PCP Interviews 1

Question 1

Angina?

Answer 1

Describe/rate
radiation?
associated symptoms, SOB/palpitation/dizzy, sweat, pale

Question 2

Cough?

Answer 2

(Chronic, infection, other?)
how long?
sputum and features
smoker

Question 3

Oedema?

Answer 3

(heart failure? others)
where? unilateral? bilateral?
when does swelling occur?
associated symptoms? SOB? angina?

Question 4

Syncope?

Answer 4

(vasovagal?Cardiac?)
prodrome
witness account
context what were you doing?

Question 5

Dyspnoea?

Answer 5

(heart, lungs, blood, brain)
onset
aggravating
other symptoms? oedema/cough? wheeze?

Question 6

Wheeze?

Answer 6

(asthma, infection, other)
History of asthma
associated features: cough, sputum, infection, fever malaise?
Smoke? work exposure?

Question 7

Claudication

Answer 7

(cramps?atherosclerotic narrowing)
features: triggers
Time course
Family Hx heart disease
Social: smoking/dislipidaemia

Question 8

Palpitations:

Answer 8

(benign? serious?)
describe how fast onset/offset
context, what are you doing at time?
other symptoms?
tap it out

Question 9

Sputum

Answer 9

describe
blood?
how long producing for?

Question 10

Asthma

Answer 10

time course change/Hx
triggers
hospitalizations?
medications, compliant?

Question 11

Abdo pain

Answer 11

rate
describe
associated symptoms: fever? vomiting
triggers?

Question 12

Diarrhoea

Answer 12

(infection? other?)
when start? 
travelling?
food?
describe colour
blood

Question 13

Smoking

Answer 13

what do you smoke?
how much? pack years
how feel when can’t have cigarettes?

Question 14

Haemoptysis

Answer 14

associated with cough? spit?
describe, blood? mucous? mixed? frothy, dark bright?
progression over time

Question 15

constipation

Answer 15

(underlying?)
diet
medications
associated features

Question 16

Rectal bleeding

Answer 16

origin(anus? vagina?)
colour: bright? dark? Melaena
other features? vomiting?constipation? pain?
Family Hx of bowel cancer
alcohol history

Question 17

Dysphagia

Answer 17

(motility or mechanical?)
initiating? or food sticks?
liquids or solids easier?
onset and progression over time

Question 18

Nausea?

Answer 18

(psych, physical?)
triggers
duration
associated: vomiting, dizziness, headaches, malaise

Question 19

vomiting

Answer 19

(infection, other?)
when start?
colour/blood
other: diarrhoea

Question 20

Jaundice?

Answer 20

(hepatitis? pre, post?)
describe onset
context
4Ps - pruritus, poo, pee, pain
if pain: rate

Question 21

alcohol

Answer 21

how much? standard drinks?
dependence? morning? plane? 
injured?
missed work?
guilt?
someone worried about you?

Question 22

alcohol CAGE

Answer 22

thought about cutting down?
anyone annoyed you to stop?
guilty?
Eye opener?