History Flashcards
1
Q
Outline a basic history
A
PC HPC - SOCRATES + RELEVANT QUESTIONS ICE PMH - MIJTHREADSA DH FH SH SE
2
Q
What is SOCRATES?
A
Site Onset Character Radiation Associated symptoms Time Exacerbation/relief Severity
3
Q
What is MIJTHREADSA?
A
MI Jaundice TB HBP Rheumatic fever Epilepsy Asthma Diabetes Stroke Anaesthetic problems
4
Q
What do you ask in DH?
A
Allergies and reaction OTC Injections Tablets Herbal ASD
5
Q
What do you ask in SH?
A
Job Home Marital status and their health Who visits? Mobility Independent? Dress, shop, cook? Hobbies Sport & exercise Ethnicity
6
Q
What does the SE involve?
A
General CR GI GU Neuro MSK Thryoid Mental wellbeing
7
Q
What general questions do you ask in SE?
A
For malignancy, TB, endocrine: Weight loss Night sweats Lumps Malaise/fatigue/lethargy Sleep pattern Appetite Itch/rash Fevers Recent trauma
8
Q
What questions come in Cardioresp?
A
Chest pain SOB PND Oedema - ankle, leg, lower back Palpitations Cough - sputum, blood Wheeze
9
Q
What questions come in GI?
A
Abdominal pain Swallowing Indigestion D/V - haematemesis/melaena Bowel movements Stool consistency Tenesmus
10
Q
What questions come in GU?
A
Incontinence - stress/urge Frequency Hesitancy Dribbling Dysuria (pain) Colour of urine Vaginal discharge/dyspareunia (pain with sex) Menses - pregnancies? menarche, menopause
11
Q
What questions come in neuro?
A
Disturbance to senses Seizures, faints, funny turns Headache Paraesthaesia and numbness Muscle weakness Sphincter problems Speech problems
12
Q
What questions come under MSK?
A
Pain, stiffness, swollen joints Diurnal symptoms (pain in morning worse) Functional deficit
13
Q
What questions come under thyroid?
A
Hyper - intolerant to heat bad tempered visual disturbances sweaty tremor palpations weight loss oligomenorrhoea diarrhoea
Hypo thin hair dry skin intolerant to cold depressed tired slow croaky voice heavy periods constipation
