Systems Review

Question 1

General

Answer 1

1. fever / rigours / night sweats
2. weight loss
3. fatigue
4. rashes / bruising

Question 2

Neuro

Answer 2

1. general - headache, fits/falls/LOC, dizzy, visual/hearing, neck stiffness/photophobia
2. Motor - weakness/wasting, incontinence
3. sensory - pain, numbness, tingling

Question 3

ENT

Answer 3

Ear - pain, discharge, hearing, tinnitus

Nose - rhinorrhoea, bleeding

Throat - hoarse, odynophagia

Question 4

Cardioresp

Answer 4

Chest pain 
SOB 
Palpitations 
Wheeze 
Cough / sputum 
Haemoptysis 
Leg swelling

Question 5

GI

Answer 5

Dysphagia 
Reflux 
N&V
Abdo pain 
Bowel habit 
Tenesmus
Blood / mucous in stool 
Flatus

Question 6

Urological

Answer 6

Storage

1. Frequency
2. Volume
3. Nocturia
4. Incontinence - overflow/stress/urge

Infection

1. Dysuria
2. Haematuria
3. Odour

Prostatic / voiding (male)

1. Hesitancy
2. Poor flow / dribbling
3. Feeling of incomplete emptying

Question 7

OBGYN

Answer 7

4 Ps

1. PV discharge
2. PV bleed - menorrhagia, intermenstrual, post-coital, post-menopausal
3. Pain - pelvic, dysmenorrhagia, dyspareunia
4. Pregnancy - foetal movements, contractions, PV loss, pre-eclampsia (HA, visual, epigastric pain, oedema)

Question 8

Rheum

Answer 8

Joints - pain, stiffness, swelling

Work down body:

• Skin - rashes, ulcers, raynauds
• Hair loss
• Eyes - redness, dryness
• Mouth - dryness
• Chest - SOB
• GI - IBD sx
• GU - discharge

Question 9

Ortho

Answer 9

Joints / bone / soft tissues
- pain, stiffness, swelling, ROM, weight-bearing

Mechanical - locking, giving way

Neuro distally - weakness, numb, paraesthesia