Systematic Enquiries Flashcards
1
Q
general systematic enquiry
A
fever malaise lethargy/fatigue weight change change in appetite itching/rashes/bruises sleep disturbances thirst night sweats neck swelling/lumps
2
Q
cardiovascular systematic enquiry
A
chest pain dyspnoea varicose veins claudication palpitations ankle oedema
3
Q
respiratory systematic enquiry
A
dyspnoea cough sputum haemoptysis wheeze chest pain sinusitis: - blocked nose - facial pain - nasal discharge - reduced sense of smell earache sore throat
4
Q
alimentary systematic enquiry
A
change in appetite weight change mouth ulcers dysphagia nausea and vomiting heartburn haematemesis abdominal pain change in bowel habit diarrhoea/constipation stool appearance jaundice bloating malaena faecal incontinence perianal itching or pain
5
Q
urinary systematic enquiry
A
frequency nocturia polyuria dysuria incontince/urgency haematuria stream flow
6
Q
nervous systematic enquiry
A
numbness paraesthesia weakness speech disturbance visual disturbance dizziness/vertigo headache cognitive impairment hearing
7
Q
obstetric history
A
gestation parity/gravidity type of birth in the past hx of DVT or PE pre-eclampsia
8
Q
female sexual systematic enquiry
A
last menstrual period normal cycle intermenstrual bleeding postcoital bleeding menopause contraception/HRT vaginal discharge pelvic pain last cervical smear sexually active and history
9
Q
male sexual systematic enquiry
A
prostate - poor urinary flow, hestitancy or incomplete voiding discharge pain and itching erectile dysfunction sexually active and history
10
Q
MSK systematic enquiry
A
pain of stiffness in muscles, joints or back
can you dress yourself
can you get up and down stairs
11
Q
elements of the spike model
A
Setting Patient's perspective Invitation Knowledge Explore emotions and empathise Strategy and Summary
12
Q
paediatric history
A
developmental milestones
vaccinations
pregnancy and birth
school and nursery
13
Q
psychiatric mental state exam
A
appearance behaviour speech mood affect thoughts (form and content) percepts suicidal/homicidal thoughts insight cognition
14
Q
psychiatric history
A
past psychiatric history personal history forensic history pre-morbid personality mental state exam
