Focused history taking for OSCEs Flashcards
What to ask in the HPC of a Chest pain history?
SOCRATES
What associated features of in a chest pain history?
Nausea and sweating
Breathlessness
Orthopnea
Paroxysmal nocternal dyspnoea
Palpitations
Cough
Unintentional wight loss
What to ask in the PMH of a chest pain history?
Specific medical conditions: HTN, angina, diabetes, GORD
Also ask risk factors for PE: clotting disorders, prenancy, stasis, cancer, recent surgery
What to ask in the HPC of a breathlessness history?
COF RESUS
Clarify
Onset
Frequency
Relieving factors
Exacerbations
Serverity
Sleeping upright
What associated features of breathlessness?
Cough
Wheeze
Fever
Unintentional wieght loss
Chest pain
Palpiations
Anxiety
What to ask in the PMH of a breathlessness history?
Ask about specific medical conditions: HTN, asthma, COPD, heart disease, diabetes
What to ask in a PMH of palpitations?
SOCRATES
What association to ask about with a history of palpitaitons?
Breathlessness
Chestpain
Dizziness, faint
Anxiety
Thyrotoxicosis - Hot, wieght loss, diarrhoea
Phaeochrmocytoma - swaeaty, nausea, HTN and abdo pain
What to ask in the PMH of palpitation history?
Specif medical conditions: Heart disease, psychiatric disorders, thyroid disease.
What to ask in an HPC of tiredness?
SOCRATES
Screening questions:
Fever, unwell, cold, sore throat
Cancer - cough, bowel habit, lumps, urination, wieght
Polydipsia and polyurea
Feeling low mood
headache
Menorrhagia and bleeds
What to ask in the HPC of abdominal pain
SOCRATES
Then systematic review:
Weight loss
dysphagia
vomiting
blood in stools
Water works + heamaturia
Chest pain and its exacerbation
Black flag questions for back pain?
Parathesia and loss of power in legs
Saddle parathesia - fecal incontinence and urinary retension
Truama
Fever
Questions to ask with COPD?
Exacerbations in the last year + admissions to hospital
Home O2 and Nebs
Walking distance before SoB and compared to baseline
Managed by respiratory physician or GP
