1. Greets, shake hands, Introduce yourself & identify the patient’s details
(Name, Age)
Good morning, Ms, Maam,.. My name is .... I am 3rd year medical students.
Can you tell me your name and your age?
2. Gain informed consent from the patient
I would like to ask you a few questions, is that okay with you?
3. Reason for patient seeking medical advice
-How can I help you?
4. Further exploration of the presenting complaint.
-Can you tell me more about it?
5. Site; location* Where is the pain exactly? (Can you point it with your finger for me, pls...)
6. Character* What was the pain like?
7. Onset, duration * How long did the pain last for?
What were you doing at that time?
8. Severity* How severe was the pain? (rate 1-10, 1 the least, 10 the worst pain)
9. Radiation* Did the pain spread anywhere?
10. Periodicity* How often do you feel the pain?
11. Precipitating /relieving factors*
What makes the pain worse?
Does anything make it better?
12. Associated symptoms* Did you noticed any thing else at the time? Nausea? Sweating?
13. Other Cardiovascular Symptoms- Dysponea, Orthopnoea, Paroxysmal nocturnal dyspnoea, Ankle swelling, Palpitations, Syncope, Claudication
14. General enquire; also specific enquiry about other CVS conditions/risks factors (Including Diabetes; Hypertension; hyperlipidaemia)
Surgery- Bypass, check up at IJN
Stroke, TIA, intermittent claudication (pain during walking)
15. Any prescribed medication? Over the counter medication? Allergies?
16. General enquiry; Any history of IHD / Diabetes / Hyperlipideamia?
Death because of heart problem, what age? M < 55, F < 65
Any sudden death?
17. Occupation (Are you stressful?) / alcohol / smoking history (How many per day)
Effect of symptoms on lifestyle / work
18. Safenetting (Is there anything else you want to say, please come back if you have any enquiry or problem) .
19. Thanks and greets the patient…
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