Rheum - History Flashcards
1
Q
Screening Questions
A
- Do you have any pain, swelling or stiffness in muscles, joints or back?
- Can you dress yourself completely without any difficulty?
- Can you walk up and down the stairs without difficulty?
2
Q
HPC
A
SOCRATES Effect on ADLs Stiffness Joints or soft tissue Which joints, symmetry Acute or chronic (establish baseline) Swelling
3
Q
Inflammatory condition stiffness
A
Lasts >30 minutes in the morning
4
Q
Degenerative conditions stiffness
A
Gets worse throughout the day
May have brief stiffness in morning or be ok as rested
5
Q
Important rheum systems reviw
A
Rash, bowels, eyes, lungs
- Rash/new skin lesions
- Changes in nails
- Fevers
- Fatigue
- Weight loss
- SoB
- GI symptoms
- Acutely red/painful eyes
- Dysuria/haematuria
6
Q
F/U history - PMH
A
How well controlled is your disease?
How many flares / uses of steroids or rescue medications?
Have you had any complications/hospital admissions?
7
Q
F/U history - DH
A
What medications, how often?
Previous medications and why discontinued
Adherence
