cardio Flashcards
(21 cards)
Chest pain - exploring symptoms
SOCRATES
Chest pain - systematic review
General: fever, night sweats, rigors, weight loss
Cardio: SOB, nausea, sweating, cough, palpitations, syncope/dizziness, leg swelling
Chest pain - PMHx
Hypertension, MI, hyperlipidaemia, diabetes, lung disease, blood clots
Chest pain - FHx
Cardiovascular/thromboembolic disease
Chest pain - SHx
- Alcohol
- Smoking!!!
- Job
- Living situation
- VTE risk factors if relevant
Palpitations - exploring symptoms
- DOTS + exacerbating/relieving factors
- Rate and rhythm
- Have you ever recorded pulse
- Does it feel regular or irregular
- Does it feel like you miss a beat or have an extra beat
- Can you tap it out
Palpitations - red flags
LOC, dizziness, chest pain, SOB, occur during exertion, sweating, extreme fatigue
Palpitations - system review
- Systemic: fevers, weight change, fatigue
- Psych: low mood
- Neurological: visual changes, motor or sensory disturbances, headache
- Endo: tremor, heat intolerance
- Respiratory: dyspnoea, cough, sputum, wheeze, haemoptysis, pleuritic chest pain
- Gastrointestinal: dyspepsia, nausea, vomiting, dysphagia, abdominal pain, diarrhoea
- Genitourinary: oliguria, polyuria
- Musculoskeletal: chest wall pain, trauma
- Dermatological: rashes, ulcers
Palpitations - DHx
Recent changes to doses of meds
Palpitations - FHx
Heart problems, sudden cardiac death
Palpitations - SHx
- Home situation, job
- Smoking + alcohol + DRUGS
- Diet + exercise
- DRIVING
Breathlessness - exploring symptoms
DOTS + frequency + exacerbating/relieving factors
Breathlessness - system review
- General: fever/night sweats, weight loss/appetite, recent illness
- Cardiorespiratory: leg swelling, PND/sleeping upright/pillows, cough/wheeze, chest pain, palpitations, haemoptysis, dizziness, anxiety
Breathlessness - PMHx
Heart problems, chest infections
Breathlessness - FHx
Heart disease, lung disease
Breathlessness - SHx
- Alcohol
- Smoking!!!
- Job
- Living situation
- Exercise tolerance - current, previous, effect on daily living
- VTE risk factors if relevant
Claudication - exploring symptoms
Site, onset, character, radiation, pain on exertion, exercise distance, better with rest?
Claudication - system review
- General: fever/night sweats, weight loss/appetite, recent illness
- Derm: ulcers, skin changes
- Cardiorespiratory: leg swelling, chest pain, palpitations, haemoptysis
Claudication - PMHx
Hypertension, angina, TIA, high cholesterol, diabetes
Claudication - FHx
Heart disease
Claudication - SHx
- Alcohol
- Smoking!!!
- Job
- Living situation
- Exercise tolerance - current, previous, effect on daily living
- VTE risk factors if relevant
