
Q
History of Presenting Complaint
A
Site Onset Character Radiation Alleviating Factors Timing Exacerbating Factors Severity
3
Q
Associated Symptoms
A
Chest Pain SOB - exertional, orthopnoea, PND Ankle Swelling Palpitations Dizziness / Syncope Intermitte Claudication Fatigue
4
Q
Coronary Artery Disease Risk Factors
A
Prior IHD Smoking HTN Hyperlipidaemia Diabetes Family Hx Coronary Artery Disease Obesity Physical Inactivity (Male Sex / Advanced Age)
5
Q
Current Medications and Allergies
A
Prescriptions
OTC Medicines
Alternative Therapies - vitamins, etc.
Allergies or Intolerances
6
Q
Past Medical History
A
IHD / AMI Stenting Rheumatic Fever Thyroid Disease STIs
7
Q
Social History
A
Marital Status Living Situation Occupation Hobbies Social Supports
Alcohol
Tobacco
Other drugs
8
Q
Family History
A
IHD
Congenital Heart Problems
ardiomyopathy
Marfan’s Syndrome
9
Q
Systems Review
A
Fever / Night Sweats / Weight loss or gain / Fatigue Malaise / Appetite / Sleep
Resp: Cough, SOB, Wheeze, Haemoptysis / Exercise Tolerance
