Fundamentals Of Diagnosis And Diagnostic Tests

Question 1

What factors need to be taken into account in regards to making a diagnosis ?

Answer 1

• patient history
• observations
• physical examination
• results of diagnostic test
• clinical experience and professional judgement

Question 2

What are the 8 stages of information gathering/history taking ?

Answer 2

1) Introduction
2) PC: Presenting complaint
3) HxPC: History of the presenting complaint
4) PMHx: Past medical (and surgical) history
5) FHx: Family history
6) SHx: Social history
7) DHx: Drug history
-Allergies
8) System review

Question 3

What should be included in the introduction of a consultation (WIIPP) ?

Answer 3

What should we include here?

• Wash hands / don correct PPE
• Introduce yourself (name,job role)
• Identify you are speaking to the correct individual (name, address / dob)
• Purpose / permission: explain the purpose of the consultation / history taking
• Position: eye level with the patient,1m away (2m to help with social distancing)

Question 4

What acronym do we use when taking patient history ?

Answer 4

S - site
O- onset
C - character
R - radiation
A - associated symptoms
T - time
E - exacerbating symptoms
S - severity