General cardiovascular Flashcards

1
Q

Chest pain

A
SOCRATES
Site - central
Onset - acute
Character - crushing
Radiation - neck, jaw, left arm
Associated symptoms - Nausea, sweating, SOB, palpitations
Timing - on exertion/rest
Exacerbating factors - exercise, stress, smoking, eating
Alleviating factors - rest, drugs
Severity /10
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2
Q

Shortness of breath

Orthopnoea, paroxysmal nocturnal dyspnoea

A

OATES
Onset - acute/chronic
Associated symptoms (sweating, nausea, pain, cough, sputum, ankle swelling, palpitations, nocturnal micturition, rapid weight gain)
Timing - On exertion, at rest? constant, at night?
Exacerbating factors - position
Alleviating factors - Rest, drugs etc
Severity

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3
Q

Exercise tolerance

A
How far can they walk on flat before rest?
what limits walking
SOB uphill?
Chest tightness when walk?
Got worse suddenly?
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4
Q

Palpitations

A
ATE
Present?
Associated symptoms?
Timing -Sudden, gradual build up?
Exacerbating/Provoking factors?
Tap the rhythm? - regular?
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5
Q

Syncope

A

Sudden?

Faintness

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6
Q

Other symptoms

A

Ankle swelling
Cough, frothy sputum, haemoptysis
Claudication
Fever, weight loss, fatigue etc

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7
Q

Medical history

A
HTN
Anaemia
Diabetes
Angina
MI/strokes
PVD
Cardiac failure
Rheumatic fever
Similar episodes before
Surgery
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8
Q

Drug history

A
Anti hypertensives
Cardiac drugs
Corticosteroids (HTN, fluid retention)
Salbutamol, theophylline, nifedipine, thyroxine - sinus tachycardia
Aspirin, NSAIDS
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9
Q

Social history

A
Occupation
Smoking
Alcohol
Diet
Stress
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10
Q

Family history

A

MI/stroke before 65

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11
Q

Symptoms to ask about

A
Chest pain
Dizziness/faints
Leg swelling 
Palpitations 
Calf pain walking
Shortness of breath - pillows sleeping?
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