Secondary Survey Flashcards
Presenting complaint
Headline of problem in patients own words
Avoid crossing into patient history
History of presenting complaint
SOCRATES (site, onset, character, radiating, associated symptoms, time, exacerbate, severity)
Site
Location of symptom
Ask patient to point to it
Onset
When did it start?
Was it sudden or gradual onset?
Character
Describe the symptom
Radiating
Does the symptom spread?
Associated symptoms
Are there any other symptyoms
Time
What were you doing at the time
Exacerbating/alleviating
Does anything make symptom better or worse?
Scale
Can you grade severity 1-10
Social history
Any carers?
Friends/ family/ neighbours that can assist?
Drink/ smoke/ illicit substances?
Drug history
Taken any over the counter medication?
Have any prescriptions?
Recent drug use?
Any herbal remedies?
Medical history
Any diagnosis?
Any surgery?
Allergies
Any drug allergies?
other allergies if relevant
Family history
Any early deaths in family
Any notable medical events in family history