questions Flashcards
Differentials for chest pain
Angina MI pericarditis pulmonary embolism pneumothorax pneumonia GORD
associated symptoms for chest pain history
SOB Cough Sputum Nausea + Sweating Haemoptysis Fevers
Investigations after chest pain history
CV/Resp exam Sputum Sample Echo CXR Bronchoscopy
Differentials for palpitations
Cardiac arrhythmia thyrotoxicosis anxiety Drug Induced anaemia systemic fever
associated symptoms for palpitations history
SOB
Chest pain
Weight loss
Heat intolerance
Hand Tremor
Panic attacks/feelings of anxiety
Sweating + hunger (hypoglycaemia)
Last Menstrual Period (LMP)
vaginal dryness
mood changes
Differentials for cough/SOB history
pulmonary oedema COPD Asthma exacerbation pneumonia lung cancer
Associated symptoms for cough/SOB history
Fever
Cough (productive)
FLAWS
Chest Pain
Haemoptysis
Swelling/pain in legs
PE risk factors - travel, surgery, immobility, cancer
Wheeze
Differentials for Haemoptysis
Lung Cancer TB Pulmonary Embolism Foreign Body/Trauma Bronchiectasis Pneumonia
Associated symptoms in haemoptysis history
FLAWS Chest pain (SOCRATES) Swelling/pain in legs Wheeze PE risk factors - travel, surgery, immobility, cancer
Differentials for Abdo pain
Appendicitis Constipation Diverticulitis Renal Colic IBS Torted Ovarian Cyst
Investigations for Respiratory History
Lung function test PEFR Sputum microscopy U+Es CXR
Investigations for haemoptysis
D-dimer CXR Ventilation/Perfusion scan Sputum Microbiology ECG
Associated Systems for Abdo pain
Nausea + Vomiting
Diarrhoea
Dysphagia
Dyspepsia
Hep: RUQ, jaundice, fever
IBD: Arthralgia, eye,skin,bloody diarrhoea
Pruritis
FLAWS
Correlation with menstrual periods (?pregnancy ?ectopic)
Bleeding from orifices
Investigations for Abdo Pain
Examination FBC Us+Es CRP LFTs Amylase urine AXR CT abdo
Differentials for Rectal Bleeding
Haemorrhoids Anal/rectal trauma angiodysplasia colorectal polyps colorectal cancer Ulcerative Colitis