History taking Flashcards
1
Q
Points to cover
A
Presenting complaint Preceding illness - streptococcal infection, urogenital symptoms Associate symtoms Systemic symptoms Past medical history Social history - impact on ADLs and job Family history
2
Q
What to cover in history of presenting complaint
A
Acute or chronic (>3 months)
Diurnal variation
Joints affected - number and symmetry
Aggravating and relieving factors
3
Q
Examples of symptoms associated with rheumatological disorders
A
Non scarring alopecia Raynaud's phenomena - blue to white to red Sicca symptoms Rash Mouth ulcers - lupus Genital ulcers - Bechat's Photosensitivity GI/cardiac/resp symptoms Weight loss and anorexia Fever
4
Q
Difference between degenerative, inflammatory and neuropathic causes of joint pain
A
Degenerative - gelling of joints, aggravated by exercise
Inflammatory - morning stiffness over an hour, cardinal signs of inflammation, improved by exercise
Neuropathic - pain all over, no variation in stiffness
5
Q
What rashes are seen in rheumatology disorders
A
Rheumatoid vasculitis
Vasculitis - palpable purpura especially on legs
SLE - lavido reticularis
Psoriatic
