At Peace

My Lifetime Stories in blog

Friday, January 14, 2005

History of Presenting Complaint

Just want to remind my self what are things needed in history of presenting complaint:
1. Details of each symptom - SR COPD SARA
2. Risk factor for related disease (breast cancer, cvs)
3. Question about related systems
4. Question about probable complication
5. Question to differentiate differential diagnosis
6. Background history of related dzs

Social History
1. Smoking (pack years - 1 pack years mean smoked 20 cig/day for 1 year)
2. Alcohol (change into unit/week)

3. Housing (storey, stairs, bathroom)
4. Social support (living with, helping neighbours, home helpers, community nurse)
5. Mobility (using stick, wheelchair)
6. Self catering (dressing, bathing, shaving)
7. House job (cleaning, cooking)

I am currently doing my attachment in St James's Hospital, Dublin. Few people there were suprised that Galway asked its students to do attachment when there is only 3 months left before final exam. It is true!! Imagine myself coming back to Galway in March, and only have 1 month to adapt with the way of consultant overthere... hmmm. However, Galway still is producing high quality medical graduates among medical school in ireland (Dr Maeve Murphy, trinity MedEL lecturer, 7 January 2005- when i think about it again, she probably saying that just as a sign of good gesture).

4 Comments:

  • At December 16, 2005 at 9:48 AM , Blogger job opportunitya said...

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  • At May 21, 2016 at 9:59 AM , Anonymous Anonymous said...

    What does SRCOPDSARA stand for?

     
  • At May 21, 2016 at 1:30 PM , Blogger arrpeace said...

    Site
    Radiation
    Character
    Onset
    Periodicity
    Duration
    Severity
    Aggregating factor
    Relieving factor
    Associated symptoms

    It was a eleborated mnemonic of SOCRATES. Either way, it was just an attempt not to miss important factors, but should not replace clinical judgment.

     
  • At May 21, 2016 at 1:30 PM , Blogger arrpeace said...

    Site
    Radiation
    Character
    Onset
    Periodicity
    Duration
    Severity
    Aggregating factor
    Relieving factor
    Associated symptoms

    It was a eleborated mnemonic of SOCRATES. Either way, it was just an attempt not to miss important factors, but should not replace clinical judgment.

     

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