Systematic direct questions

Question 1

Abdominal direct systematic questions?

Answer 1

Eating:
- Appetite
- Diet
- Weight loss or gain

Poo:
- Bowel habit
- Nature of stool colour and form
- PR bleeding/mucus
- Prolapse
- Tenesmus
- incontinence

Upper:
- Nausea
- Dysphagia
- Reflux
- Heartburn
- Vomiting
- Haematemesis
- Indigestion pain

Lower:
- Abdo pain
- Jaundice
- Distension

Question 2

Respiratory system direct systematic questions?

Answer 2

Cough
Sputum
Haemoptysis
Dyspnoea
Hoarseness
Wheezing
Chest pain
Exercise tolerance

Question 3

Cardiovascular system direct systematic questions?

Answer 3

Dyspnoea & Paroxysmal nocturnal dyspnoea
Orthopnoea
Chest pain
Palpitations
Ankle swelling
Dizziness
Limb pain
Walking distance
Colour changes in hands or feet

Question 4

Urogenital system direct systematic questions?

Answer 4

Loin pain
Frequency of micturition
Dribbling
Incontinence
Hesitancy
Dysuria
Urgency
Precipitancy
Thirst
Haematuria

Men:
- Sexual problems
- Poor stream

Females
- Date of menarche or menopause
- Frequency
- Quantity and duration of menstruation
- Vaginal discharge
- Prev. pregnancy & problems
- Prolapse
- Urinary incontinence

Question 5

Nervous system direct systematic questions?

Answer 5

LOC
Fits
Dizziness

Motor:
- Muscle weakness/paralysis
- Tremor

Sensation:
- Parasthesias
- Headaches
- Tinnitus
- Changes in smell, vision and hearing

Cognitive:
- Behaviour and Mood
- Memory loss

Question 6

MSK direct systematic questions?

Answer 6

Aches or pains in muscles, bones or joints.
Swollen joints?
Limitations in joint movement
Locking
Weakness
Gait disturbance