History and Examination of the Heart

Question 1

List the cardinal symptoms of heart disease

Answer 1

• Chest Pain/discomfort
• Breathlessness
• Palpitations
• Dizziness/syncope
• Oedema/ankle swelling

Question 2

SOCRATES

Answer 2

Dull pain pressure, radiating to left arm or jaw, exertion, relieving rest/GTN, associated dyspnea

Site
Onset
Character
Radiation
Association
Timecourse
Exacerbating/relieving
Severity

Question 3

Pack years =

Answer 3

(Number of cigarettes per day/20) *number of years

Question 4

Cambridge-Calgary Consultation Guide

Answer 4

• presenting complaint
• history of presenting complaint
• past medical history
• drug history and allergies
• family history
• social history
• occupational history
• systems enquiry
• ICE