HISTORIES

Question 1

What must you ask about in any pain history ?

Answer 1

SOCRATES

Question 2

Differentials for CVS pain ? (9 THINGS)

Answer 2

1. MI
2. MSK pain (costochondritis)
3. GORD
4. Angina
5. PE
6. PNEUMONIA
7. PHEUMOTHORAX
8. PERICARDITIS
9. INFECTIVE ENDOCARDITIS

Question 3

How does infective endocarditis present? (acute and chronic)

Answer 3

Acute flu like illness
Murmur (aortic regurgitation) in later stages

if chronic-
flu like illness first
usually after a dental procedure

Question 4

Management of an MI?

Answer 4

Morphine
Oxygen
Nitrites (GTN)
Aspirin
+
Clopidogrel

PCI If within 120mins or thrombolysis

Question 5

Angina management?

Answer 5

BB or CCB
>N spray

Question 6

SOB differentials? (7 things)

Answer 6

1. Asthma
2. COPD
3. Pneumonia
4. PE
5. HF
6. Pneumothorax
7. Malignancy

Question 7

What must you remember when asking about PMH ?

Answer 7

Ask about specific conditions!
e.g if they are SOB ask about asthma, COPD or heart disease

Question 8

What must you always ask about FH in a patient presenting with palpitations ?

Answer 8

Any sudden death?

Question 9

What is sciatica and how would you manage it? (4 things)

Answer 9

Lower nerve impingement of the sciatic nerve.
- assure ptx that symptoms do start to settle within a few weeks

1. Paracetamol
2. Light exercises
3. Provide leaflets
4. Assess psychological effects. (ask about how this has altered activity)