Patient Assessment different sections

Question 1

S O C R A T E S

Answer 1

SOCRATES
==========
Site of pain/sensation. 
Onset time. 
Characteristics of pain/sensation. 
Radiates anywhere. 
Timing of pain/sensation. 
Eliminates pain/sensation. Pain score.

Question 2

PATIENT Assessment

On walking in to house

Answer 2

PATIENT ASSESSMENT

Danger

Hello is it yourself we are here to see?
My name is\_\_\_\_\_\_ what's your name?
Tell me what's made you call 999 today.
Ok before I start let me have a quick listen to your chest.
(palpate radial pulse immediately after)

Question 3

A M P L E R

Answer 3

AMPLER
========
Allergies? Current 
medication. 
Pmh. 
Last oral intake and what time. 
Events leading upto pain/sensation. 
Recent travel. Recent hospital/gp visit. Recent surgery.

Question 4

RESP

Answer 4

RESP
=====
 o/ausc for air entry/quality and sounds. Percus for Hype-resonance. Trachea deviation. Examine chest for flail segment/deformity and fractures pain
Sob on exertion or rest.  
sob in the morning. 
Productive/non productive cough. Colour of phlegm
hemoptysis. 
Chest pain with sob. 
Anxiety symptoms.
Sob+tachycardia =PE. 
Sob due to CHF. 
Dib when lying flat (Orthopnea). 
Ankle oedema. 
JVP. 
Heart sounds s3 for lvf. 
Sob due to ischemia.
L

Question 5

CVS

Answer 5

CVS
====
 radial pulse, 
Heart sounds, 
bp.  
Stop Haemorrhage.

MI previous, chest pain
Relief from rest/gtn. 
Family history.  Recent chest injuries. 
Pain at rest/exertion.  
Pain eases upon leaning forward, 
joint pain, 
fatigue, hiccups,  light headed, mild headache, muscle weakness. = pericarditis. 

Chest pain+sob+tachycardia=PE.  
Ankle oedema. 
Orthopnea. 
JPV. Heart sounds  (s3 LVF) 
Aaa. Pain upon inspiration. 
Cough, Colour go phlegm. Pain upon manipulation of pectoral.  Symmetry of chest, 
flail segments.

Question 6

CNS

Answer 6

CNS

C-spine. Loc. Mini mental. Mscx4. Parathesia.
Upper limbs - Shrug shoulders C4, bend elbows C5, push wrist back C6, open/close hands C8,
Lower limbs - flex hip L1&L2, extend knee L3, pull foot up L4, extend foot down L5&S1
Sensory - Neck area C2, Cervical and shoulder C4, Thoracic T4, Lower abdo T10&T12, left hand C6, right hand C8, Knee area L3, Left leg S1, right leg L5

Fast. 
Headaches isolated area
Photophobia. 
Neck stifness.
Thunderclap. 
Dizziness. 
migraines.
Head injury. 
confusion. 
Lethargic. 
Paresthesia . 
Light headed. Visual problems.
Power and gait assessment.

Question 7

GU/GI

Answer 7

GU/GI
=====
 rigged
Bruising
Tenderness. 
AAA.

Abdo pain.
Swollen. Fluid. Bruising.

Nausea/vomiting. Haematemesis . Vomiting before/after pain.

BO
Diarrhoea. Melena

PUd
Urine dark/cloudy. Any blood in urine. Burning upon passing urine. Strong odour upon passing urine. Bowel sounds Active/silent.

Possibility of pregnancy, sexually active. Currently on period. Pregnant - Nausea, swollen feet/ankles, visual problems, raised bp=Pre-eclampsia.

Question 8

Patent assessment order

Answer 8

SOCRATES

PATIENT ASSESSMENT

Hello is it yourself we are here to see?
My name is\_\_\_\_\_\_ what's your name?
Tell me what's made you call 999 today.
Ok before I start let me have a quick listen to your chest.
(palpate radial pulse immediately after)