History Flashcards
1
Q
A
2
Q
PC
A
- Chest pain
- SOB
- Orthopnoea
- Paroxysmal nocturnal dyspnoea
- Ankle oedema
- Cough, sputum and haemoptysis
- Dizziness
- Light Headedness
- Presyncope or Syncope
- Palpitations
- Nausea and Sweating
- Claudication
- Systemic symptoms - fatigue, weight loss, anorexia, fever
3
Q
RF
A
- Male
- Age
- Smoking
- Hypertension
- DM
- IHD Fhx
- Hypercholesterolaemia
- Physical inactivity and obesity
4
Q
HPC
A
SOCRATES
e.g. Chest pain
S- Central substernal
O- Acute
C - Crushing tight or heaviness
R - Arms, neck and jaw
A - Sweating, nausea, SOB and palpitations
T - Rest or exertion?
E - Exercise? Excitement? Rest? Medication? Oxygen
S - Pain from 1-10
5
Q
PMH
A
- Similar episodes?
- Previous cardiac surgery
- Hypertension
- Anaemia
- DM
- Angina
- MI
- TIA
- Peripheral vascular diseases - intermittent claudication
- Cardiac failure
- Rheumatic fever
6
Q
DHx
A
- Antihypertensives
- Corticosteroids
- Sinus Tachycardia - Salbutamol, Theophylline, Nifedipine or thyroxine.
- OTC - Nsaids
7
Q
FHx
A
Cardiac event before 65
8
Q
SHx
A
Occupation, smoking, alcohol, diet and stress
9
Q
Further investigations
A
- ECG
- FBC
- Electrolytes
10
Q
Exercise enquiry
A
- What is the limit of how far you can walk?
- Do you feel short of breath when you walk? Up hills or stairs?
- How long does it last?
- Discomfort or tightness in chest when you walk?
- How long ago did you notice the problem? How far could you walk before?
11
Q
Palpitations
A
- Does anything provoke this?
- Does it start suddenly or build up?
- Does it stop suddenly?
- How long?
- Do you have any other symptoms with the palpitations?
- Can you tap the rhythm?
12
Q
Syncope
A
- Anything before? During? After
- Any witness?
