Peer Teaching History Revision Flashcards
In a Respiratory History what are the key symptoms to ask about?
cough, wheeze, fever, haemoptysis, dyspnoea,
What FH should you ask about in a Respiratory History?
CF, asthma/eczema/hayfever
In a Respiratory Social History, what is crucial to ask about?
foreign travel, pets, occupation, living conditions, hobbies (e.g. pigeon fancying), long haul flights
In a patient with Asthma that is coming in with an exacerbation of asthma in their asthma review. What should you ask? Remember Medics Basketball
You need to ask have they ever been hospitalized. Do they know what they need to do in an acute asthma attack?
Name 4 causes of Cardiac Chest Pain
3 causes of Respiratory Chest Pain
2 causes of GI chest pain
Angina, Pericarditis, Aortic dissection, Heart Attack
PE, Pneumonia or Pneumothorax
Peptic Ulcer or GORD
Chest Pain
Site Onset Character + also is it constant or changes. Is the pain still here now. Radiation Associations Time: how long does the pain last for> Exacerbating/Relieving Factors:
Ever had this pain before
Palpitations: two unlinked causes?
Thyroid disease
Stress!
WHEN DO THE PALPITATIONS COME ON?? ALL THE TIME OR FOR EXAMPLE EXERCISE
What systemic symptom do you need to ask for in a cardiac or respiratory history
FATIGUE
If a patient has ankle swelling ask
How many pillows are you using at night? Are they sleeping in a chair? Can they climb the stairs? Exercise tolerance? What was normal for them before?
What 4 things can make SOB better?
Rest Exertion Position Fresh air Inhalers
3 causes of syncope
Vasovagal
Aortic stenosis
Cardiac arrhythmias
If someone collapses: always ask what were they doing before AND
How were they feeling before
After someone collapses you need to ask: HOW did they feel afterwards AND
were they confuse afterwards and how long it took to feel normal again
What are 2 symptoms of pre syncope?
Palpitations and nausea
Is a red flag for headaches: gets worse when lying down?
YES
What two conditions are SAH more common in?
PKD and Ehlers Danlos
What are 3 causes of raised ICP
Brain Tumor
Brain Abscess
Intracranial Bleed
What is Temporal Arteritis?
A headache that presents with pain when eating, brushing hair and affects the vision
Treat urgently with high dose steroids
When a patient says they have had some visual disturbances ask:
Do they wear glasses or contacts
Is it better when you close one eye?
What is the change you have in your eyesight (please describe)
Is there any pain in the eye
How will myasthenia graves present in visual disturbance?
Double vision w/ptosis
Swallowing problems
Worse with use
Name 5 RF for breast cancer:
Early menarche Late menopause Pregnancy >30 yrs No children HRT Family History (i.e. BRCA1 and BRCA2 gene)
If a patient has a lesion of the MN and the forehead is spared what MN is affected?
The UPPER MN will be affected
Name 5 conditions it is important to ask for in a Neuro History:
Arrhythmias MIs HTN Angina High Cholesterol Diabetes
Give 3 symptoms of Bells’ Palsy:
Drooling of saliva
Difficulty speaking
Hypersensitive to sound
Decreased taste
Strange Neuro history. If a patient presents with weakness and inability to open joints with muscle weakness. What two questions can you ask to rule out MG and MS
MG: fatiguability with use
MS: sphincter loss or sphincter changes
WHAT disease is the only one that affects UMN and LMN
MND
What motor neurons do Guillan Barre and Myasthenia Gravis affect
LMN and UMN
What are two symptoms of Myasthenia Gravis that happen in the throat/speech?
Dysarthria
Dysphagia
IF SOMEONE HAS NUMBNESS OF TINGLING: ask where this is?
Where does the numbness of tingling stop?
4 causes of numbness or tingling
Peipheral neuropathy Stroke Nerve root lesion Spinal Cord lesion MS
Give 3 causes of a polyneuropathy:
Vitamin Deficency vitamin B1 and B12
Kidney failure
Diabetes
Alcohol
Name 3 symptoms of GBS
Distal to proximal muscle weakness and loss of sensation
Absent Leg reflexes
Sweating, raised pulse and arrhythmias.
** ULTIMATLEY Respiratory depression!!
