Questions Flashcards
What mnemonic is used to remember how to question pain
SOCRATES
What does SOCRATES stand for
Site
Onset
Character
Radiation
Associated symptoms
Time course
Exacerbating or relieving factors
Severity
What questions do you ask to ask about the site of pain
Where is the pain?
Can you point towards the pain?
What questions do you ask about onset of pain symptoms
Clarify how and when symptoms developed
Did the pain come on suddenly or gradually?
When did the pain first start?
How long have you been experiencing the pain?
Describe how you ask questions about associated symptoms of pain
Are there any other symptoms associated with the pain?
How would you ask questions about the time course of pain
How has the pain changed over time
How do you ask about exacerbating or relieving factors of pain
Is there anything that makes it worse?
Is there anything that makes it better?
How do you ask questions about the severity of pain
Assess severity by asking the patient to grade in a scale of 0-10, if 0 is no pain and 10 is the worse pain you have ever experienced
What is important to ask about weight loss
Quantify the amount of weight the patient has lost over a specific time period
What are 3 questions which are important to ask
ICE
Ideas
Concerns
Expectations
How would you address ICE (ideas, concerns and expectations)
Ideas - what do you think the problem is?
Concerns - is there anything particular that is worrying you?
Expectations - what were you hoping I’d be able to do for you today?
Describe what should happen to methotrexate when someone is unwell
Should be stopped during illness as it is immunosuppressant
Describe crion
Given in pancreatitic insufficiency - medication that contains pancrelipase (combination of enzymes that helps digest fats, proteins and sugar)
Describe d-dimer tests
Non-specific
Raised in bad infection.
If it is raised due to infection would still have to do CTPA.
Possible do wells score before