Medical Secondary Survey

Question 1

Neurological

Answer 1

Headache (ICH, Migrane, cluster, tension)
Dizzy, Lightheaded, drowsy
Fatigued, lethargic, weakness
Speech (slurred, aphasia, expressive dysphasia)
Facial droop
Weakness (unilateral, generalised)
Vision (blurred, diplopia, photophobia)
Behaviour (confused, drowsy,agitated, delerium)
Seizure activity (Type?, nystagmus, incontinence, cyanosis, LOC?)
Gait (altered?)

GCS
BSL
Pupils
MASS ACT-Fast (if considering stroke)
MHSA/ SAT (If agitation/ mental health related)
AEIOUTIPS (for altered conscious patients)

Question 2

Cardiovascular

Answer 2

Chest Pain
Palpatations
Skin colour (pink/ pale)
Diaphoresis/ Clammy/ Dry skin
Skin Temp (warm/cool)
Radial pulses (regularity, strength)
Capillary refil (central and peripheral)
Postural Changes
Peripheral Oedema
pain, redness, swelling in calves (DVT)

PSA
Temp
ECG

Question 3

Respiratory

Answer 3

SOB (Dyspnea) (at rest, on exertion, laying down)
Auscultation (Wheeze on insp/exp, crackles coarse/fine, stridor)
Cough ?productive (Hemoptysis, green sputum, pink sputum)
Sore throat
Runny nose (rhinorrea)
Cyanosis

RSA
SPO2

Question 4

Gastrointestinal

Answer 4

Abdo Pain/ cramps
Nausea
Vomiting (food, bile, blood)
Diarrhoea
Melena
Last opened bowels (blood in stool?)
Oral intake
Distension/soft
rigidity
tenderness
guarding

Question 5

Genitourinary

Answer 5

Pain urinating
difficulty urinating (unable to get it all out)
Flank Pain, Lower abdo pain
Frequency (more/less)
Smell (offensive)
Colour (Concentrated/ haematuria)
Oral intake
Pregnancy? Period cycle/flow?

Question 6

Integumentary

Answer 6

Rash
Hives
Welts
Itching
Flushed skin
Angioedema (swollen lips/ tongue)
Skin tugor, dry mouth, dry tongue, conjunctive (pale means dehydrated)
Wounds
Neurovascular

Question 7

Musculoskeletal

Answer 7

Myalgia
Recent injuries
Haematomas, Swelling
Mobility status (independently, with aids)