Mark Scheme Histories Flashcards
1
Q
Neuro History HPC
A
Onset/duration Associated symptoms Timing Exacerbating and relieving Severity Static?Progressive?Relapse and remit? Previous episodes
2
Q
Neuro history key symptoms
A
Headache Altered consciousness Altered sensation Weakness Unsteady, stiff, clumsy N&V Visual changes Psychological changes
3
Q
Neuro past medical history
A
Attempts to diagnose or treat before?
Head/spinal trauma or injury
Meningitis, encephalitis
AF, HTN, Ca, Epilepsy, DM
4
Q
Neuro family history
A
DM, IHD, Stroke, Haemorrhage, Migraine
5
Q
Headache key symptoms
A
photophobia and phonophobia autonomic symptoms altered sensation Weakness unsteadiness/stiffness/clumsiness N&V visual and eye changes Psychological changes Seizures Fever Other pains
6
Q
Seizure/LOC key symptoms
A
Headache Altered consciousness Altered sensation Weakness Unsteadiness/ stiffness/ clumsiness N&V Visual disturbance Psychological changes Incontinence Tongue biting Preictal symptoms Postictal symptoms
7
Q
Musculoskeletal HPC
A
Site Onset/duration Character Radiation Associated symptoms Timing- keeps up at night Exacerbating/relieving Severity Previous episodes
8
Q
MSK Key symptoms
A
Pain Stiffness Swelling Fever Weight loss Nail and skin changes Neuro- bowel, urinary, sensation
9
Q
MSK PMH
A
Previous attempts to diagnose or treat
Response/SE to previous medications or treatment
Trauma
Recent infections
AI- DM, IBD, Coeliac, psoarisis
Gout risk- HTN, obesity, vascular disease
10
Q
MSK family history
A
RA OA Psoarisis Gout UC Crohns Connective tissue disease AI
11
Q
Thyroid HPC
A
Onset/duration
Timing
Exacerbating/relieving factors
Severity
12
Q
Thyroid key symptoms changes
A
Body weight Appetite, dysphagia, difficulty breathing Voice Bowel habit Energy level Muscle weakness Concentration Mood Heat tolerance Skin, nails, hair Heart rate/rhythm Eyes Menstrual cycle/impotence Pain/ discomfort
13
Q
What can the eyes be like in thyroid
A
Pain, grittiness, change in vision
14
Q
Thyroid PMH
A
Previous thyroid disease, surgery or treatment
AI- inc B12 deficiency
15
Q
Peripheral vascular system history
A
S O C A T E S
16
Q
Peripheral vascular system key symptoms
A
Pain, tenderness Altered skin colour Skin temperation Loss of function Loss of sensation
17
Q
Peripheral vascular system PMH
A
Previous vascular issues, diagnoses and treatment response
Angina, stroke
DVT risk factors
Smoking, diabetes, cholesterol, HTN
18
Q
Questions if suspect DVT
A
Malignancy, prolonged immobility, operations
19
Q
Peripheral vascular system family history
A
Prothombotic (Factor V Leiden) MI Stroke Diabetes Vascular problems
20
Q
Cardiovascular HPC
A
Site Onset/duration Character Associated symptoms Timing Exacerbating/ relieving Severity
21
Q
Cardiovascular key symptoms
A
Chest pain Dyspnoea, orthopnoea, paroxysmal nocturnal dyspnoea Palpitations Claudication, rest pain Syncope, dizzy, light headed Oedema Cough Systemic SWAFF
22
Q
check for if chest pain
A
Nausea and sweating
23
Q
Check for if dyspnoea, orthopnoea, PND
A
Exercise tolerance
24
Q
Check for if palpitations
A
Recreational drug use
Amount of tea, coffee, coke, alcohol
25
Cardiovascular risk factors
```
Hypertension
Hyperlipidaemia
Diabetes
Smoking
Physical inactivity
FHx
```
26
Cardiovascular PMH
```
previous cardio
-inc PVD and rheumatic fever
Resp
Stroke/TIA
Surgery- inc pacemaker
```
27
Cardiovascular FH
Cardiovascular disease inc. stroke with age of onset
28
Respiratory HPC
```
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/ relieving
Severity
```
29
Respiratory key symptoms
```
Dyspnoea
Cough
Wheeze
Haemoptysis
Chest pain
Fever
Weight loss
```
30
Check if dyspnoea
How they are normally
31
Check if cough
Productive
- colour
- quantity
- odour
- consistency
32
Adjectives for consistency of sputum
Fluid
Mucuous
Purulent
Frothy
33
Check if haemoptysis
```
Quantity
Origin (coughed up?)
Colour
Sputum
Consistency (clots, liquid, sputum)
Trauma
Legs (dvt)
Bleeding/bruising anywhere
```
34
Respiratory PMH
Respiratory
Cardiac (angina, orthopnoea, PND)
HIV
Surgical inc dental
35
Respiratory FH
Respiratory and age of onset
36
Respiratory SH
```
Smoking, alcohol,recreation
Home situ, ADLs
Infective contacts
Pets
Travel
Hobbies
Occupation
```
37
GI HPC
```
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving
Severity
```
38
GI Key Symptoms
```
Dysphagia, odynophagia
N&V
Anorexia and Weight loss
GORD
Pain
Abdominal distension
Altered bowel habit
Skin changes
Fevers and Rigors
Blood loss
Eyes and joints
```
39
Check if dysphagia
Where?
Solids, liquids or both?
Between meals?
Nocturnal coughing/dyspnoea?
40
Check if anorexia or weight loss
Are they associated with each other
41
Check if GORD
```
Dyspepsia
Noticeable hiatus hernia
Sour taste
Relation to caffeine
Early satiety
Cough
```
42
Check if altered bowel habit
```
Frequency
Urgency
Tenesmus
Appearance of stool
Consistency of stool
Float/smell
```
43
Check if jaundice
Colour of urine/stool
Itching
Unprotected sex
44
Check if blood loss
Excess, haematemesis, melaena, rectal bleeding
45
GI FHx
Gastrointestinal disease, age of onset
| Cancer- GI and gynae
46
GI Travel history
Area of travel
Consumption of food/ contaminated water
Insect/animal bites
47
GI SHx
Smoking, alcohol, recreation
Sexual history
Home situ and ADLs
Occupation
48
Breast lump HPC
```
Size of lump
Changing size
Onset of lump
Painful
Lump change with menstruation
```
49
Breast lump key symptoms
```
Nipple discharge or bleeding
Nipple invesion
Overlying skin changes
Weight loss
Fever
Lethargy
Pain
Lymph node swelling
Similar in past
```
50
Breast lump PMH
```
Gynae- preg, menorrache etc
Breast trauma or disease
Malignancy
Other medical conditions
Past surgical history
```
51
Breast lump DH
Prescribed inc oestrogens
OTC
Allergies
52
Breast lump FHx
Malignancy (breast, bowel, uterine, ovarian) and age of onset
53
Urological HPC
```
Onset/duration
Character
Associated
Timing
Exacerbating/ relieving
Severity
Previous episodes, onset/duration
```
54
Urological key symptoms
```
Dysuria
Frequency
Urgency
Nocturia
Haematuria
Hesitancy and terminal dribbling
Poor urinary stream
Urinary incontinence
Fevers and rigors
N&V
Pain
```
55
Check if haematuria
Timing in stream
Presence of clots
Trauma/ exercise?
56
Urological PMH
Urological illness
Others- DM, gynae, sex
Surgical
57
Urological FH
Urological disease inc renal stones, PKD
58
Urological SH
```
Smoking, alcohol, recreation
Home and ADLs
Occupation
Travel
Diet (beetroot?)
```
59
Diabetes HPC
```
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/ relieving
Severity
Previous- onset/duration
```
60
Diabetes key symptoms
```
Polydipsia
Polyuria, nocturia
Hunger
Fatigue
Blurry vision
Weight loss
Cuts/ wounds slow to heal
Genital itching, irritation, thrush
Infections
```
61
Diabetes PMH
Other things
MI
Stroke
62
Diabetes FH
Diabetes, stroke, MI
| AI
63
Haem HPC
```
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving
Severity
```
64
Haem key symptoms
```
Fatigue/weakness
Dyspnoea
Melaena
Easy bruising/bleeding
Heavy periods
Infections
Lymph node swelling
Lymph node pain
Fever
Weight loss
Bone pain
Polydipsia, polyuria
Itching
Lump history
```
65
Haem PMH
Frequent infections
Bleeding disorders
Radiotherapy
Recent trauma or surgery
66
Haem SH
```
Smoking, alcohol
Diet
Home
Origin
AIDS- Sexual lifestyle
```
67
Haem FH
Blood diseases
-haemophilia, VWD, sickle cell, thalassaemia
Leukaemia (philadelphia chromosome)
68
Endocrine HPC
```
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving
Severity
```
69
Endocrine key symptoms
```
Weight loss, appetite
Bowel habit
Menstruation/impotence
Sweating
Hair loss
Fatigue
Skin changes
Lumps
Urination, thirst
Headache, visual disturbance
Emotional/cognitive changes
```
70
Endocrine PMH
PMH
Thyroid and pituitary
HTN and DM
TB
71
Endocrine DH
Prescribed- anticoag, steroids
OTC- NSAIDs, vitamins
Allergies
72
CAGE
ever felt should Cut down
Annoyed by criticism
Guilty about drinking
Eye opener- morning drink
