What are the steps in a cardiovascular interview?
- Wash hands
- Introduce yourself
- Patient name and DOB
- Explain purpose and gain consent
- Reposition patient
2. Presenting Complaint: What can I do for you today? Give them a golden minute to talk, without interrupting.
- Site: where is the pain?
- Onset: when did you first get pain?
- Character: what does the pain feel like, throbbing, dull, burning, intermittent.
- Radiation: does this pain spread?
- Associated syptoms: eg. vomitting
- Time: how long had it, how long dies an episode last?
- Exacerbating/ Relieving factors: exercise, rest
- Severity: on a scale of 1 to 10, with one being no pain, and 10 the worst pain imaginable, how severe is the pain?
4. Systematic Review: E.G. cardio-vascular review.
- Ask them whether they have the four cardinal signs of cardio-vascular diseas (SOAPS).
- Risk factors: hypertension, smoking, diabetes and family history).
5. Past Medical History:
- Ask if have pre-existing conditions (DEATH)
- Rule out sytemic syptoms (fever, weight loss, loss of apetite and fatigue).
- Been to hospital: emergency or surgery
- On any medications: contraceptive pill, ST Johns Wort?
6. Family History:
- Any conditions that run in family, that their parents or siblings have.
- Ask about parents: if past away ask COD and age.
7. Social History:
- Smoking: smokes per day
- Drinking: glasses/ pints per week
- Recreational Drugs
- Typical diet per day
- Exercise per day
- Concerns about job
- Ideas: ‘What do you think might be happening?’
- Concens: ‘Is there anything particular or specific that you were concerned about?’
- Expectations: ‘What were you hoping we might be able to do for this?’
What are the five cardinal signs of cardiovascular disease?
Shortness of breath
Oedema in ankles
What pre-conditioning conditions do patients always forget to tell you they have?
What systemic syptoms must you always ask all patients about, to check they don't have cancer?