PACES: Wk B Flashcards
Gen SRV
ICE
FLAWS
Prev Ep
Recent Illness
Close Contacts
Cardio SRV
Chest Pain
Dyspnea
Orthopnea
PND
Syncope
Palpitations
Leg Swelling
Resp SRV
Chest Pain
Dyspnea
Cough
Sputum
Haemoptysis
Wheeze
Triggers
Leg Pain
GI SRV
Dysphagia
Odynophagia
Nausea + Vomiting
Haematemesis
Abdo Pain
Bowel Habit
Blood + Mucus
Mouth Ulcers
Itchy Eyes
Rashes
Jaundice
GU SRV
LUTS: FUND HIPS
Storage - freq, urgency, nocturia, dysuria
Voiding - hesitancy, intermittency, poor stream, straining/incomplete emptying/terminal dribbling
Plus: haematuria, polyuria, polydipsia, vaginal bleeding/discharge, MOSS
Neuro SRV
Headaches
Seizures
Blackouts
Vision
Speech
Strength
Sensation
Face/Arms/Legs
MSK SRV
Pain
ROM
Swelling
Stiffness
Crepitus
Locking
Giving Way
Instability
Trauma
Fever
Diabetes
Smoking
Chest Pain: SOCRATES + ECG
Site
Onset
Character
Radiation
Timing
Exacerbation
Severity
SOB: NOTEP + ABG
Nature
Onset
Timing
Exacerbation
Progression
How would you counsel someone w chest pain to go to the hospital?
The pain is sometimes a sign of the body telling us the heart isn’t getting enough blood
I wouldn’t want you to go away and for something more serious to happen
Explore dislike of hospital and suggest you can call ahead to reduce the wait time when they get there
Cardiac RFs
HTN
Cholesterol
Diabetes
Stroke
Smoker
Resp RFs
Pets
Allergies
Smoking
Travel
Occupation
What are the cardiac causes of clubbing?
CIA: congenital cyanotic heart disease, infective endocarditis, atrial myxoma
What are the respiratory causes of clubbing?
Newly Sprouted Fingers:
Neoplasia - bronchogenic carcinoma + mesothelioma
Suppurative - abscess, bronchiectasis, cystic fibrosis, don’t say copd, empyema
Fibrotic - cryptogenic fibrosing alveolitis + connective tissue disease
What are the GI causes of clubbing?
The 3 C’s: cirrhosis, coeliac disease, crohn’s/UC
Liver Screen
Sx:
Jaundice
Itchiness
Dark Urine
Pale Stool
RFs:
Tattoos
IVDU
UPSI
Travel
What do you want to investigate most abdominal pathology?
FBC
U+E
LFT
Clotting
Amylase
Lactate
USS
Charcot’s Triad
Fever
Jaundice
Abdo Pain
Reynold’s Pentad
Fever
Jaundice
Abdo Pain
Shock
AMS
Courvoisier Law
The presence of a palpably enlarged gallbladder with accompanying jaundice is unlikely to be due to gallstones
Mx of Cholecystitis
Tbc
Mx of Ascending Cholangitis
Tbc
What should you establish if the patient is a diabetic?
The type and therefore whether they are at risk of DKA/HHS
Ddx of Palpitations
Must ask about chest pain, sob, blackouts
AF
Arrhythmias
Anxiety
Panic Attacks
Medications
Substances
Caffeine
Hyperthyroid
Hypoglycaemia
Pregnancy
Menopause
