Diarrhoea questions Diarrhoea is subjective, and can be defined as an increase in the volume, frequency or fluidity of stool relative to normal for the patient. Dysentery is diarrhoea with the presence of blood, mucous and protein in the stool, and often associated with signs and symptoms of systemic illness, e.g. fever, weight loss, anorexia, […]

Chest pain questions: Where –> system involved What –> pathology How –> functional limitation Why –> aetiology Patient’s age SOCRATES – site, onset, character, radiation, associated symptoms, time course, exacerbating/relieving factors, and severity. Character: crushing or pressure –> cardiac tearing pain through to back –> dissection sharp, stabbing –> pulmonary burning, ‘indigestion’ –> GI …but […]

Abdominal pain questions: Where –> system involved What –> pathology How –> functional limitation Why –> aetiology Patient’s age SOCRATES – site, onset, character, radiation, associated symptoms, time course, exacerbating/relieving factors, and severity. Character: Onset: constant pain rather than intermittent = worse Location: correlate with organs potentially affected Radiation: started centrally and migrated to RIF […]

Confusion and syncope Confusion is a symptom, not a diagnosis. Confusion is a recent alteration in higher cerebral functions such as memory, attention and awareness (not alertness or consciousness). There is a broad range of severity of confusion; it can be as minor as a disturbance to short-term memory, to an inability to relate at […]