Systems Review

Question 1

Cardiovascular

Answer 1

Chest pain
Shortness of breath (at rest or on exertion?)
Breathlessness on lying flat - how many pillows?
Breathlessness at night
Palpitations
Ankle swelling
Poor circulation in hands or feet
Pain in the calves on walking

Question 2

Respiratory

Answer 2

Cough
Sputum
Shortness of breath
Wheeze
Fever
Night sweats
Recent chest X-Ray?

Question 3

Gastrointestinal

Answer 3

Change in appetite and/or weight
Problems swallowing
Indigestion/acid reflux/hiatus hernia
PMH: peptic ulcer disease, gallstones, pancreatitis, jaundice, hepatitis
Change in bowel habit
Constipation, diarrhoea
Blood/mucus/slime per rectum
Incontinence

Question 4

Neurological

Answer 4

Headaches
Visual disturbances, hearing, speech difficulties
Dizziness, vertigo
Faints, fits, blackouts
Weakness, numbness
Sleep disturbances
Unsteadiness, tremors
Concentration, memory

Question 5

Genitourinary

Answer 5

Incontinence
Frequency, dysuria, nocturia
Hesitancy, dribbling
Change in quantity, colour
Blood in urine
Genital rashes, lumps
Menstrual cycle, possibility of pregnancy

Question 6

Endocrine

Answer 6

Heat or cold intolerance
Sweating
Fatigue
Tremor
Neck swelling
Weight gain or loss
Polydipsia and polyuria

Question 7

Dermatology

Answer 7

Itch, rash
Bruising
Swellings, lumps, ulcers
Pigmentation changes

Question 8

Haematological

Answer 8

Bruise easily
Bleed excessively
Lumps in axillae, neck, groins
Previous thromboses, pulmonary embolism
Fever, night sweats, weight loss

Question 9

Musculoskeletal

Answer 9

Joint pain, stiffness, swelling
Dry mouth
Sore eyes
Skin rash
Back or neck pain

Question 10

Psychiatric

Answer 10

Anxiety, preoccupations
Mood, self-harm
Suicide
Unusual beliefs, delusions, hallucinations
Memory problems, cognitive impairments
Learning difficulties