Systems enquiry Flashcards
(35 cards)
Cardiovascular S/e
Chest pain
Palpitations
Pre-syncope / syncope
Shortness of breath
Orthopnoea
Exercise intolerance
Peripheral oedema
Respiratory S/e
Shortness of breath
Cough
Sputum
Wheeze
Haemoptysis
Chest pain
Gastrointestinal S/e
Weight loss
Appetite change
Working down body:
- Dysphagia
- Nausea & vomiting
- Indigestion / heartburn
- Abdominal pain
- Abdominal distension / bloating
- Jaundice
- Bowel habit
- Tenesmus
- Blood/mucous in stool
What are some changes in bowel habit?
Constipation
Dialarhoea
Steatorrhea (light = fat malabsorption)
Melaena (dark = blood)
Urological s/e
Storage:
- Frequency
- Volume
- Urgency
- Nocturia
- Any incontinence?
Infection:
- Dysuria
- Haematuria
- Odor
- Pelvic pain
Prostatic:
- Hesitancy
- Poor flow / dribbling
- Incomplete emptying
- Haematuria
Neurological
Weakness
Sensory - Numbness, pins & needles
Changes in sight, smell, hearing or taste
Loss of consciousness (funny turns)
Dizziness
Balance
Memory problems / confusion
Headache
Speech
Neck stiffness / photophobia
Ear s/e
Hearing loss / tinnitus
Pain (otalgia)
Discharge
Ear fullness
Nose s/e
Runny nose (rhinorrhoea)
Sneezing
Epistaxis (nose bleeds)
Menstrual history
LMP
Cycle length (duration)
Cycle regularity - are they predictable?
Heavy or light
Painful
Gravida/para
Menarche
Contraception
Last smear
Discharge
MSK s/e
Pain
Stiffness:
- Morning vs day
- Improves / worsens with activity
Joint swelling
Decreased range of motion
Crepitus
Locking
Breast s/e
Rashes / discoloration
Pain
Lumps
Discharge
Psychiatry s/e
Depression - low mood
Anxiety
Self harm / suicidal ideation
Sleep pattern
Difficulty concentrating
Body image
Paranoia
Anhedonia
Lack of energy
Mania episodes
Personality changes
Hyperthyroid s/e
Prefer cold weather
Mood swings
Sweaty
Diarrhoea
Oligomenorrhoea (infrequent)
Weight loss with increased appetite
Tremor
Palpitations
Visual disturbance
Hypothyroid s/e
Prefer hot weather
Slow
Tired
Depressed
Thin hair
Croaky voice
Heavy periods
Constipation
Dry skin
Diabetes s/e
Polydipsia (excessive thirst)
Polyuria
Appetite
Hypoglycaemia - dizziness, sweating, headache, hunger
Adrenal s/e
Blood pressure:
- Postural hypotension
- Hypertension
Darkened skin
Fatigue
Weight loss
Muscle weakness
Anaemia s/e
Shortness of breath
Fatigue
Weakness
Palpitations
Dizziness
Pallor
Bleeding episodes
Dietary intake
Lymphoma s/e
Painless swollen lymph nodes
B-symptoms:
- Night sweats
- Fever
- Weight loss
Fatigue
Loss of appetite
Throat s/e
Sore throat
Odynophagia
Dysphagia (solids vs liquids)
Fever, chills, night sweats
Weight loss
Cough
Rheumatology s/e
Joints - pain, stiffness, swelling
Work down body:
- Skin (rashes, ulcers, Raynaud’s)
- Hair loss
- Eyes (redness, dryness)
- Mouth (dryness)
- Chest (breathlessness)
- G.I (IBD symptoms)
- Genitourinary (discharge)
Pregnancy s/e:
Fetal movements
Nausea & vomiting
Vaginal bleeding or discharge
Abdominal pain
Pruritis (itching = obstetric cholestasis)
Leg swelling
P.E screen - Chest pain & SOB
Anaemia screen - fatigue, SOB
Pre-eclampsia:
- Headache
- Visual disturbance
- Epigastric pain
- Oedema
Female sexual history
Abnormal discharge - volume, colour, consistency, smell
Vaginal bleeding - pattern, volume, colour, impact on QOL
Dyspareunia (pain during sex) - location, duration, nature
Vulval skin changes - lumps, bumps or rashes, itchy?
Sore throat
Enlarged lymph nodes
Male sexual history
Discharge - colour, consistency, volume/frequency, smell
Dysuria
Haematuria
Testicular pain or swelling
Skin changes or lesions
Abdominal and pelvic pain
Rectal discharge, pain, lump
Anal skin changes
Sore throat
Enlarged lymph nodes
Depression history
Low mood
Anhedonia
Lack of energy
Fatigue
Associated symptoms:
- Disturbed sleep
- Change in appetite
- Agitation
- Poor concentration
- Nihilistic
- Feelings of worthless or guilt
- Reduced libido
- Thoughts of self-harm or suicide
