Tutorial 0 - Taking a consultation

Question 1

How should you frame a consultation?

Answer 1

• “How can i help”
• “Tell me more about this”
• “Any other symptoms related to this that you are worried about”
• ICE - “do you have any ideas what it could be”, “do you have any other concerns”, “what were you hoping to get from today?”
• Adress red flags if they are appropriate to do so and ask more focussed questions now.
• Examinations
• Management plan

Question 2

How would you take a chest pain history?

Answer 2

• SQITARS
• Site - where is the pain
• Quality - Describe the pain - dull
• Intensity
• Time
• Adverse
• Relieving
• Symptoms other

Question 3

How would you take a SOB history?

Answer 3

• When do you get short of breath
• How long has it been going on for
• Does anything make it worse
• Doies anything make it better
• Exercise tolerance?
• Heart failure (worse when lying down) and MI (radiating pain, nausea vomiting ), chest infection (fever, productive cough,wheeze)