Flashcards
Advanced clinical learning
Flashcards do conjunto (32)
- 1What is the first stage of history taking?Ask about the patients principle complaint.
- 2What is the second stage of history taking?Ask about the history of the presenting complaint.
- 3What do you need to find out when asking about the history of the presenting complaint?The effect of complaint on activities and living. Use SOCRATES to get details of the complaint.
- 4What is the third stage in history taking?Ask about any previous medical history.
- 5What do you need to find out about the previous medical history?Any past illnesses, hospitalisations, operations or treatments.
- 6What is the fourth stage in history taking?Asking about drug history and allergies.
- 7What should you ask about drug history and allergens?Any prescribed medications they take, any over the counter meds or herbal remedies, any side effects with medication and finally any allergies.
- 8What is the fifth stage in history taking?Asking about social history.
- 9What should you ask about when taking a social history?Occupation, marital status, accommodation, hobbies, social life, smoking and alcohol consumption, diet, sleeping, sexual activity.
- 10What is the sixth stage in history taking?Ask about family history of illnesses or diseases.
- 11What is the seventh stage in history taking?Conduct a systems review of whatever system you think the problem may be presenting in e.g. cardio, endocrine, gastro.
- 12What does the acronym SOCRATES stand for?Site
Onset
Character
Radiation
Alleviating factors
Timing
Exacerbating factors
Severity - 13How do you ask about the S in SOCRATES?Site= where exactly is your pain?
- 14How do you ask about the O in SOCRATES?Onset= When did this pain start, what were you doing when the pain started?
- 15How do you ask about the C in SOCRATES?Character= What does the pain feel like? e.g. stabbing, dull, ache.
- 16How do you ask about the A in SOCRATES?Alleviating factors- is there anything you have found can help the pain?
- 17How do you ask about the R in SOCRATES?Radiation= does the pain travel anywhere else in the body.
- 18How do you ask about the T in SOCRATES?Timing= how long have you had this pain?
- 19How do you ask about the E in SOCRATES?Exacerbating factors- does anything worsen this pain?
- 20How do you ask about the S in SOCRATES?Severity= can you rate this pain on a scale of 1-10?
- 21What symptoms relate to the CNS/neuro?Headaches, head injury, dizziness, vertigo, sensations, fits, faints, weakness, visual disturbances, memory and concentration changes.
- 22What symptoms relate to the eye?Visual changes, redness, weeping, itching, discharge.
- 23What symptoms relate to the endocrine system?Excessive thirst, tiredness, heat intolerance, hair distribution, change in appearance of eyes.
- 24What symptoms relate to cardiovascular?Chest pain, breathlessness, palpitations, ankle swelling, pain in lower legs when walking.
- 25What symptoms relate to respiratory?Shortness of breath, cough, wheeze, sputum, colour of sputum, blood in sputum and pain when breathing.
- 26What symptoms relate to ENT?Earache, hearing deficit, sore throat.
- 27What symptoms relate to gastrointestinal?Dental/gum problems, tongue problems, difficulty in swallowing, nausea, vomiting, heartburn, colic, abdominal pain, change of bowel habits, colour of stool.
- 28What symptoms relate to the genitourinary system in women?Onset on menstruation, last menstrual period, timing and regularity of periods, length of periods, type of flow, vaginal discharge, incontinence, pain during sexual intercourse.
- 29What symptoms relate to the genitourinary system in men?Hesitancy, passing urine, frequency of micturition (urinating), incontinence, urethral discharge, erectile disfunction, change in libido.
- 30What symptoms relate to the musculoskeletal system?Joint pain, joint stiffness, mobility, gait (walking), falls, time of day of pain.
- 31What symptoms relate to integumentary (skin)?General pallor of patient e.g. pale, flushed, cyanotic, jaundiced, rashes, lumps, itching, bruising.
- 32How do you end the session with the patient?Explain what are the next steps e.g. pass this information along to the doctor, mri etc. Then ask the patient if they are happy and if there is anything else i can help them with.
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- FlashCards sobre Advanced clinical learning, criado por Bethan Miller em 02-01-2024.
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- Bethan Miller
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