History Qs Flashcards
1
Q
ROS
CVS
A
CP
SOB; WD
Dizziness
Falls/LOC
2
Q
Other person in room
A
And your name is?
How do you know each other?
Are you happy for x to stay in the room whilst I ask you some Qs
3
Q
ROS
Resp
A
CP
SOB; WD
Cough, Sputum, Blood
4
Q
ROS
Abdo
A
E+D Vomiting (reflux) Abdo pain, back pain BO; regular, firm/loose, blood UTI sx, discharge Gynae; Blood, discharge LMP; cycle, contraceptive
5
Q
ROS
GU
A
PU; pain, frequency, urgency
PV; bleed, discharge, pain
LMP; contraception
STI RF; sexual partners past 6m Men, women, both Anal, oral, vaginal Contraception Paid for sex? High risk STI?
6
Q
ROS
Neuro
A
Headache, neck stiff, rash
Dizzy, falls, LOC, blackouts
Weakness; walking, dropping things
Eyes, ears, numbness, tingling
7
Q
Sexual Hx
A
Number sexual partners 6m Casual/ regular Male, female, both Oral, vaginal, anal Contraception, condoms, STI Paid for sex, men, IVDU
8
Q
Obs Hx
A
GxPx, pregnancies Children, Terminations, miscarriages Route Problems HTN, DM, DVT/PE Current LMP, expected date
9
Q
Gynae Hx
A
LMP, smear Contraception, condoms STIs Sex Hx, Obs Hx
10
Q
Ear Hx
A
Pain Discharge Fullness Hearing Tinnitus Vertigo, falls
11
Q
Nose Hx
A
Pain
Bleeding
Obstruction
Smell
12
Q
Throat Hx
A
Breathing difficulties Hoarseness Choking food/ water Swallow problems; pain, sticking Drooling Ulcers, dry mouth, coated tongue
