Pain Flashcards
Site
Where is the pain?
Is the pain spreading anywhere else?
Quality
Could you please describe what the pain feels like?
Severity
How severe is the pain?
Could you rate it on a scale from 1-10?
What does the pain stop you from doing?
Time Course
How long have you had the pain for? Has it been getting worse? Does the pain come on slowly or does it build up? How long does the pain last? Has this ever happened before?
Context
What were you doing when the pain started?
Aggravating factors
Is there anything else that makes it worse?
Relieving factors?
Is there anything else that makes it better?
Have you tried taking anything to make it better?
Associated features
Do you notice anything else with the pain?
Differential diagnosis
Heart Attack – Chest Pain > 20 minutes, radiating to shoulder and jaw (left side), past history and family history of Cardiovascular Problems
Pulmonary Embolus – chest pain radiating to jaw, shoulder, back, dyspnoea, recent immobility, history of clotting disorder, syncope
Transient Ischemia (angina/ claudication/ etc) – pain on exersion, pain
Different types of pain
Sharp Dull Tingling Pressure Tearing