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History taking > Exploring symptoms - Physical symptoms > Flashcards

Exploring symptoms - Physical symptoms Flashcards

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1
Q

How would you explore the symptom of tiredness?

A
  • What they mean
  • Sleep - hours, quality, snoring/apnoea
  • How it affects the patient
  • Associated symptoms
    • Anaeamia symptoms
    • Hypothyroid symptoms
    • Depression symptoms
    • Diabetes symptoms
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2
Q

What associated symptoms would you want to ask about in someone with tiredness?

A
  • Anaemia
  • Hypothyroid
  • Depression
  • Diabetes
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3
Q

What symptoms of anaemia would you want to ask about in someone describing symptoms of tiredness?

A
  • SOB on exertion
  • Dizziness
  • Headache
  • Chest pain - if angina
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4
Q

What hypothyroid symptoms would you want to ask about in someone reporting tiredness?

A
  • Constipation
  • Feeling cold
  • Weight gain
  • Menorrhagia
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5
Q

What depression symptoms would you want to ask about in someone with feeling tired all the time?

A
  • Mood
  • Early morning waking
  • Anhedonia
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6
Q

What diabetic syptoms would you want to ask about in someone with tiredness?

A
  • Polyuria
  • Polydipsia
  • Weight loss
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7
Q

What would you want to ask about in relation to someone having a headache?

A
  • SOCRATES pain
  • Red flags
    • Meningism symptoms
    • Temproal arteritis symptoms
    • Galucoma symptoms
    • SAH symtpoms
    • GCA symptoms
    • SOL/ICP symptoms
    • Trauma
  • Associated neurological symptoms
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8
Q

What symptoms of meningism would you want to ask about in someone with a headache?

A
  • Neck Stiffness
  • Photophobia
  • Fever
  • Headache
  • Rash
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9
Q

What symptoms of glaucoma would you want to ask about in someone with a headache?

A
  • Visual blurring
  • Red eye
  • Halo around lights
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10
Q

What would you ask when asking about temporal arteritis as part of exploring headache?

A
  • Scalp tenderness
  • Jaw claudication
  • Scalp Tenderness
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11
Q

What are red flag symptoms of a headache?

A
  • Signs of meningitis
  • Signs of temporal arteritis
  • Signs of raised ICP
  • Signs of SOL
  • Signs of glaucoma
  • Trauma
  • Signs of SAH
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12
Q

How would you explore weakness as a symptom?

A
  • Pattern of weakness
  • Characterise weakness
  • Associated neurological symptoms
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13
Q

When exploring symptoms of weakness, what is meant by asking someone to characterise the weakness?

A

Asking if it is constant, fatiguable etc.

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14
Q

What would you want to ask about when exploring the symptom of SOB?

A
  • Current vs normal exercise tolerance
  • Orthopnoea
  • PND
  • Diurnal/seasonal variation
  • Associated cardiorespiratory symptoms
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15
Q

What would you ask about in someone with a fall when exploring what happened?

A
  • Before - warning/circumstances
  • During - duration, LOC, movements, incontinence/tongue biting, complexion
  • After - amnesia, muscle pain, confusion/sleepiness, impact
  • Background to attacks - previous, frequency
  • Associated cardioresp/neuro symptoms
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16
Q

What would you ask about when exploring the symptom of a cough?

A
  • Productive/unproductive
  • Triggers
  • Nocturnal
  • Assocaited cardiorespiratory symptoms
17
Q

What would you want to ask about in terms exploring the symptoms of sputum?

A
  • How much
  • How often
  • Colour
  • Consistency
  • Any blood
18
Q

What would you ask about when edploring the haemoptysis?

A
  • Volume
  • Frequency
  • Fresh/altered
  • Nature of associated sputum
19
Q

What questions would you ask about palpitations when exploring it as a symptom?

A
  • Fast or slow
  • Regular or irregular
  • Dizziness/LOC
  • Nausea
  • Sweating/clamminess
  • Dyspnoea
  • Associated cardiorespiratory symptoms
20
Q

What would you want to ask when expploring the symptoms of diarrhoea/vomiting/constipation?

A
  • How much
  • How often
  • Any at night
  • Colour, consistency, contents (mucus, blood, bile if vomit)
  • Weight loss
  • Appetite/intake
  • Associated GI symptoms
21
Q

What would you want to ask about when exploring dyshpagia?

A
  • Solids/liquids/both - which came first
  • Constant/intermittent
  • Progressive/non-progressive
  • Odynophagia
  • Weight loss, food intake
  • Associated GI symptoms
  • ALARM symptoms
22
Q

What would you want to ask when exploring symptoms of dyspepsia?

A
  • SOCRATES
  • Associated GI symptoms
  • Red flag symptoms
23
Q

What are red flag symptoms of reflux?

A

ALARMS >55

  • Anaemia
  • Loss of weight
  • Anorexia
  • Recent onset progressive
  • Malaena/haematemesis
  • Swallowing difficult
  • >55
24
Q

What would you want to ask about when exploring symptoms of Vaginal discharge?

A
  • Quantity
  • Colour
  • Odour
  • Itching
  • Associated gynae symptoms
25
Q

What would you want to ask about when explorig symptoms of PV bleeding?

A
  • Type - menorrhagia, intermentrual, post coital, post-menopausal
  • Quantitiy - number of towels/tampons, passage of clots/flooding
  • Pain with blood loss
  • Anaemia symptoms
  • Thyroid symptoms
  • Chance of preganncy
  • Associated gynae symptoms
26
Q

What would you ask about when exploring sceondary amenorrhoea?

A
  • General - weight loss, stress, exercise, diet
  • Head - visual problems, headaches
  • THyroid - heat intolerance, tremor, palpitations, diarrhoea
  • Torso - hirsuitism, acne
  • Abdomen - possible pregnancy
27
Q

What would you ask about when exploring back pain?

A
  • SOCRATES
  • Early morning stiffness
  • Sciatica
  • Urinary incontinence/retention
  • Faecal incontinence/retention
  • Associated neuro symptoms
28
Q

What are red flag symptoms of back pain to watch out for?

A
  • Urinary/faecal symptoms
  • Bilateral leg pain
  • Severe progressive neuro deficit
  • Decreased anal tone
  • Saddle anaesthesia
  • Weight loss
  • Fever/Night sweats
  • Immunocompromise
  • Trauma
  • Severe central spinal pain
  • Deformity
  • Early morning pain
  • Worse with rest
29
Q

What would you want to ask about when exploring symptoms of joint pain/stiffness/swelling?

A
  • Worse in the morning - how long
  • Better/worse with exercise
  • Sleep disturbance
  • Loss of function
  • Associated rheumatological symptoms
30
Q

What would you ask when exploring symptoms of Bone/tissue/joint injury?

A
  • SOCRATES
  • Stiffnes/swelling
  • ROM
  • Ability to weight bear
  • Mechanical symptoms - locking, giving way
  • Neuro symptoms distally - weakness, numbness, paraesthesia
31
Q

What would you ask when exploring the symptom of a rash?

A
  • Duration
  • Progression
  • Frequency
  • Sites, size, shape
  • Description - looks like; blisters; colour;does it blanch
  • Secondary features - itching/painful, crusting
  • Exacerbating/relieving factors - heat, sunlight, cold, allergies
  • Associated rheumatological symptoms

History taking (53 decks)

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