Systematic direct questions

Question 1

Abdominal direct systematic questions?

Answer 1

Eating:

• Appetite
• Diet
• Weight loss or gain

Poo:

• Bowel habit
• Nature of stool colour and form
• PR bleeding/mucus
• Prolapse
• Tenesmus
• incontinence

Upper:

• Nausea
• Dysphagia
• Reflux
• Heartburn
• Vomiting
• Haematemesis
• Indigestion pain

Lower:

• Abdo pain
• Jaundice
• Distension

Question 2

Respiratory system direct systematic questions?

Answer 2

Cough
Sputum
Haemoptysis
Dyspnoea 
Hoarseness
Wheezing
Chest pain
Exercise tolerance

Question 3

Cardiovascular system direct systematic questions?

Answer 3

Dyspnoea & Paroxysmal nocturnal dyspnoea
Orthopnoea
Chest pain
Palpitations 
Ankle swelling
Dizziness 
Limb pain 
Walking distance
Colour changes in hands or feet

Question 4

Urogenital system direct systematic questions?

Answer 4

Loin pain
Frequency of micturition
Dribbling
Incontinence
Hesitancy
Dysuria
Urgency
Precipitancy
Thirst
Haematuria

Men:

• Sexual problems
• Poor stream

Females

• Date of menarche or menopause
• Frequency
• Quantity and duration of menstruation
• Vaginal discharge
• Prev. pregnancy & problems
• Prolapse
• Urinary incontinence

Question 5

Nervous system direct systematic questions?

Answer 5

LOC
Fits
Dizziness

Motor:

• Muscle weakness/paralysis
• Tremor

Sensation:

• Parasthesias
• Headaches
• Tinnitus
• Changes in smell, vision and hearing

Cognitive:

• Behaviour and Mood
• Memory loss

Question 6

MSK direct systematic questions?

Answer 6

Aches or pains in muscles, bones or joints.
Swollen joints?
Limitations in joint movement 
Locking 
Weakness
Gait disturbance