History - Systems review

Question 1

General

Answer 1

• Fever
• Night sweats
• Weight loss
• Fatigue
• Skin rashes/bruising

Question 2

Neuro

Answer 2

• General - fits/falls, headache, dizziness, vision/hearing, memory loss, neck stiffness
• Motor - weakness, incontinence
• Sensory - pain, numbling, tingling

Question 3

ENT

Answer 3

• Ear - hearing, tinnitus, otalgia
• Nose - rhinorrhoea, epistaxis
• Throat - pain, odynophagia

Question 4

Cardioresp

Answer 4

• Pain
• Palpitations
• SOB/wheeze
• Cough
• Sputum
• Haemopysis
• Leg swelling

Question 5

GI

Answer 5

• Weight - loss and appetite
• Dysphagia
• Nausea/vomiting
• Indigestion/heartburn
• Abdominal pain
• Jaundice
• Bowel habit
• Blood/mucous in stool

Question 6

Urology

Answer 6

• Storage - frequency, volume, urgency, nocturia, incontinence
• Infection - dysuria, haematuria. odour
• Prostatic - hesitancy, poor flow, incomplete

Question 7

Obs and gynae

Answer 7

• 4Ps - PV bleeding, PV discharge, pain, pregnancy and smear
• Obs - Gravida/para, miscarriages and ectopics and terminations, children
  
  • If pregnant - movements, contractions, preeclapmsia (headache, visual, pain, oedema)
• Sexual - partners, intercourse, subfertility

Question 8

Rheumatology

Answer 8

• Joints - pain, stiffness, swelling
• Work down body - skin (rashes, ulcers, raynauds), hair loss, eyes (redness, dryness), mouth (dryness), chest (brethlessness), GI (IBD), genitourinary (discharge)

Question 9

Ortho

Answer 9

• Joints/bone/tissue - pain, stiffness, swelling, movement, weight bear
• Mechanical - locking, giving way
• Neuro distally - weakness, numbness