History Taking (F2 23/11) Flashcards Preview

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

Flashcards in History Taking (F2 23/11) Deck (4)
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1

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.

3. SOCRATES:

  • 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?’

2

What are the five cardinal signs of cardiovascular disease?

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

 

3

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

  • Diabetes
  • Eczema
  • Asthma
  • Thyroid
  • Hypertension

4

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

  • Weight loss
  • Fatigue
  • Loss of apetite
  • Fever