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2b > Mark Scheme Histories > Flashcards

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
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2
Q

Neuro history key symptoms

A 
Headache
Altered consciousness
Altered sensation
Weakness
Unsteady, stiff, clumsy
N&V
Visual changes
Psychological changes
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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

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4
Q

Neuro family history

A

DM, IHD, Stroke, Haemorrhage, Migraine

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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
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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
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7
Q

Musculoskeletal HPC

A 
Site
Onset/duration
Character
Radiation
Associated symptoms
Timing- keeps up at night
Exacerbating/relieving
Severity
Previous episodes
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8
Q

MSK Key symptoms

A 
Pain
Stiffness
Swelling
Fever
Weight loss
Nail and skin changes
Neuro- bowel, urinary, sensation
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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

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10
Q

MSK family history

A 
RA
OA
Psoarisis
Gout
UC
Crohns
Connective tissue disease
AI
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11
Q

Thyroid HPC

A

Onset/duration
Timing
Exacerbating/relieving factors
Severity

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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
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13
Q

What can the eyes be like in thyroid

A

Pain, grittiness, change in vision

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14
Q

Thyroid PMH

A

Previous thyroid disease, surgery or treatment

AI- inc B12 deficiency

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15
Q

Peripheral vascular system history

A 
S
O
C
A
T
E
S
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16
Q

Peripheral vascular system key symptoms

A 
Pain, tenderness
Altered skin colour
Skin temperation
Loss of function
Loss of sensation
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17
Q

Peripheral vascular system PMH

A

Previous vascular issues, diagnoses and treatment response
Angina, stroke
DVT risk factors
Smoking, diabetes, cholesterol, HTN

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18
Q

Questions if suspect DVT

A

Malignancy, prolonged immobility, operations

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19
Q

Peripheral vascular system family history

A 
Prothombotic (Factor V Leiden)
MI
Stroke
Diabetes
Vascular problems
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20
Q

Cardiovascular HPC

A 
Site
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/ relieving
Severity
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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
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22
Q

check for if chest pain

A

Nausea and sweating

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23
Q

Check for if dyspnoea, orthopnoea, PND

A

Exercise tolerance

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24
Q

Check for if palpitations

A

Recreational drug use

Amount of tea, coffee, coke, alcohol

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25
Q

Cardiovascular risk factors

A 
Hypertension
Hyperlipidaemia
Diabetes
Smoking
Physical inactivity
FHx
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26
Q

Cardiovascular PMH

A 
previous cardio
-inc PVD and rheumatic fever
Resp 
Stroke/TIA
Surgery- inc pacemaker
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27
Q

Cardiovascular FH

A

Cardiovascular disease inc. stroke with age of onset

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28
Q

Respiratory HPC

A 
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/ relieving
Severity
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29
Q

Respiratory key symptoms

A 
Dyspnoea
Cough
Wheeze
Haemoptysis
Chest pain
Fever
Weight loss
30
Q

Check if dyspnoea

A

How they are normally

31
Q

Check if cough

A

Productive

  • colour
  • quantity
  • odour
  • consistency
32
Q

Adjectives for consistency of sputum

A

Fluid
Mucuous
Purulent
Frothy

33
Q

Check if haemoptysis

A 
Quantity
Origin (coughed up?)
Colour
Sputum
Consistency (clots, liquid, sputum)
Trauma
Legs (dvt)
Bleeding/bruising anywhere
34
Q

Respiratory PMH

A

Respiratory
Cardiac (angina, orthopnoea, PND)
HIV
Surgical inc dental

35
Q

Respiratory FH

A

Respiratory and age of onset

36
Q

Respiratory SH

A 
Smoking, alcohol,recreation
Home situ, ADLs
Infective contacts
Pets
Travel
Hobbies
Occupation
37
Q

GI HPC

A 
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving 
Severity
38
Q

GI Key Symptoms

A 
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
Q

Check if dysphagia

A

Where?
Solids, liquids or both?
Between meals?
Nocturnal coughing/dyspnoea?

40
Q

Check if anorexia or weight loss

A

Are they associated with each other

41
Q

Check if GORD

A 
Dyspepsia
Noticeable hiatus hernia
Sour taste
Relation to caffeine
Early satiety
Cough
42
Q

Check if altered bowel habit

A 
Frequency
Urgency
Tenesmus
Appearance of stool
Consistency of stool
Float/smell
43
Q

Check if jaundice

A

Colour of urine/stool
Itching
Unprotected sex

44
Q

Check if blood loss

A

Excess, haematemesis, melaena, rectal bleeding

45
Q

GI FHx

A

Gastrointestinal disease, age of onset

Cancer- GI and gynae

46
Q

GI Travel history

A

Area of travel
Consumption of food/ contaminated water
Insect/animal bites

47
Q

GI SHx

A

Smoking, alcohol, recreation
Sexual history
Home situ and ADLs
Occupation

48
Q

Breast lump HPC

A 
Size of lump
Changing size
Onset of lump
Painful
Lump change with menstruation
49
Q

Breast lump key symptoms

A 
Nipple discharge or bleeding
Nipple invesion
Overlying skin changes
Weight loss
Fever
Lethargy
Pain
Lymph node swelling
Similar in past
50
Q

Breast lump PMH

A 
Gynae- preg, menorrache etc
Breast trauma or disease
Malignancy
Other medical conditions
Past surgical history
51
Q

Breast lump DH

A

Prescribed inc oestrogens
OTC
Allergies

52
Q

Breast lump FHx

A

Malignancy (breast, bowel, uterine, ovarian) and age of onset

53
Q

Urological HPC

A 
Onset/duration
Character
Associated
Timing
Exacerbating/ relieving
Severity
Previous episodes, onset/duration
54
Q

Urological key symptoms

A 
Dysuria
Frequency
Urgency
Nocturia
Haematuria
Hesitancy and terminal dribbling
Poor urinary stream
Urinary incontinence
Fevers and rigors
N&V
Pain
55
Q

Check if haematuria

A

Timing in stream
Presence of clots
Trauma/ exercise?

56
Q

Urological PMH

A

Urological illness
Others- DM, gynae, sex
Surgical

57
Q

Urological FH

A

Urological disease inc renal stones, PKD

58
Q

Urological SH

A 
Smoking, alcohol, recreation
Home and ADLs
Occupation
Travel
Diet (beetroot?)
59
Q

Diabetes HPC

A 
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/ relieving
Severity
Previous- onset/duration
60
Q

Diabetes key symptoms

A 
Polydipsia
Polyuria, nocturia
Hunger
Fatigue
Blurry vision
Weight loss
Cuts/ wounds slow to heal
Genital itching, irritation, thrush
Infections
61
Q

Diabetes PMH

A

Other things
MI
Stroke

62
Q

Diabetes FH

A

Diabetes, stroke, MI

AI

63
Q

Haem HPC

A 
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving
Severity
64
Q

Haem key symptoms

A 
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
Q

Haem PMH

A

Frequent infections
Bleeding disorders
Radiotherapy
Recent trauma or surgery

66
Q

Haem SH

A 
Smoking, alcohol
Diet
Home
Origin
AIDS- Sexual lifestyle
67
Q

Haem FH

A

Blood diseases
-haemophilia, VWD, sickle cell, thalassaemia
Leukaemia (philadelphia chromosome)

68
Q

Endocrine HPC

A 
Onset/duration
Character
Associated symptoms
Timing
Exacerbating/relieving
Severity
69
Q

Endocrine key symptoms

A 
Weight loss, appetite
Bowel habit
Menstruation/impotence
Sweating
Hair loss
Fatigue
Skin changes
Lumps
Urination, thirst
Headache, visual disturbance
Emotional/cognitive changes
70
Q

Endocrine PMH

A

PMH
Thyroid and pituitary
HTN and DM
TB

71
Q

Endocrine DH

A

Prescribed- anticoag, steroids
OTC- NSAIDs, vitamins
Allergies

72
Q

CAGE

A

ever felt should Cut down
Annoyed by criticism
Guilty about drinking
Eye opener- morning drink

2b (28 decks)

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