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Case 3: Hypertension > History Taking (F2 23/11) > Flashcards

Flashcards in History Taking (F2 23/11) Deck (4)
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What are the steps in a cardiovascular interview?

1. Introduction:

  • 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?
  • Allergies?

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

8. ICE

  • 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?

  1. Shortness of breath
  2. Oedema in ankles
  3. Angina
  4. Palpitations
  5. Syncope



What pre-conditioning conditions do patients always forget to tell you they have?

  • Diabetes
  • Eczema
  • Asthma
  • Thyroid
  • Hypertension


What systemic syptoms must you always ask all patients about, to check they don't have cancer?

  • Weight loss
  • Fatigue
  • Loss of apetite
  • Fever