Cardio history

Question 1

Chest pain

Answer 1

Full SOCRATES - dont just fucking list the questions though

Where is the pain?
When did you first notice the pain?
Describe the pain? 
Radiation?
Associated symptoms?
Timing (is it when you walk up a hill? etc etc) 
What makes it worse/better?
Severity 0-10?

Question 2

Shortness of breath

Answer 2

Onset

On exertion/at rest/in the night?

How find stairs?/ how far can walk?

Progression

Experienced before?

How does it feel? (tight band n shit)

Question 3

Palpitations

Answer 3

Onset

Reg or irreg pattern? Tap out rhythm

Anything makes better/ worse

Experienced before?

Question 4

Fainting / dizziness

Answer 4

Onset

Frequency

Trigger?/ what doing at time?

Experienced before?

Question 5

Oedema / swelling

Answer 5

Onset

Where: ankle? One or both sides?

Progression

Recent travel?

Anything make worse/better?

Experienced before?

Question 6

Pain on exertion (claudication)

Answer 6

full SOCRATES:

Where?
When?
Describe the pain?
Radiation?
Assoc symptoms?
Timing?
Worse/Better?
Severity /10?

Question 7

Varicose veins

Answer 7

Onset

How does it feel?

Any pain/discomfort?

If yes to pain then Socrates that fucker

Question 8

Past medical history

Answer 8

General: Do you suffer from any medical illnesses? Have you ever been admitted to hospital? Have you ever had surgery? General anaesthetic? Any complications? Do you see your GP regularly?

Specific PMH: Any recent surgery? Any previous DVTs, PEs, MI, Angina or raised BP?

Then finish off with a wee jamthreads

Question 9

Drugs and allergies

Answer 9

Prescription medications?

Over the counter medications?

Additional supplements or herbal remedies?

Recreational drugs?

Allergies?

Effect of allergic reaction

Question 10

Family history

Answer 10

General:
Parents? What did they pass from/what age?
Brothers or sisters? Could you tell me about their health?
Children? Could you tell me about their health?

Fast/Specific Fhx:
Has anyone in your family had similar troubles?
Are there any inherited disorders in your family?
Diabetes or heart disease?

Question 11

Social history (day to day life)

Answer 11

Smoking? How many a day? For how long?

Alcohol? During an average week how much? What do you typically drink?

Recreational drugs? (if not asked prior)

Occupation?

Could you describe to me your living situation? Live alone? Pets? Type of accommodation?

Regular exercise? What type of exercise?

Would you say you eat well? What is a typical meal?

Have you recently returned from travel or had any long-haul flights?

Question 12

Cardio system enquiry

Answer 12

Chest pain

Dyspnoea - if yes then check all the spicy variations

Palpitations - ‘fluttering’

Fainting/dizziness

Ankle oedema

Varicose veins

Claudication + muscle/joint aches and pains

General:
Fever or night sweats? weakness in arms/legs? Rash or bruising?

Question 13

Follow up question

Key risk factors to elicit in CVS history

Answer 13

Past medical history of diabetes, previous BP, cholesterol, surgery (PE), trauma

Family history of cardiac/ IHD

Social history of smoking, alcoholism, recent travel