Systemic review

Question 1

What systems are in a systemic review?

Answer 1

• CNS
• Respiratory
• CVS
• GI
• Urogenital
• MSK
• Constitutional

Question 2

What should you ask about CNS in a systems review?

Answer 2

• Headaches?
• Visual disturbances?
• light headedness?
• LOC?
• Fits?
• Weakness?
• Parasthesiae?

Question 3

What should you ask about respiratory in a systems review?

Answer 3

• SOB?
• Wheeze?
• Cough?
• Sputum?
• Haemoptysis?
• Chest pain?

Question 4

What should you ask about CVS in a systemic review?

Answer 4

1. Chest pain
2. palpitations
   
   • feel your heart beating in your chest?
3. orthopnoea
   
   • feel SOB when lying down? Do you use pillows at night?
4. paroxysmal nocturnal dyspnoea
   
   • Wake up at night struggling to breathe?
5. ankle swelling

Question 5

What should you ask about GI in a systemic review?

Answer 5

1. Abdominal pain
2. nausea
3. vomiting
4. haematemesis
5. change in bowel habit
6. PR bleed
7. melaena

Question 6

What system do you start with in a systemic review?

Answer 6

Start on the most prudent/relevant system to the presenting complaint

Question 7

What do you ask about the urogenital system in a systemic review?

Answer 7

• Frequency
• nocturia
• polydipsia
• loin pain
• haematuria
• PV/penile discharge

(women): menarche, menopause, cycle, intermenstrual bleeding, post-coital bleeding

Question 8

What do you ask about MSK system in a systemic review?

Answer 8

• Myalgia (any muscle pain?)
• arthralgia (any joint pain?)
• back pain
• joint swelling

Question 9

What do you ask about constitutional symptoms in a systemic review?

Answer 9

• weight loss
• fever
• night sweats
• appetite

Question 10

What should you ask about a pt generally?

Answer 10

Their mood!

any changes in mood

anxious? low? see things that arent there? [gague this though]