Systems review

Question 1

General

Answer 1

Fever, rigors, night sweats
Weightloss
Fatigue
Skin Rashes/Bruising

Question 2

Neurological

Answer 2

General - 
Fits/falls/LOC 
Headache 
Dizziness 
Balance 
Speech
Vision/hearing 
Memory Loss 
Neck stiffness/Photophobia 

Motor
Weakness/wasting
Incontinence

Sensory
Pain
Numbness
Tingling

Question 3

ENT

Answer 3

Ear - Otalgia, Tinnitus, Dizziness, Discharge, Hearing Loss.

Nose - Rhinorrhoea, epistaxis, facial pain, nasal obstruction, hyposmia.

Throat - Dysphagia, odynophagia, hoarse voice, regurgitation, sore throat.

Question 4

Cardioresp

Answer 4

Chest pain, palpitations, SOB/Wheeze, cough, sputum, haemoptysis, leg swelling.

Question 5

Gastrointestinal

Answer 5

GI - weightloss, appetite change
Work your way down: Dysphagia, N&V, Indigestion/heartburn, Abdominal pain, bowel habit, tenesmus, blood/mucus in stool, flatus.

Question 6

Urological

Answer 6

Storage: frequency, volume, urgency, nocturia, incontinence (overflow/stress/urge)

Infection: dysuria, haematuria, odour.

Prostatic/voiding (if male): Hesitancy, poor flow/dribbling, feeling of incomplete emptying.

Question 7

Obs/Gynae

Answer 7

4p’s

PV bleeding - Menorrhagia, IM bleeding, PostM, post-coital.

PV discharge

Pain - Pelvic, dysmenorrhoea, dyspareunia

Pregnancy -
Chance of pregnancy?
Fetal movements, contractions/tightening, PV loss, pre-eclampsia symptoms - headache, visual disturbance, epigastric pain, oedema.

Question 8

Rheumatological

Answer 8

Joints: Pain, stiffness, swelling. 
Skin - rashes, ulcers, raynauds. 
Hair loss 
Eyes - redness, dryness. 
mouth - dry
Chest - SOB
GI - IBD symptoms
GU - Discharge

Question 9

Orthopaedic

Answer 9

Joints/bone/soft tissue: Pain, stiffness, swelling, movement restriction/ability to weight-bear.

Mechanical symptoms - locking, giving away.

Neurological symptoms distally - Weakness, numbness,
paraesthesia.