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
Differentials for Constipation
Drugs Dietary Dehydration IBS Fissure Depression
Differentials for Diarrhoea
IBD Gastroenteritis Colonic cancer Colonic polyps Psuedomembranous colitis thyrotoxicosis
Differentials for jaundice
Hep A, B or C Viral infections CMV or EBV Alcoholic Hepatitis Drug-induced hepatitis Malaria Head of pancreas tumour
Differentials for Weight gain
Dietary/lack of exercise Hypothyroidism Cushing's Syndrome Depression Drug induced Undiagnosed Pregnancy
Differentials for weight loss
Diabetes Mellitus Hypothyroidism Malignancy Eating disorder Depression Intentional weight loss
Associated symptoms for jaundice history
decompensation:- bruising, vomiting, rectal bleeding
Gallstones:- Abdo pain, pale stools/dark urine, pruritis, steatorrhea
Hepatitis:- unprotected sex, IVDU, blood transfusion, tattoos, contaminated food
Associated symptoms for weight loss
low mood
Heat intolerance/menstrual disturbances (thyrotoxicosis)
FLAWS
eating disorder screen -SCOFF
DM - polyuria, polydipsia, recurrent infection
Differentials for headache history
Migraine Meningitis SAH Temporal arteritis Cluster headache raised ICP
Associated symptoms for headache history
photophobia, Stiff neck, Rash (meningitis) Trauma Aura/ Vision changes tender scalp memory loss, vision/hearing changes Worse in the mornings/evenings palpitations
Associated symptoms for loss of consciousness
Speed of recovery Aura Movement during attack tongue biting/urinary incontinence palpitations/tremors recent head injury
Differentials for Loss of Consciousness
Vasovagal syncope Situational syncope Epilepsy Cardiac causes Hypoglycaemia Alcohol related
