Systemic questions

Question 1

General x9

Answer 1

• Fatigue
• Malaise
• Change in Weight/appetite
• Thirst
• Fever or rigors
• Night sweats
• Sleep disturbance
• Skin: rashes, bruising, bleeding or itching (pruritis)
• Neck swelling/lumps

Question 2

Respiratory System x8

Answer 2

• Cough - Sputum & Haemoptysis
• Shortness of Breath (dyspnoea)
• Wheeze
• Chest pain (pleuritic)
• Symptoms of Sinusitis:
  Blocked nose
  Nasal discharge
  Facial pain
  Reduced smell
• Earache
• Sore throat
• Change of taste or smell (COVID)

Question 3

Cardiovascular System x6

Answer 3

• Chest pain
• Shortness of Breath (dyspnoea)- when does it happen
• Palpitations
• Ankle oedema
• Varicose veins
• Claudication

Question 4

Gastrointestinal x14

3 groups

Answer 4

1. feelings:
   Change in appetite or weight
   Indigestion (dyspepsia)
   Nausea
   Abdominal pain
   Abdominal distension and bloating
2. problems:
   Mouth, teeth, tongue problems
   Difficuly swallowing (dysphagia)
   Jaundice
   Perianal symptoms, haemorrhoids, pain, itching
3. things coming out:
   vomiting
   Haematemesis
   Fat intolerance
   Bowel habit: change, constipation, diarrhoea, blood, mucus, melaena,
   faecal incontinence

Question 5

any symptoms that triggers both resp and CVS questions

Answer 5

chest pain
SOB

Question 6

Nervous System x10

Answer 6

speech disturbance
cognitive impairment- MSQ
headache
fits/faints/loss of consciousness
dizziness/vertigo
balance
vision- clarity/double
hearing
weakness
numbness/tingling/pins and needles

Question 7

questions in MSQ x9

Answer 7

1. name of town
2. address
3. year
   4.month
4. date
5. age
6. month born in
7. year born in
8. current PM
9. previous PM

Question 8

what to ask after seizure x6

Answer 8

length
movements- jerking, limbs involved
tongue biting
pass urine?
blue lips
rigidity?

Question 9

urinary system X11

Answer 9

SIGN POST- I need to ask you some standard questions about your waterworks to help us get to the bottom of whats going on.

URINARY:
Frequency
Dysuria- pain
Nocturia
Polyuria
Oliguria- passing less
Retention- being able to start/finish
Blood
Incontinence/urgency

GENERAL:
* Abdominal pain (suprapubic pain/flank, can be colicky/constant)
* Fever
* Nausea or vomiting
* Back Pain
* Weight Loss
* Sexually active?
* Erectile Dysfunction

PROSTATE:
difficulty/stream/dribble/ incomplete empty

Has this effect day to day life?