Systemic Enquiry Flashcards

1
Q

General

A
  • Fatigue/malaise
  • Fever/rigors
  • Weight/appetite
  • Skin
    • Rashes
    • Bruising
    • Bleeding
  • Sleep disturbance
  • Thirst
  • Pruritus
  • Night sweats
  • Neck swelling/lumps
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2
Q

Respiratory system

A
  • Cough
  • Sputum
  • Haemoptysis
  • Dyspnoea
  • Wheeze
  • Chest pain (pleuritic)
  • Symptoms of sinusitis
  • Earache
  • Sore throat
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3
Q

Cardiovascular System

A
  • Chest pain
  • Dyspnoea - at rest/on exercise/orthopnoea,paroxysmal nocturnal
  • Palpitations
  • Ankle oedema
  • Varicose veins
  • Claudication
  • Syncope
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4
Q

Alimentary system

A
  • Appetite/Weight loss or change
  • Dysphagia
  • Dyspepsia/Heartburn
  • Nausea/Vomiting
  • Haematemesis
  • Jaundice
  • Abdominal pain
  • Abdominal distension (+bloating)
  • Bowel habits - change/constipation/diarrhoea/blood/mucus/melaena/faecal incontinence
  • Perianal symptoms/haemorrhoids/pain/itching
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5
Q

Genito-Urinary system

Males

A
  • Frequency/dysuria/nocturia/polyuria/oliguria
  • Haematuria
  • Incontinence/urgency
  • Prostatic symptoms - difficulty/stream/dribbling
  • Erectile dysfunction
  • Sexually active?
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6
Q

Genito-Urinary System

Females

A
  • Frequency/dysuria/nocturia/polyuria/oliguria
  • Haematuria
  • Incontinence/urgency
  • Last menstrual period
  • Gestation/Expected date of delivery if pregnant
  • PMB postmenopausal bleeding if menopausal
  • Cycle (regularity/duration & degree of bleeding etc)
  • Intermenstrual or postcoital bleeding
  • Contraception/HRT if not already asked under drugs/sexually active?
  • Date of last cervical smear
  • Obstetric history/parity/gravidity
  • Vaginal discharge
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7
Q

Nervous System

A
  • Speech disturbance
  • Cognitive impairement (use Mental State Assessment)
  • Headache
  • Fits/faints/loss of consciousness
  • Dizziness, Vertigo
  • Balance
  • Vision - acuity, diplopia
  • Hearing
  • Weakness
  • Numbness/tingling/paraesthesia
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8
Q

Musculoskeletal System

A
  • Do you have any pain or stiffness in your muscles, joints or back?
  • Can you dress yourself completely without any difficulty?
  • Can you go up and down stairs without any difficulty?
  • Is there any history of trauma and what was the mechanism of injury?
  • PRISMS?
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9
Q

Psychiatric

A
  • Mood - depressed, euthymic, elated
  • Anxiety/panic symptoms
  • Memory problems/confusion
  • Abnormal thought content - odd ideas, paranoia, obsessions, hypochondriacal concerns
  • Perceptual abnormalities/hallucinations
  • Risk to self or others
  • Insight into illness - need for medication, treatment or to be in hospital
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10
Q

Endocrine System

A
  • Change in temperature
  • Skin changes - dryness, rash
  • Hair changes
  • Pain/ Weakness
  • Facial swellings, Neck swellings
  • Weight changes
  • Thirst/ Hydration
  • Appetite
  • Polyuria/ polydipsia
  • Fatigue
  • Palpitations/ Tremors
  • Syncope
  • Changes in bowel habit - frequency, consistency, steatorrhoea, blood
  • Headache
  • Visual changes - vision loss in pituitary adenomas, diplopia
  • Menstrual changes - frequency, heavy, amenorrhea, contraception?
  • Libido
  • Low mood/ Sleep changes
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