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History


General Structure

Background and management
Clinical symptoms
Functional status

Background and Management

When was the condition diagnosed?
Which specialist do you see? When did you last see them?
What management, medical or surgical, have you had so far?
What has been the tempo of progression of the disease?

Functional Status

What are you current living circumstances?
Does anybody else live with you?
How do you manage with basic ADLs (bathing, toileting, dressing, eating)?
How do you manage with instrumental ADLs (meal preparation, shopping, management of finances, caring for others)?

Cardinal Symptoms

Cardiovascular

Dyspnoea (exertional, orthopnoea, PND)
Chest pain
Palpitations
Syncope
Peripheral oedema
Intermittent claudication
Fatigue

Respiratory

Dyspnoea
Cough
Wheeze
Sputum production
Haemoptysis
Chest pain
Fever
Hoarse voice
Night sweats

Hepatic


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