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Year 3 OSCE > History Taking > Flashcards

History Taking Flashcards

1
Q

Tiredness

History of Presenting complaint

A 
O - open question
S - specific reason?
O - onset?
C - character of sleep?
R - refreshment from sleep?
A - associated features
T - timing?
E - exacerbating/ relieving factors?
S - severity/ social impact?
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2
Q

Tiredness

Screening questions?

A

V - viral? (cough? sore throat? fever?)
H - hypothyroid? (cold? dry skin?)
M - menorrhagia? (Heavy periods? anaemia?)
C - cancer (weight loss?)
C - chronic fatigue syndrome? (headache? muscle ache?)
D - diabetes? (thirsty? urinary frequency?)
D - depression? (low mood?)

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3
Q

Tiredness

Past medical history?

A

Diabetes?
Thyroid?
IBS?
Fibromyalgia?

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4
Q

Fever

History of presenting complaint?

A

H - how do you feel generally? (tired? nausea? pain?)
O - onset (when did this start?)
T - timing/ triggers? (does it come and go? any triggers?)
S - screening questions

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5
Q

Fever

Screening questions?

A 
Infective
Respiratory (cough? sputum?)
GI (diarrhoea? vomiting?)
Urinary (frequency? pain?)
Meningitis (stiff neck? headache?)
Tropical (travel? insect bites?)

Malignancy (weight loss? cough? bowel habit? lumps?)

Other
Inflammatory arthritis (joint pain/ stiffness?)
Vasculitis (skin lesions? ulcers?)
DVT (leg swelling? hot leg?)

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6
Q

Rash

History of presenting complaint?

A 
S
O
C - character? colour?
R
A - itchy? blanching? numb? SYSTEMIC SYMPTOMS
T
E - triggers?
S - psychosocial impact?
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7
Q

Lumps and bumps
History of presenting complaint?
+ System review?

A

OSOCRATES (including pain? interference with ADL?)

SR:
Respiratory (cough? productive? blood? SOB?)
Gastro (weight loss? bowel habit? vomiting? blood?)
Urinary (pain? frequency? blood?)
MSK (aches? stiffness? pain?)

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8
Q 
Lumps and bumps 
Differential:
Anywhere?
Abdo?
Neck?
Limb?
A

Anywhere: Lipoma, neuroma, lymph node
Abdo: Surgery, Polycystic kidney/ ovary
Neck: Thyroid, lymph node, parotid swelling
Limb: Joint fluid, ganglion, Baker’s cyst

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9
Q

Weight loss

History of presenting complaint?

A

O - open question (what have you noticed?)
Q - quantify (how much? in how long? weight?)
I - inentional?
A - appetite (any change?)
E - Exercise (any change?)
A - associated features (fever? night sweats?)

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10
Q

Weight loss

Systems review?

A 
Respiratory (cough? fever? breathless?)
GI (bowel habit? vomiting? blood?)
Renal (frequency? pain? blood?)
Neuro (Muscle weakness? pins and needles? visual?)
MSK (aches? pains? stiffness?)
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11
Q

Jaundice

History of presenting complaint

A 
O SOPRATES (progression NOT character)
R - Ask about darkened urine/ pale stools
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12
Q

Jaundice

Screening questions?

A 
Weight loss?
Dark urine?
Pruritis?
Pale stool?
Fatigue?
Rash?
Abdo swelling?
Confusion?

Alcohol! How much? Binge? CAGE

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13
Q

Jaundice

Key things to ask about

A

PMH
Previous episodes?
Blood transfusion?
Gallstones?

SH
Drugs?
Travel?
Close contacts?

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14
Q

Claudication
History of presenting complaint?
Associated features?

A

OSOCRATES
A - Pain at night? ulcers? Hanging leg out of bed?
Assess claudication distance

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15
Q

Chest pain

HPC - Associated features

A

Nausea? Vomiting? Breathless? Orthopnoea? Palpitations? Cough? Weight loss? Exertion?

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16
Q

Breathlessness

History of presenting complaint?

A 
O - onset
P - progression
E - exacerbating?
R - relieving?
A - associated symptoms?
T - timing
E - episodes
S - severity
17
Q

Breathlessness

HPC - Associated features?

A 
C - cough?
C - chest pain?
F - fever?
W - wheeze?
A - anxiety?
P - palpitations?
S - sleeping flat or upright?
18
Q

Palpitations

HPC - Associated features?

A

C - cardiac (chest pain? SOB? dizzy?)
A - anxiety
P - phaeochromocytoma (sweaty? HTN? Nausea? Abdo pain?)
T - thyroid (hot? weight loss? diarrhoea?)

19
Q

Cough

History of presenting complaint?

A 
O - onset
P - progression
E - exacerbating?
R - relieving?
T - timing (all the time? worse in morning? worse at night?)
A - associated features
20
Q

Cough

HPC - Associated features?

A

Sputum? Blood?
Wheeze? Breathless? Chest pain?
Malaise? Infection?
Weight loss? Reflux?

21
Q

Haemoptysis

History of presenting complaint?

A

S - site (cough? nose bleed? mouth/ gums?)
O - onset
C - character? colour?
T - timing (how often blood when you cough?)
A - amount (streaks? cupfuls?)

22
Q

Haemoptysis

Differential diagnosis?

A

Malignancy - chronic cough, weight loss
PE - chest pain, pregnancy/ flight/ surgery
Lung abscess - foul smelling production, swinging fever, preceding infection
TB - night sweats, travel
Pneumonia - rusty brown sputum

Year 3 OSCE (1 decks)

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