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Differential Diagnoses > Functional Enquiry > Flashcards

Functional Enquiry Flashcards

Learn the important questions to ask to rule in/out a differential

1
Q

Pneumonia

A
  1. Do you have a cough? Is it wet or dry? What colour are you coughing up?
  2. Have you had a fever or chills?
  3. Have you been more fatigued recently?
  4. Have you noticed a decrease in appetite?
  5. Do you get more short of breath with physical activity?
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2
Q

ACS

A
  1. Do you get sweaty with the pain?
  2. Do you get short of breath?
  3. Do you feel weak?
  4. Do you feel nauseous or did you vomit?
  5. Do you smoke?
  6. Do you have high blood pressure?
  7. Do you have high cholesterol?
  8. Do you have diabetes?
  9. Do you have a family history of heart problems?
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3
Q

Aortic Dissection

A
  1. Do you have a history of connective tissue disorders?
  2. Do you have a family history of problems with the large blood vessels in your chest including your aorta?
  3. Do you have a history of cocaine use?
  4. Do you have any numbness or tingling in any of your hands or feet?
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4
Q

Pulmonary Embolus

A
  1. Do you get more short of breath with physical activity?
  2. Do you have a cough?
  3. Have you ever had a blood clot in your legs, arms or lungs?
  4. Have you ever had a stroke?
  5. Any recent surgery or long periods of immobilization?
  6. Have you received any treatments for cancer in the last 6 months?
  7. Do you take oral contraceptives?
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5
Q

Pericarditis

A
  1. Does the pain get better when you lean forward and worse when you lean back?
  2. Does the pain get worse when swallowing?
  3. Is the pain worse with deep breaths or coughing?
  4. Have you had any recent infections or illnesses?
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6
Q

Pneumothorax

A
  1. Have you ever had a pneumothorax? A collapsed lung?
  2. Were you vomiting prior to the pain?
  3. Do you have a history of COPD or asthma?
  4. Have you had a recent lung infection?
  5. Do you smoke?
  6. Have you had any recent chest injuries?
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7
Q

Pancreatitis

A
  1. Have you ever had pancreatitis?
  2. Have you ever had gall stones?
  3. How much alcohol do you consume in a week?
  4. Does the pain get worse when you lie down?
  5. Have you had a change in appetite?
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8
Q

GERD

A
  1. Do you have a history of GERD or heartburn?
  2. Do you have any problems with your stomach?
  3. Have you had any changes in your diet? Caffeine or alcohol intake?
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9
Q

Peptic Ulcer

A
  1. Does the pain improve after eating or drinking anything?
  2. Did the pain wake you up?
  3. Have you ever had an ulcer?
  4. Have you been taking advil or aspirin for any other conditions?
  5. How much alcohol do you consume in a week?
  6. Do you smoke?
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10
Q

CHF

A
  1. Do you have a history of heart failure?
  2. Is it harder to breathe while you’re lying down?
  3. Do you get more short of breath at night after you go to bed?
  4. Have you noticed any increased weight gain?
  5. Have you had any recent changes in medications for blood pressure or irregular heart rate?
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11
Q

Infants

A
  1. Have they come in contact with anyone who has been sick recently?
  2. Are they behaving normally?
  3. Have they been feeding normally?
  4. Have they continued to have normal diapers?
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12
Q

Neonates

A
  1. When was the due date?
  2. When was the delivery date?
  3. Were they born vaginally or by C-section?
  4. Were there any complications with the birth?
  5. Were there any complications with previous pregnancies?
  6. Are they feeding normally?
  7. Have they had normal wet diapers and normal bowel movements?
  8. Have they come in contact with anyone who has been sick recently?
  9. Have you noticed any abnormal change in behaviour before today?
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13
Q

Syncope

A
  1. Has this ever happened before? Was there a diagnosis?
  2. What were you doing immediately before you fainted?
  3. Do you have a history of cardiac disease?
  4. Have you ever had a seizure?
  5. Have you ever had a stroke?
  6. What do you remember feeling when you woke up?
  7. Do you take any medications for high blood pressure or for an irregular heart rate?
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14
Q

Seizure

A
  1. How long did the seizure lasted?
  2. Was the seizure generalized tonic-clonic or focal?
  3. Did they hurt themselves during the seizure?
  4. Do they have a history of epilepsy? What normally causes your seizures? How many do you have?
  5. Do they have a history of alcohol or sedative withdrawal?
  6. Do they have a history of head injury?
  7. Do they have a history of stroke?
  8. Do they have a history of brain tumor?
  9. Do they have a history of diabetes?
  10. Are they HIV positive?
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15
Q

Asthma/COPD

A
  1. Do you smoke?
  2. Do you take any steroid medications?
  3. Have you ever required intubation?
  4. What normally triggers your asthma/COPDE?
  5. Do you have a new cough? Are you coughing anything up?
  6. Have you had any recent cold/flu symptoms?
  7. Have you been using your inhalers more than usual?
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16
Q

Anaphylaxis

A
  1. Do you have any allergies?
  2. Have you ever had an anaphylactic reaction?
  3. Do you feel itchy in your face or your chest or back?
  4. Have you started any new medications recently?
  5. Have you noticed any new bite or sting marks or do you remember being bit by anything?
17
Q

Subarachnoid/Intracranial Hemorrhage

A
  1. Did the headache occur suddenly or gradually?
  2. How severe is the headache?
  3. Does the headache get worse when you lie down?
  4. Do you have any light sensitivity?
  5. Does it hurt to flex or rotate your neck?
  6. Is this different from any usual headaches you get?
  7. Has there been any recent head trauma?
  8. Do you take any blood thinners?
18
Q

Meningitis

A
  1. Do you have any light sensitivity?
  2. Does it hurt to flex or rotate your neck?
  3. Have you had a fever or chills?
19
Q

Stroke

A
  1. Have you ever had a stroke?
  2. Have you ever had a TIA or mini-stroke?
  3. Do you have a history of atrial fibrillation?
  4. Do you smoke?
  5. Do you have diabetes?
  6. Do you have high cholesterol?
  7. Do you have high blood pressure?
  8. Have you ever used cocaine? Recently?
20
Q

Tachycardia

A
  1. Have you ever been diagnosed with an irregular heart beat?
  2. Do you have any problems with of the valves in your heart?
  3. Do you have COPD/Asthma?
  4. Do you have hyperthyroidism?
  5. Do you have high blood pressure?
  6. On average, how much alcohol do you drink in a week?
  7. Do you have any kidney problems?
  8. Have you had more caffeine than usual?
  9. Have you been sick recently? Did you have a fever?
  10. Have you had any recent changes in medications?
  11. Do you take your medications as prescribed?
21
Q

Bradycardia

A
  1. Have you had any recent changes in medications?
  2. Do you smoke cigarettes?
  3. Do you have high blood pressure?
  4. Do you have high cholesterol?
  5. Do you have diabetes?
  6. Do you have a family history of heart problems?
  7. Have you ever been diagnosed with a problem which causes your heart to beat slower than usual?
22
Q

Abdominal Aortic Aneurysm

A
  1. Do you smoke?
  2. Have you ever had an arterial aneurysm?
  3. Do you have a family history of aortic aneurysm?
  4. Do you have high blood pressure?
  5. Do you have high cholesterol?
  6. Do you have diabetes?
23
Q

Bowel Ischemia

A
  1. Have you had any recent abdominal surgery?
  2. Have you ever had a hernia?
  3. Have you ever had bowel cancer?
  4. Have you been vomiting?
  5. Have you had an diarrhea or constipation?
24
Q

Ectopic Pregnancy

A
  1. When was your last menstrual period?

2. Is it possible that you are pregnant?

25
Q

Pericardial Tamponade

A
  1. Have you had any recent trauma?
  2. Have you had any recent surgery?
  3. Have you been diagnosed with pericarditis?
    - > Pericarditis questions
26
Q

Anaphylaxis

A
  1. Do you have any allergies? Have you ever had an anaphylactic reaction?
  2. Do you feel a fullness in your throat?
  3. Do you feel short of breath?
  4. Do you feel light headed?
  5. Do you have any abdominal pain?
  6. Do you feel nauseous? Have you vomited or had diarrhea?
  7. Do you feel itchy anywhere?
  8. Did you try any new foods or medications today?
  9. Were you bit by an insect today?
27
Q

Upper GI Bleed

A
  1. Have you noticed any bloody vomit or coffee ground vomit?
  2. Have you noticed any dark, tarry stool?
  3. Have you had a recent aortic graft?
  4. Have you been using any anti-inflammatories such as aspirin or ibuprofen?
  5. Are you on any blood thinners?
  6. How much alcohol do you consume in an average week?
28
Q

Lower GI Bleed

A
  1. Have you noticed any blood in your stool?
  2. Have you noticed any dark, tarry stool?
  3. Have you been having any chest pain?
  4. Have you had any fainting spells or episodes of lightheadedness?
  5. Have you had any previous GI bleeds?
  6. Have you had any recent weight loss or change in bowel habits?
  7. Have you been using any anti-inflammatories?
  8. Are you on any blood thinners?
29
Q

NRP

A
  1. Colour, Additional risks, Term, Cord clamping, How many?
  2. Term, Tone, Breathing
  3. Apnea, Gasping, HR < 100
  4. Chest rise, Breath sounds, HR improvement
  5. Respiratory effort, HR, SPO2
  6. HR < 60?

Differential Diagnoses (4 decks)

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