Palpitations history taking - OSCE prep PDF

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Summary

history taking...

Description

Palpitations history taking

Opening consultation - Wash hands and don PPE - Introduce - Patients name and DOB - Explain that you would like to ask questions and gain consent

Presenting complain - What bought you in to see me today - Or tell me about the issues you have been experiencing - Ask them to expand on PC - Can you tell me more about that - Can you explain what palpitations feel like

History of PC -

Onset o How and when o Did it start suddenly o What where you doing

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Precipitating and relieving factors o Are they any triggers (like coffee or alcohol) o Does anything make them better or worse

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Rate and rhythm o How fast are the palpitations o Did you record your pulse rate o What does it feel like o Can you tap out the patterns

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Duration and frequency o How long has it been happening o How often o If you strain or hold your breath does it stop (PST)

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Associated features o Syncope and pre syncope – AF o Chest pain – MI – explore with SOCRATES o SOB o Sweating – MI or thyroid o Fatigue – thyroid anaemia

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Explore ICE

ICE

Summarise and signpost - Summarise what they have said - Signpost what will do next

Systemic enquiry - Now I will ask about other symptoms - You can answer yes or no - Fevers, night sweats and weight loss - Cough, wheeze, chest pain - Heartburn, nausea, vomiting - Headache, vision changes - Trauma - Rashes and ulcers - Opening bowels and passing urine - Eating well

Then ask patient about past medical, drug, allergies, family and social history

Closing - Summarise - Any questions - Thank patient...