General
Wl Night sweats Lumps Fatigue, malaise, lethargy Sleep pattern Appetite Fever Itch or rash Recent trauma
Cardioresp
CP Exertional dyspnoea and quantify exercise tol PND, orthopnoea. Number of pillows Oedema- ankle, leg, sacrum Palpitations. Tap the rhythm Cough- sputum, haemoptysis Wheeze
GI
Abdo pain- colicky or constant, sharp or dull, site, radiat, durat, onset, severity, rel to eating and bowel movem, alleviating or exacerbating, assoc feats. Swallowing Indigestion NV Bowel habit Stool- colour, consis, blood, mucous, diffic to flush, tenesmus (tum or IBS) or urgency. Haematemesis Malaena
GU
Stress or urge incontin Dysuria Urine- colour, haematuria, frothy Nocturia Frequency or polyU Hesitancy Terminal dribble Vaginal disch Mensturation- freq, regul, heaviness, durat, pain, LMP, prev preg/births, menarche, menop, preg now.
Neuro
Special senses Seiz or faints Parasthesia or numbness Limb weakness, poor bal Speech probs Sphincter disturb High mental func and psych disturb Function!
MSK
Pain, stiff, swell
Diurnal variat
Func deficit
Systemic dis sugns eg rash, mouth ulcer, nasal stuffiness, malaise, constitutional.