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
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
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?
4
Q
Palpitations
A
ATE Present? Associated symptoms? Timing -Sudden, gradual build up? Exacerbating/Provoking factors? Tap the rhythm? - regular?
5
Q
Syncope
A
Sudden?
Faintness
6
Q
Other symptoms
A
Ankle swelling
Cough, frothy sputum, haemoptysis
Claudication
Fever, weight loss, fatigue etc
7
Q
Medical history
A
HTN Anaemia Diabetes Angina MI/strokes PVD Cardiac failure Rheumatic fever Similar episodes before Surgery
8
Q
Drug history
A
Anti hypertensives Cardiac drugs Corticosteroids (HTN, fluid retention) Salbutamol, theophylline, nifedipine, thyroxine - sinus tachycardia Aspirin, NSAIDS
9
Q
Social history
A
Occupation Smoking Alcohol Diet Stress
10
Q
Family history
A
MI/stroke before 65
11
Q
Symptoms to ask about
A
Chest pain Dizziness/faints Leg swelling Palpitations Calf pain walking Shortness of breath - pillows sleeping?
