History Taking

Question 1

What things would you look out for in general appearance of the patient? 3

Answer 1

Expression. Do they look ill?

Colouration. Xanthalasma, arcus senilis

Question 2

What 7 observations would you take from patient?

Answer 2

Pulse. Resps. Spo2/etco2. Bm. Temp. Bp. 2lead/12lead as appropriate

Question 3

Describe the term JACCO

Answer 3

Jaundice. Anaemia. Cyanosis. Clubbing. Oedema.

Question 4

How would you write - and + JACCO findings?

Answer 4

Positive = jac tick co. Negative = small o then JACCO

Question 5

Define jaundice.

Answer 5

Build up of bilirubin. Possible liver disease/gallstones.

Question 6

Define anaemia.

Answer 6

Reduced RBCs

Question 7

Define clubbing

Answer 7

Lung/heart disease

Question 8

What would fluid retention be a cause of?

Answer 8

Possible underlying heart condition

Question 9

What 8 things would you write about when obtaining a PT hx

Answer 9

PC, HXPC, PMHX, DHX, S/FHX, ROS (review of systems), IMP (impression), SAMPLE HX

Question 10

What does SAMPLE hx mean?

Answer 10

SIGNS AND SYMPTOMS. Allergies. Medication. Past illness. Last meal. Events/environment

Question 11

What is included in the global overview of the patient? 6

Answer 11

Sick or big sick? Obvious distress. Use of accessory muscles. Pallor. Cyanosis. Other obvious signs of compromise.