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Phase 2b > OCSE Hx > Flashcards

OCSE Hx Flashcards

1
Q

Chest Pain

A

WIPER (5)
ICE (2)
PC: SOCRATES (6)(Associated CVR; SOB, Palp, Calf swell, SOB when prone (2), Associated Systemic; Nausea, fever, night sweats, Wgt Ls, Pain, Sweating (2)), severity (1), painkillers (1)
Similar episodes (1)
VTE RF: long flights, immobilisation, AF, plaster cast, PHx, Ca, FHx clotting (2)
CV RF: DM, HTN, FHx, Cholesterol (2)
PMH: espc CV (2)
DHx (1), Allergies (1)
FHx (1)
SHx: Smoke, Alcohol, Drugs (2), Lifestyle/Occupation/House (1)
Closure (1)
DDx - ACS, IHD, Pericarditis, HF, PE, Pneumothorax, Anxiety

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2
Q

SOB

A

WIPER (5)
ICE (2)
PC: Onset (1), Duration (1), Triggers (2), Severity (2), Progression (2), Relieving (2), Associated CVR: Palp, Chest pain, heamoptysis, sputum, cough (2), Associated Systemic: nausea, Fever, Night sweats, Wgt lss, Nausea, Sweat (2),
Similar Episodes (1)
VTE RF: long flights, immobilisation, AF, plaster cast, PHx, Ca, FHx clotting (2)
CV RF: DM, HTN, FHx, Cholesterol (2)
PMH (2)
DHx/ Allergies (2)
FHx (1)
SHx: Smoke/Alcohol/Drug (2), Lifestyle/Occupation/House (1)
Closure (1)
DDx - PE, Pneumonia, Pneumo, Asthma, COPD, ACS, HF

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3
Q

Haematuria

A

WIPER (5)
ICE (2)
PC: Freq (1), Onset/Progression (2), Blood Loss (1), Smell (1), Abdo pain (2)
GU: frequency, dysuria, urgency, nocturia (2), hesitancy, dribbling, poor stream (2), Back pain (1)
Systemic: Wgt lss, Appetite, Fever (2)
PMH (1)
FHx (1)
DHx: espc anticoags (2)
SHx: Occupation (espc dye/chemical exposure) (2), Smoke/Alcohol (2)
Closure (1)
DDx - TCC, RCC, Renal Stones

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4
Q

Fatigue

A

WIPER (5)
ICE (2)
PC: Establish (1), Severity (1), Duration (1), Onset (1), constant (1), Associated; neuro/bowels/flu/preg (2)
Previous Episodes (1)
Blood loss: Menstruation, PR, Heamaturia, Heamoptysis (2)
Malignancy: Wgt ls, Fever, Sweats, Bony pain (2)
Depression/Life events (2)
PMH (2)
DHx & A (2)
FHx (1)
SHx: Smoke/Alcohol (2), Occupation/Home (2)
Closure (1)
DDx - Anaemia, Hypothyroid, DM, Depression

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5
Q

Joint Pain

A

WIPER (5)
ICE (2)
PC: SOCRATES (relieving heat/activity) (5), Stiffness (1), Swelling/Distribution (2), Diurnal Vary (2), Lumps/Swellings (2)
Previous Episodes (1)
Systemic: rashes, red eyes, dry MM, Wgt ls, Diarrhoea, Ulcers, PR Bleed
Neuro symptoms (1)
PMH (1)
DHx + A (2)
SHx: SMoke/Alcohol (2), House/Occupation (1), Effect ADLs (1)
Closure (1)
DDx - RA, OA, PA, SA, RA, Gout, SLE, Trauma

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6
Q

LUTS

A

WIPER (5)
ICE (2)
PC:Frequency (1), Nocturia (1), Dribbling (1), Incomplete (1), Strain (1), Hesitancy (1), Urgancy (1), Incontinence (1), Heamaturia (1), Dysuria (1), Abdo pain (1), Constipation (1), Fever (1), Back pain (1), Sexual problems (1)
Previous Urinary Retention (1), Previous GU interventions (1)
Systemic: Wgt ls, Appetite, Bony pain (2)
PMH (2)
DHx + A (2)
FHx (1)
SHx: Smoke/Alcohol (2), Occupation/Home (2)
Closure (1)
DDx - BPH, Ca, UTI, Stones, Prostatitis, DM (Polyuria)

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7
Q

Abdo Pain

A

WIPER (5)
ICE (2)
PC: SOCRATES (associated nausea/vom/urinary/bowels, better worse: strain/cough/lying) (8)
Severity & analgesia? (2)
Previous Episodes (1)
Systemic: Wgt, Appetite, Bone pain, Fevers (2)
PMH (1)
DHx + A (2)
FHx (1)
SHx: Smoking (1) Alcohol (1) Occupation/Home (1)
Closure (1)
DDx - Ulcer, Obstruction, Peritonitis, Renal Colic, Gallstones, Appendicitis, Mesenteric Ischeamia, Diverticulitis, Pancreatitis, Pyelonephritis, AAA, Ectopic Preg

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8
Q

Non-Specific

A

WIPER (5)
ICE (2)
PC: Circumstances (1) Consciousness (1) Onset (1) Duration (1) Warning Sx (1) Post Event Sx (1)
Associated CVR: SOB, Palp, Orthopnea, Heamoptysis, Sputum, Cough (2)
Associated Systemic: Fever, Wgt, Sweats, Vom, Pain, Bowels (2)
CV RF: DM, HTN, FHx, Cholesterol (2)
Previous Episodes (1)
PMH (1) DM Control (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke/Alcohol/Drugs (2), Lifestyle/Occupation (1)
Closure (1)

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9
Q

Swollen Legs

A

WIPER (5)
ICE (2)
PC: SOCRATES (5)
Previous Episodes/Tx (2)
Orthopnea? (1) Nocturnal Dyspnoea (1)
CVR Sx: SOB, Palp, Heamoptysis, Sputum (2)
Systemic Sx: Fever, Sweats, Wgt Ls, Pain, Vom (2)
VTE RF: Previous VTE, Immobile, FHx clotting disorders, Hx of Ca
CVD RF: Cholesterol, FHx, HTN, DM
PMH (2)
DHx (1) + A (1)
FHx (1)
SHx: Smoke/Alcohol/Drugs (2), lifestyle/occupation (1)
Closure (1)
DDx - DVT, Cellulitis, HF, Hypothyroid (Pretibial), Renal Failure, Nephrotic Syndrome

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10
Q

Vomiting

A

WIPER (5)
ICE (2)
PC: Freq (1), Content (1), Bile (1), Blood (1), Severity (1), Meds to help? (1), Triggers; Food/Travel (1)
Previous Episodes (1)
Associated Sx: Abdo pain, Bowels, PR bleed, fainting, retching (2)
Systemic Sx: Wgt, Fevers, Preg, Appetite, Urinary, Sweats (2)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Occupation/Home (1)
Closure (1)
DDx - Obstruction, Gastroenteritis, Pancreatitis, Appendicitis, Peptic Ulcer

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11
Q

Dysphagia

A

WIPER (5)
ICE (2)
PC: Establish (1) Onset (1) Solids/Liquids (1) Progressive (1) Cough/Aspiration (1) Oral intake (1)
Similar Episodes (1)
Associated Sx: Vom, Abdo pain, Bowels, Haematemesis
Systemic Sx: Sweat, Wgt, Appetite, Fever (2)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Alcohol (1) Smoke (1) Home/Occupation (1)
Closure (1)
DDx - Ca, Oesophagitis, Achalasia

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12
Q

PR Bleeding

A

WIPER (5)
ICE (2)
PC: Onset (1) Freq (1) Colour (1) Volume (1) Where (1)
Previous Episodes (1)
Normal Bowel Habits (1) Straining? (1)
Associated Sx: Abdo pain, Vom, Urinary, Bowels (2)
Systemic Sx: Appetite, Wgt, Fevers, Sweats, Bone pain (2)
PMH Appetite, Wgt
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Occupation (1)
Closure (1)
DDx - Ca, Fissure, Fistula, GI Bleed, Hemorrhoids, Diverticular heamorrhage, Peptic Ulcer

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13
Q

Diarrhoea

A

WIPER (5)
ICE (2)
PC: Normal (1) Freq (1) Consistancy (1) COlour (1) PR bleed (1) Melaena (1) New food (1) Travel (1)
Previous Episodes (1)
Associated Sx: Vom, Abdo pain, Tired, Dizzy, Urinary (1)
Systemic Sx: Wgt, Appetite, Fevers, Sweats, Bloating, Reflux (1)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoking (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - Gastroenteritis, IBD, IBS, Diverticulitis, Coeliac, Food Intolerence

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14
Q

Headaches

A 
WIPER (5)
ICE (2)
PC: Character (1) Location (1) Onset (1) Duration (1) Severity (1) Meds (1) Worsen (1) Improve (1)
Previous Episodes (1)
Associated Sx: Dizzy, Nausea, Rash, Vom, Aura, Neck stiffness (2)
Systemic Sx: Wgt, Appetite, Fever (2)
PMH (1)
DHx (1) + A (1) 
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - Migraine, Tension, Cluster, Heamorrhage, Meningitis, Temporal Arteritis
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15
Q

Collapse/Falls

A 
WIPER (5)
ICE (2)
PC: Establish (1) Witness (1) Doing (1) Conciousness (1) Duration (1) Pre-Ictal (1) Post-Ictal (1) Seizures/Fits (1) Tongue biting/Incontinence (1) Injuries from collapse (1)
Previous Episodes (1) 
Systemic Sx: Fever, Wgt, Appetite (2)
PMH (1) 
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - Vasovagal, Epilepsy, Postural Hypotension, Arrythmias, CVA, Aortic Stenosis, Mechanical, Drug/Alcohol induced
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16
Q

Memory Loss

A

WIPER (5)
ICE (2)
PC: Establish (1) Ante/Retrograde (1) Onset (1) Duration (1)
Previous Episodes (1)
Triggers (1)
Preceding Head Trauma (1)
Associated Neuro: Parasthesia/Weakness/Speech/Visual/Headache (2)
Mental Health (1) Depression (1)
Other Psych: Hallucinations/Delusions (1)
Caused danger? (1)
Systemic Sx: Fever, Wgt, Appetite, infections (2)
PMH (1)
DHx (1) + A (1)
FHx (1) Dementia? (1)
SHx: Alcohol (1) Smoke (1) Home/Job (1)
Vascular RF: Cholesterol/HTN/DM (1)
Closure (1)
DDx - Dementia: Az, Vascular, Ley-body. Delirium: Infection, CVA, Dehydration, Thiamine deficiency, MI, Hypoxia

17
Q

Weakness

A 
WIPER (5)
ICE (2)
PC: Establish (1) Distribution (1), Altered sensation (1) Onset (1) Duration (1) Previous episodes (1)
Associated Sx: Speech, Visual, Headache, Hearing (2)
Systemic Sx: Wgt, Appetite, Fevers (2)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
CVA RF: DM/HTN/Cholesterol/Hx/AF (3)
Closure (1)
DDx - CVA, MS, Trauma, GBS, MS, Thiamine Deficiency, SLE, MND, MG
18
Q

Groin Lump

A

WIPER (5)
ICE (2)
PC: Site (1) Onset (1) Pain (1) Varies? (1) Size (1) Unilateral? (1) Irreducible? (1)
Associated w/ phys activity? (1)
Sx of Obstruction: Pain/Vom/Constipation (1)
Hx of previous lumps (1)
Systemic Sx: Wgt, Appetite, Fever, Bone pain (2)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
CVA RF: DM/HTN/Cholesterol/Hx/AF (3)
Hernia RFs: Obesity/Cough/Lifting/Constipation (2)
Closure (1)
DDx - Hernia, LN, Lipoma, Abscess

19
Q

Epistaxis

A

WIPER (5)
ICE (2)
PC: Freq (1) Both Nostrils? (1) Volume/Duration (1) A&E? (1)
Trauma/Blocked/Anaemia (2)
RF: Anticoags, Bleeding disorders, nasal sprays (2)
Previous surgery/Nose interventions (1)
PMH (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Drugs; Cocaine (1) Home/Job (1)
Closure (1)
DDx - Trauma, Mucosal Irritation, Septal abnorm, Clotting disorders, Ca

20
Q

Dizziness

A 
WIPER (5)
ICE (2)
PC: Spinning/Faint/Fall (1) Freq (1) Severity (1) Duration (1) 
Triggers: Head movement, Stress, Trauma, Viral (1)
Associated Sx: Headache, Vom, Hearing loss, Tinnitus, Ear pain (5)
Head injury? (1)
Meningitis; Stiff neck/Photophobia (1)
PMH (1) 
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - Vertigo, BBPV, Vestibular Neuritis
21
Q

Red Eye

A

WIPER (5)
ICE (2)
PC: Onset (1) Duration/Progression (1) Triggers (1) unilateral (1), Visual disturbance? (1) Pain (1)
Glasses/Contacts? (1)
Infective contacts (1)
Hx of eye trauma? (1)
Associated Sx: redness, gritty, d/c, rhinnorhoea, sneezing (2)
Previous Episodes (1)
Systemic Sx: Fever, Vom, Ulcers, STIs, Dysuria, Skin changes (2)
PMH (1) Surgical Hx (1)
DHx (1) + A (1)
FHx (1)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - Scleritis, Uveitis, Corneal abrasion/ulcer, Subconjunctival heamorrhage, Conjunctivitis

22
Q

Visual Disturbance

A

WIPER (5)
ICE (2)
PC: Onset (1) Duration (1) Character (1) Uni/Bilateral (1)
Triggers (1)
Pain (1)
Difficulty adapting to Darkness (1)
Glasses/Contacts (1)
? CVA: headache, neuro, weakness, dysphagia (1)
? GCA: scalp tenderness, jaw cramp (1)
? Retinal detachment: flashes of ligt, floaters, straight lines look curved (1)
? Pituitary lesion: XS growth, wgt, palp (1)
PMH (1) Surgical Hx (1)
DHx (1) + A (1)
FHx (1) (espc glaucoma, DM, vascular disease, CVA, Heart disease, Retinal detachment)
SHx: Smoke (1) Alcohol (1) Home/Job (1)
Closure (1)
DDx - CVA, Pituitary Tumour, Glaucoma, DM

Phase 2b (9 decks)

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