Focused Hx Flashcards
1
Q
Breathlessness
A
Gradual or sudden Previous episodes Known lung disease Relieving/exacerbating Associated symptoms - chest pain, cough, haemoptysis, fever, palpitations, collapse, leg swelling PMHx Risk factors for VTE
2
Q
Chest Pain
A
Location - difficult to point to?
Hypertension, smoking, hypercholesterolaemia, diabetes, obesity, Fhx, cocaine, rheumatic fever, risks ofr VTE
Is it new
Other symptoms - nausea and vomiting, dyspnoea, syncope, palpitation, cough, fever, anorexia
Radiation
Severity
Timing
3
Q
Collapse
A
What were you doing at time Associated symptoms Witnesses recent illness Medications Previous episodes PMHx FHx
4
Q
Confusion
A
Usual cognitive function and state of health
Previous cognitive function and health status
Onset and course of confusion
Previous episodes and causation
Signs/symptoms of an underlying cause
Full drug hx inc non-prescribed drugs and alcohol intake
5
Q
Headache
A
Location Medical hx - HTN, smoking, hypercholestrolaemia, FHx, connective tissue disorders, malignancy, medications (inc anticoagulants), post-partum , migraine, previous TIA Characteristic Other symptoms Provoking or palliative factors Severity Timing`
6
Q
MSK
A
Fall or collapse and what happened
Assault
Hand dominance
Occupation etc
7
Q
Poisoning
A
What When Clinical features Mental capacity assessment Psychiatric hx PMHx Allergies
