Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Y5 Osce > Systems enquiry > Flashcards

Systems enquiry Flashcards

1
Q

Cardiovascular S/e

A

Chest pain
Palpitations
Pre-syncope / syncope
Shortness of breath
Orthopnoea
Exercise intolerance
Peripheral oedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Respiratory S/e

A

Shortness of breath
Cough
Sputum
Wheeze
Haemoptysis
Chest pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Gastrointestinal S/e

A

Weight loss
Appetite change

Working down body:
- Dysphagia
- Nausea & vomiting
- Indigestion / heartburn
- Abdominal pain
- Abdominal distension / bloating
- Jaundice
- Bowel habit
- Tenesmus
- Blood/mucous in stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some changes in bowel habit?

A

Constipation
Dialarhoea
Steatorrhea (light = fat malabsorption)
Melaena (dark = blood)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Urological s/e

A

Storage:
- Frequency
- Volume
- Urgency
- Nocturia
- Any incontinence?

Infection:
- Dysuria
- Haematuria
- Odor
- Pelvic pain

Prostatic:
- Hesitancy
- Poor flow / dribbling
- Incomplete emptying
- Haematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Neurological

A

Weakness
Sensory - Numbness, pins & needles
Changes in sight, smell, hearing or taste
Loss of consciousness (funny turns)
Dizziness
Balance
Memory problems / confusion
Headache
Speech
Neck stiffness / photophobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ear s/e

A

Hearing loss / tinnitus
Pain (otalgia)
Discharge
Ear fullness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nose s/e

A

Runny nose (rhinorrhoea)
Sneezing
Epistaxis (nose bleeds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Menstrual history

A

LMP
Cycle length (duration)
Cycle regularity - are they predictable?
Heavy or light
Painful

Gravida/para
Menarche
Contraception
Last smear
Discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MSK s/e

A

Pain
Stiffness:
- Morning vs day
- Improves / worsens with activity
Joint swelling
Decreased range of motion
Crepitus
Locking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Breast s/e

A

Rashes / discoloration
Pain
Lumps
Discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Psychiatry s/e

A

Depression - low mood
Anxiety
Self harm / suicidal ideation
Sleep pattern
Difficulty concentrating
Body image
Paranoia
Anhedonia
Lack of energy
Mania episodes
Personality changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hyperthyroid s/e

A

Prefer cold weather
Mood swings
Sweaty
Diarrhoea
Oligomenorrhoea (infrequent)
Weight loss with increased appetite
Tremor
Palpitations
Visual disturbance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hypothyroid s/e

A

Prefer hot weather
Slow
Tired
Depressed
Thin hair
Croaky voice
Heavy periods
Constipation
Dry skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Diabetes s/e

A

Polydipsia (excessive thirst)
Polyuria
Appetite
Hypoglycaemia - dizziness, sweating, headache, hunger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adrenal s/e

A

Blood pressure:
- Postural hypotension
- Hypertension
Darkened skin
Fatigue
Weight loss
Muscle weakness

17
Q

Anaemia s/e

A

Shortness of breath
Fatigue
Weakness
Palpitations
Dizziness

Pallor
Bleeding episodes
Dietary intake

18
Q

Lymphoma s/e

A

Painless swollen lymph nodes

B-symptoms:
- Night sweats
- Fever
- Weight loss

Fatigue
Loss of appetite

19
Q

Throat s/e

A

Sore throat
Odynophagia
Dysphagia (solids vs liquids)
Fever, chills, night sweats
Weight loss
Cough

20
Q

Rheumatology s/e

A

Joints - pain, stiffness, swelling

Work down body:
- Skin (rashes, ulcers, Raynaud’s)
- Hair loss
- Eyes (redness, dryness)
- Mouth (dryness)
- Chest (breathlessness)
- G.I (IBD symptoms)
- Genitourinary (discharge)

21
Q

Pregnancy s/e:

A

Fetal movements
Nausea & vomiting
Vaginal bleeding or discharge
Abdominal pain
Pruritis (itching = obstetric cholestasis)
Leg swelling
P.E screen - Chest pain & SOB
Anaemia screen - fatigue, SOB

Pre-eclampsia:
- Headache
- Visual disturbance
- Epigastric pain
- Oedema

22
Q

Female sexual history

A

Abnormal discharge - volume, colour, consistency, smell

Vaginal bleeding - pattern, volume, colour, impact on QOL

Dyspareunia (pain during sex) - location, duration, nature

Vulval skin changes - lumps, bumps or rashes, itchy?

Sore throat
Enlarged lymph nodes

23
Q

Male sexual history

A

Discharge - colour, consistency, volume/frequency, smell

Dysuria
Haematuria
Testicular pain or swelling
Skin changes or lesions
Abdominal and pelvic pain
Rectal discharge, pain, lump
Anal skin changes

Sore throat
Enlarged lymph nodes

24
Q

Depression history

A

Low mood
Anhedonia
Lack of energy
Fatigue

Associated symptoms:
- Disturbed sleep
- Change in appetite
- Agitation
- Poor concentration
- Nihilistic
- Feelings of worthless or guilt
- Reduced libido
- Thoughts of self-harm or suicide

25
Q

Mania history

A

High mood
Irritability / impatience
Reduced sleep
Appetite

Associated symptoms:
- Reduced social inhibitions
- Reckless spendings
- Inappropriate sexual encounters
- Persecutory delusions
- Reduced concentration
- Self-neglect
- Loss of insight

26
Q

Anxiety history

A

Worries
Feel wound up or tense
Always anxious or only sometimes
Panic attacks
Dissociation

Physical symptoms:
- Palpitations
- Chest pain
- Breathlessness
- Sweating, dizziness
- Dry mouth
- N&V
- Depression?

27
Q

Psychosis history:

A

Hallucinations
- Hear noises and voices
- Being touched
- Insects crawling beneath skin

Delusions

28
Q

OCD history:

A

Unpleasant thoughts or images
Unwanted thoughts
Repeatedly check things
Arrange, touch or count things repeatedly

29
Q

Alcohol abuse screening - CAGE:

A

C - have you ever though of cutting down your drinking
A - have people annoyed you by criticising your drinking
G - have you ever felt guilty about drinking
E - have you ever felt you needed a drink in the morning to steady your nerves

30
Q

Alcohol withdrawal history

A

Screen - CAGE

Nausea & Vomiting
Tremor
Sweating
Anxiety
Agitation
Tactile disturbance - bugs crawling on skin
Auditory disturbance - harsh sounds
Visual disturbance - photophobia
Headache
Orientation

31
Q

Eating disorder history

A

Weight history (SLIM):
S - weight at different stages in life
L - periods of weight loss
I - ideal weight
M - minimum & maximum weights

Eating behaviour - breakfast, lunch + dinner

Adaptative behaviour:
- Exercise
- Binge eating
- Purging

Psych:
- Mood
- Social withdrawal?

Physical symptoms:
- Amenorrhoea
- Fatigue
- Constipation
- Dizziness

32
Q

Red flags in anorexia?

A

Rapid weight loss
HR < 40
Low temperature
Recurrent syncope
ECG abnormalities
Severe dehydration
Unable to stand up from squatting

33
Q

Paediatric s/e

A

Diet and fluid intake
Urine output
Stool
Vomiting
Weight & growth
Fever
Rash
Cough / SOB
Behaviour
Activity / alertness
Rashes
Headaches, abnormal movements

34
Q

Paediatric red flags:

A

Loss of skills
Not fixing/following objects
Hearing loss
Low muscle tone/floppy
Persistent toe walking
One hand used more

5mo - Can’t hold objects
12mo - Can’t sit unsupported
18mo - No speech
18-24mo - Can’t walk

35
Q

Paediatric history

A

Y5 Osce (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions