DDx KP and Qs Flashcards
Non-Compliance to Meds Qs
Why Did you Stop?
Doctor Related - Explained the Reason for Treatment?
Medication Related - SE, Other Medications?
Pt Related - Feel about taking BP Meds? Difficulty Taking? Dosing? Memory? Support? Recent Sig. Event?
CVS RF Qs (ABCDEFSS)
A- Alcohol
B- BP and BMI
C- CKD and Cholesterol
D- Diet and Diabetes
E- Excercise and Ethnicity
F- Family Hx
S- Smoking
S- Stress
Cervical CA Qs
LOW, LOA, L&B’s
Dyspareunia, Bleeding after sex
Vaginal Discharge
Dysuria
Low Back Pain
Gender Dysphoria DDx Qs
Pronouns, Sensitive Qs
HEADSS
Psychosocial - Mood, Sleep, Appetite
Dysphoria Qs
- Felt about body changes? Reaction?
- Does it bother you? or Any specific part that bothers you?
- Do you want to change it?
- Emotions more like a man or woman?
- Significant Distress?
Warfarin KP Qs
Compliance, Missed Dose
Change in Brand
Change in Diet
New Medications
Alcohol, Fever Qs
Counselling Format in Medications
C-MADD
C - Condition
M - Medication
A - Advantage, Indication,
D - Disadvantage, Side Effects, Contraindication
D - Dosage
CHADSVasc Scoring
Risk of Thrombosis
C - Chronic Heart Failure
H - Hypertension
A - Age
D - Diabetes
S - Stroke
Vasc - Vascular Disease
HASBLED Scoring
Risk of Bleeding
H - Hypertension
A - Abnormal LFT, RFT
S - Stroke
B - Bleeding Hx
L - Labile INR
E - Elderly
D - Drugs or Alcohol
Risk of Bleeding Qs
Type of Procedure
- Mild - Skin Excision
- Mod - Laparoscopic Cholecystectomy, Abdominal repair
- High - Bowel Resection, Kidney, Spleen, Liver
HASBLED Qs
- Hx of High BP
- Abnormal LFT, KFT
- Hx of Stroke
- Hx of Bleeding after a procedure?
- INR blood test stable
- Drugs, Alcohol, Medications
Risk of Clotting Qs
Conditions that Inc.
- Atrial Fibrilation
- Valve Replacement
- Clots in the leg or heart
CHADSVasc
- Chronic Heart Failure
- HTN
- Diabetes
- Stroke
- Vasc - MI, Leg Clot
COSTVMPF
RF for DVT
C - Contraception
O - Obesity
S - Surgery
T - Travel
V - Varicose Veins
M - Malignancy
P - Pregnancy
F - Family Hx
DVT Qs
Symptoms - Leg pain, SOB, Cough, Chest Pain
RF for DVT (COSTVMPF)
C - On any Contraception
O - Overweight
S - Recent Surgery
T - Recent Long Travel
V - Dilated Blood tubes in the Leg
M - LOW, LOA, L&Bs, Hx of CA
P - LMP
F - Family Hx of Clotting
CI for Blood Tinners (PCP)
- Pregnant?
- Kidney Disease?
- Peptic Ulcer in the Stomach
Anesthesia and Surgical Risk Qs
SAMPLE
S - Symptoms
A - Allergies to Food or Medications
M - Medications - Current
P - Previous Hx of Surgery or Intubation
L (Last Meal)
E (Events Prior)
Osteopenia Qs
Do you take dairy products regularly?
How much Exercise?
How much sun exposure do you get?
Alcohol?
Smoking?
Fall Qs
Describe falls?
History of fractures? Where?
Fam Hx of Fractures
RF of Falls
Balance problems?, Joint pains?
Weakness or numbness in the legs
Vision and Hearing problems?
Home – Stairs? Loose rocks?
COPD Qs
SOB, Cough, Noisy Breathing?
Smoking Hx?
Flare Ups? Admission in Hosp?
Assessing Asthma Status Qs
Control
- Days per week with Sx? (>2 Poor)
- Days per week use of SABA (>2 Poor)
- Any Limitations on Activity
- Any Night time Symptoms
Risk Factors
Smoking? Smokes at home?
Home - Pets? Carpets?
Occupations - Fumes
Comorbidities/Redflags/SE
Assessment Severity
No. of Flare Ups in 1 year?
Admission hospital bec. of Flare ups?
Alzheimer’s Qs
Timing Qs
Alzheimer’s Sx
- Agitated, Aggressive
- Sleep Problems
- Social Engagement
- Risky - Got lost or Left the stove
RF of Dementia
- Vision and Hearing Problems
- Smoking, Alcohol
- Mood
- Medications
Geriatric Screening
- Falls, Support, AOD
- Mood, Sleep, Appetite, Suicide
PMx Epilepsy Driving Qs
Since - Diagnosed? Last Seizure?
Treatment? Compliant? - if not ask why
SE - Weight Gain, HA, Nausea
Regular follow Up?
Epilepsy RF - Alcohol, Drugs, Medication, Sleep
Driving Qs - Private or Public? Occupation?
Post Opt DDx Qs
Depends on the type of Surg - Ask Related
Abdominal Sx - Complications
- Abdominal Pain, N/V
- Fever
- Passed Bowels? or Air?
- Started Eating and Drinking?
- In Pain?
Gen. Post Op Complications
Atelectasis/Pneumonia - Cough, Fever, SOB, In pain?
UTI - Dysuria, Hematuria, Frequency
DVT - Calf Pain/Tenderness, DOB
Thrombophlebitis/ Wound Infection
- Swelling, Redness or Rash in the Injection site or Surgical site
- Discharge?
Pain - Still in Pain?
PMhx Osteoarthritis Qs
Since?
Treatment? Compliance? SE?
Ff ups?
Complications - Limitations to daily activities?
PMHx COPD Qs
Since?
Treatment? – Inhaler
Taught the proper technique?
Smoking? Vaccination?
Assess Control***
Flare ups or exacerbations in the last12 months?
Admitted because of flareup in last 12 months?
Active Symptoms – SOB, Cough, noisy Breathing
Exercise Tolerance**
- Regularly exercise?
- How much can you walk?
- Can you name the most strenuous physical activity that can you do?
