PCP Interviews 1 Flashcards
Angina?
Describe/rate
radiation?
associated symptoms, SOB/palpitation/dizzy, sweat, pale
Cough?
(Chronic, infection, other?)
how long?
sputum and features
smoker
Oedema?
(heart failure? others)
where? unilateral? bilateral?
when does swelling occur?
associated symptoms? SOB? angina?
Syncope?
(vasovagal?Cardiac?)
prodrome
witness account
context what were you doing?
Dyspnoea?
(heart, lungs, blood, brain)
onset
aggravating
other symptoms? oedema/cough? wheeze?
Wheeze?
(asthma, infection, other)
History of asthma
associated features: cough, sputum, infection, fever malaise?
Smoke? work exposure?
Claudication
(cramps?atherosclerotic narrowing) features: triggers Time course Family Hx heart disease Social: smoking/dislipidaemia
Palpitations:
(benign? serious?) describe how fast onset/offset context, what are you doing at time? other symptoms? tap it out
Sputum
describe
blood?
how long producing for?
Asthma
time course change/Hx
triggers
hospitalizations?
medications, compliant?
Abdo pain
rate
describe
associated symptoms: fever? vomiting
triggers?
Diarrhoea
(infection? other?) when start? travelling? food? describe colour blood
Smoking
what do you smoke?
how much? pack years
how feel when can’t have cigarettes?
Haemoptysis
associated with cough? spit?
describe, blood? mucous? mixed? frothy, dark bright?
progression over time
constipation
(underlying?)
diet
medications
associated features
Rectal bleeding
origin(anus? vagina?) colour: bright? dark? Melaena other features? vomiting?constipation? pain? Family Hx of bowel cancer alcohol history
Dysphagia
(motility or mechanical?)
initiating? or food sticks?
liquids or solids easier?
onset and progression over time
Nausea?
(psych, physical?)
triggers
duration
associated: vomiting, dizziness, headaches, malaise
vomiting
(infection, other?)
when start?
colour/blood
other: diarrhoea
Jaundice?
(hepatitis? pre, post?) describe onset context 4Ps - pruritus, poo, pee, pain if pain: rate
alcohol
how much? standard drinks? dependence? morning? plane? injured? missed work? guilt? someone worried about you?
alcohol CAGE
thought about cutting down?
anyone annoyed you to stop?
guilty?
Eye opener?