Focussed History

Question 1

Neuro Focussed History

Answer 1

1. History of strokes or TIAs
2. Family history of strokes or TIAs
3. Neurological conditions such as Parkinson’s or Motor neuron disease
4. Headaches
5. Dizziness
6. Vertigo
7. Faints
8. Visual disturbance
9. Hearing loss
10. ringing in your ears
11. Loss of balance
12. Change in smell
13. Change in taste
14. Inability to swallow
15. Numbness or tinglings
16. Muscle weakness
17. Seizures
18. tremors
19. Medications

Question 2

Cardiac Focussed History

Answer 2

1. History of Heart attack, angina, High blood pressure (and fmaily history of)
2. Surgeries
3. Lethargy
4. Nausea
5. TLOC
6. SOB/DIB (day or night)
7. Clamminess
8. Palpitations
9. CP - radiating to shoulder, arm, back
10. Indigestion
11. Arm or jaw numbness and tingling
12. Leg cramps
13. ankle or lower back swelling

Question 3

Respirarory Focussed History

Answer 3

1. History of COPD/Asthma (family hisotry)
2. Smoker
3. Wheeze
4. SOB/DIB (day or night)
5. History of cough - sputum colour or blood
6. Can you cough for me (good strength of cough and can clear secretions)
7. Chest Infection
8. Fever
9. Night sweats
10. Pain on breathing
11. Surgeries on chest or lungs
12. Long haul flights or pain legs
13. Sudden weight loss

Question 4

Abdominal Focussed History

Answer 4

LIE FLAT AND COUGH FOR ME! No obvious signs of pain or masses

1. Change in appetite or diet
2. Sudden change in weight
3. Nausea/vommitting
4. inability to swallow
5. Abdominal pain
6. Jaundice
7. Liver disease
8. Surgery
9. Swelling of te abdomen
10. Change in bowel movements (diarrhoea, constipation, pain)
11. blood around stool, black sticky stool
12. Change in urination - INABILITY. incontinence, increase /decreased flow, frequency, urgency, night time, pain, blood
13. History of STI, Genital sores or discharge
14. Testicular pain or masses
15. Obstetric history, possibility of preganancy, last period, abnormal bleeding

Question 5

Musculoskeletal Focussed History

Answer 5

1. any osteoarthritis, osteoperosis, rheumatiod arthritis (or family history of)
2. History of falls
3. Pain on bones or joints
4. Any loss of movement of joints
5. Sweling around bones or joints
6. Any areas of increased or decreased heat on bones or joints
7. Any areas of red skin
8. Any recent trauma/accidents
9. Any surgeries on your bones or joints

Question 6

Intro to each focussed history

Answer 6

I would like to ask you some questions around you [System] medical history. For the purposes of the OSCE you do not have to answer each question, but in pracitce I would wait for the patient to answer before asking more questions.