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Systemic Enquiry OSCE Guide

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16 views3 pages

Systemic Enquiry OSCE Guide

Uploaded by

dungek30
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Systemic Enquiry – OSCE Guide

geekymedics.com/systemic-enquiry-osce-guide

Dr Lewis Potter October 5, 2020

Systemic enquiry post pic

A systemic enquiry (also known as a systems review) involves performing a brief screen for symptoms in other body systems which may or
may not be relevant to the primary presenting complaint. A systemic enquiry may also identify symptoms that the patient has forgotten to
mention in the presenting complaint.

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Deciding on which symptoms to ask about depends on the presenting complaint and your level of experience.

Some examples of symptoms you could screen for in each system are shown below.

You may also be interested in our history taking guides.

Systemic symptoms
Systemic symptoms to screen for include:

Fevers
Night sweats
Weight change
Fatigue

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You might also be interested in our premium collection of 1,300+ ready-made OSCE Stations, including a range of communication skills
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Cardiovascular symptoms
Cardiovascular symptoms to screen for include:

Chest pain
Palpitations
Dyspnoea
Pre-syncope
Syncope
Orthopnoea
Peripheral oedema

Respiratory symptoms
Respiratory symptoms to screen for include:

Dyspnoea
Cough
Sputum
Wheeze
Haemoptysis
Pleuritic chest pain

Gastrointestinal symptoms
Gastrointestinal symptoms to screen for include:

Appetite change
Nausea
Vomiting
Dyspepsia
Dysphagia
Weight loss
Abdominal pain
Abdominal distension
Jaundice
Changes in bowel habit: constipation, diarrhoea, steatorrhoea, melaena, hematochezia

Genitourinary symptoms
Genitourinary symptoms to screen for include:

Changes in urine output or colour: oliguria, polyuria, anuria, dark urine, haematuria
Infective symptoms: urinary frequency, dysuria, flank pain, offensive discharge, pelvic pain

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Bladder control symptoms: urinary urgency, urinary incontinence
Obstructive symptoms: terminal dribbling, nocturia
Uraemic symptoms: fatigue, nausea, anorexia, pruritis

Neurological symptoms
Neurological symptoms to screen for include:

Visual symptoms: blurred vision, changes in colour vision, sudden loss of vision, floaters
Headache: unilateral headache, bilateral headache, thunderclap headache
Motor or sensory disturbance: muscle weakness, numbness, paraesthesia
Loss of consciousness including seizures
Confusion

Ear, nose and throat symptoms


Ear, nose and throat symptoms to screen for include:

Hearing loss/tinnitus
Otalgia
Facial pain
Persistent nasal discharge
Epistaxis
Dysphonia
Dysphagia
Odynophagia

Musculoskeletal symptoms
Musculoskeletal symptoms to screen for include:

Bone and joint pain


Muscular pain
Trauma

Dermatological symptoms
Dermatological symptoms to screen for include:

Rashes
Skin lesions
Skin colour changes
Ulcers

Copyright © Geeky Medics

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