Infectious Diseases History Flashcards
There are always system specific symptoms they will have so don’t forget to ask them about it!
There are always system specific symptoms they will have so don’t forget to ask them about it!
Presenting Complaint - Symptoms:
What general symptoms should you ask about in infectious disease? - 5
What may you feel on examination in any infection?
Fever Malaise Rigors Night sweats/sweating Change to alertness Change to dehydration
Lymphadenopathy
Presenting Complaint - Symptoms:
Malaise - what is it?
What infectious diseases usually have weight loss?
What should you ask to determine their hydration? - 2
A general feeling of discomfort, illness, or unease whose exact cause is difficult to identify.
Chronic infections - TB and HIV
Drinking Fluid output (including urination)
Presenting Complaint - Symptoms:
What symptoms would the following systems have?
- ENT - 4
- RS - 6
- GI - 6
Sneezing
Runny nose
Sore throat
Ear pain/discharge
Cough Phlegm Blood SOB Wheeze Chest pain
Anorexia N&V Abdo pain Diarrhoea Jaundice - hepatitis
Presenting Complaint - Symptoms:
What symptoms would the following systems have?
- GU - for lower and upper UTI
- Skin - 5
- Breast - 4
Lower - Dysuria, frequency, urgency, strangury, haematuria, nocturia,
Upper - loin or abdo pain, discharge, skin changes
Rash Blisters Areas of painful red skin Crusting Discharge
Pain
Redness
Swelling
Nipple discharge
Presenting Complaint - Symptoms:
What symptoms would the following systems have?
- MSK
- CNS
- Eyes
Joint pain/swelling Muschel aches (myalgia) Back pain
Headache
Vomiting
Photophobia
Confusion
Redness
Discharge
Swelling
Loss of vision
Past Medical History:
What should you ask about?
What diseases could predispose someone to immunosuppression?
What other thing should you ask about that can rule in or out certain infections if there is no immunosuppression?
General health
Significant illnesses and operations including transfusions
Recent hospitalisation, surgery or procedures
Recent frequent or recurrent infections
DM, HIV
Haematological diseases
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Vaccination history
Drug History:
What drugs could be immunosuppressants?
Steroids
DMARDS
Anti-rejection drugs
Chemo
Social history:
What type of workers are at risk of infections?
Travel history - what should you ask about?
Farmworkers
Health workers
Sewage workers
Sex work
Where (rural, urban, any stopovers) When (be specific as dengue has an incubation of 4-10 days) Activities Insets Fresh-water swimming Tattoos Medical Rx
Social history:
What type of animals can transmit infections?
Why should you ask about tattoos or trauma?
Sex:
- What should you ask?
What should you ask about when it is children?
Birds
Farm contact - pigs, cows
Insect and animal bites
There is a break in the skin where pathogens can enter
Number of partners Sex of partners Partner STIs Type of sex - anal/vaginal/oral Contraception Past history of STIs
Schools and nurseries - may have an outbreak
