History and diagnosis

Question 1

SOCRATES

Answer 1

Site
Onset
Character
Radiation
Associated symptoms
Time
Exacerbating/relieving factors
Severity

Question 2

Describe the symptoms of stable angina.

Answer 2

• central chest pain
• pain/discomfort radiates to arm/shoulders/jaw
• pain is on exertion, improves with rest

Question 3

Describe the symptoms of unstable angina.

Answer 3

• central chest pain
• pain/discomfort radiates to arm/shoulders/jaw
• pain is at rest, worsens with exertion

Question 4

Describe the symptoms of an MI.

Answer 4

• central chest pain (more severe)
• pain/discomfort radiates to arm/shoulders/jaw
• associated symptoms include severe sweating, pulse increase, anxiety, nausea

Question 5

Describe the symptoms of stroke.

Answer 5

• FAST
• face drooping but forehead spared
• arms are unable to be raised or grasp hand
• speech slurred or nonexistent
• time to call 999

Question 6

Describe the symptoms of an asthma attack.

Answer 6

• wheezing, coughing and chest tightness
• increased respiratory and heart rate
• fainting, dizziness
• blue lips or fingers

Question 7

Describe the symptoms of reversible pulpitis.

Answer 7

• pain to heat and sweet stimuli
• sharp pain that resolves 10s after stimuli removed
• pain resolves when causative factor (ie caries) is removed

Question 8

Describe the symptoms of irreversible pulpitis.

Answer 8

• dull aching pain that can be caused by temperature changes
• becomes worse at night/is spontaneous
• pain does not resolve when causative factor is removed
• requires RCT or XLA