Histories

Question 1

In headache history what are 3 things to ask in the HPC not related to pain?

Answer 1

Mood/depression/stress
Eating well
Sleeping ok

Question 2

In depression history what to ask?

Answer 2

Sleep
Appetite
Concentration
Self esteem
Enjoy doing things
Libido
Manic episodes
Socialising
Change in alcohol intake
Self harm/suicide
Variation in mood through day

Question 3

In chest pain history what assoc symptoms?

Answer 3

dyspnoea
sweating and nausea
cough
syncope/dizziness
oedema
fever

Question 4

In chest pain history what would a pain accompanied by a fever that is exacerbated by lying flat and relieved by sitting forwards indicate?

Answer 4

Pericarditis

Question 5

PMH to ask in chest pain history?

Answer 5

Angina
MI
HTN
hyperlipidaemia
AAA/dissection
Resp and GI disease (GORD and oesoph spasm)

Question 6

In breast lump history 4 things to ask about the lump itself?

Answer 6

Size
Onset
Pain
Menstrual?

Question 7

Local associated symptoms to ask about in breast history?

Answer 7

Nipple inversion
Nipple discharge/blood
Skin changes (ulceration, dimpling, eczema)

Question 8

Systemic symptoms to ask about in breast history?

Answer 8

Fever
Weight loss
Lethargy
Pain elsewhere (axilla, spine, abdomen)
Lymphadenopathy

Question 9

6 things to ask about PMH in breast lump exam

Answer 9

Age at menarche/menopause
Any children, if so what age when born and breastfed?
HRT or OCP?

Trauma to the breast
Previous breast disease
Previous malignancies