Beschermd: MAAS-MI Review of Systems

1HEART: Chest Pain

2HEART: Chest Pain / Palpitations

• 2.1Complaint Heuristic

  1. Asks whether the patient is aware of their heartbeat and what it is like;
  2. Asks whether during episodes of palpitations the heartbeat is slower or faster, regular or irregular, and whether the episodes stop suddenly or gradually;
  3. Asks about the nature of any palpitations (skipping, racing, fluttering, pounding, stopping).

• 2.2Time-Intensity Heuristic

  1. Asks how long the episodes last, how many hours a day;
  2. Asks about episodes over the last month.

• 2.3

• 2.4

• 2.5

3HEART: Chest Pain / Shortness of Breath

• 3.1Complaint Heuristic

  1. Asks whether breathing feels uncomfortable and requires effort during rest.

• 3.2Time-Intensity Heuristic

  1. Asks whether the dyspnoe:
     • Changes during the day;
     • Is getting worse during the night.
  2. Asks:
     • When the dyspnoe started;
     • How it changed over time.

• 3.3Triggering & Decreasing Factors Heuristic

  1. Asks whether the dyspnoe occurs when the patient is lying down and improves while sitting or standing;
  2. Asks how many pillows the patient uses to sleep comfortable;
  3. Asks whether the dyspnoe occurs during rest, during exercise or after exercise.

• 3.4Accompanying Complaints Heuristic

  1. Asks about accompanying symptoms: wheezing and coughing.

• 3.5

4HEART: Chest Pain / Peripheral Edema

• 4.1Complaint Heuristic

  1. Asks about swelling anywhere, in feet and legs, in vingers and hand, around the eyes, around the middle;
  2. Asks about tightness with shoes, rings, belts, and clothes.

• 4.2Time-Intensity Heuristic

  1. Asks whether the swelling is worse in the morning or at night.

• 4.3

• 4.4

• 4.5

5HEART: Chest Pain / Loss of Consiousness

• 5.1Complaint Heuristic

  1. Asks about any dizziness or loss of consciousness followed by recovery.

• 5.2Time-Intensity Heuristic

  1. Asks how long the episode lasted;
  2. Asks about the number of episodes in the last month.

• 5.3Triggering & Decreasing Factors Heuristic

  1. Asks whether the episode occurred with or after exercise.

• 5.4Accompanying Complaints Heuristics

  1. Asks about accompanying symptoms: chest pain, palpitations.

   

• 5.5

• 6.1References & Further Reading

  • Bickley, L., Szilagy, P., Hoffman, R., & Soriano, R. (2021). Bates’ Guide to physical examination and history-taking. Wolters Kluwer, Philadelphia
  • de Jongh, T., Schijf, V., van ’t Spijker, A., Pellikaan-van der Veer, M., 2019). Handbook History-taking (Leerboek Anamnese). Bohn, Stafleu, van Lochum, Houten.

• 6.2

• 6.3

• 6.4

• 6.5

• 7.1

• 7.2

• 7.3

• 7.4

• 7.5

• 8.1

• 8.2

• 8.3

• 8.4

• 8.5

• 9.1

• 9.2

• 9.3

• 9.4

• 9.5

• 11.1

• 11.2

• 11.3

• 11.4

• 11.5

• 12.1

• 12.2

• 12.3

• 12.4

• 12.5

• 13.1

• 13.2

• 13.3

• 13.4

• 13.5

• 15.1

• 15.2

• 15.3

• 15.4

• 15.5

• 16.1

• 16.2

• 16.3

• 16.4

• 16.5

• 17.1

• 17.2

• 17.3

• 17.4

• 17.5

• 18.1

• 18.2

• 18.3

• 18.4

• 18.5

• 19.1

• 19.2

• 19.3

• 19.4

• 19.5

• 20.1

• 20.2

• 20.3

• 20.4

• 20.5

• 21.1

• 21.2

• 21.3

• 21.4

• 21.5

• 22.1

• 22.2

• 22.3

• 22.4

• 22.5

• 24.1

• 24.2

• 24.3

• 24.4

• 24.5

• 25.1

• 25.2

• 25.3

• 25.4

• 25.5

• 26.1

• 26.2

• 26.3

• 26.4

• 26.5

• 27.1

• 27.2

• 27.3

• 27.4

• 27.5

• 29.1

• 29.2

• 29.3

• 29.4

• 29.5

• 30.1

• 30.2

• 30.3

• 30.4

• 30.5

• 31.1

• 31.2

• 31.3

• 31.4

• 31.5

• 32.1

• 32.2

• 32.3

• 32.4

• 32.5

• 33.1

• 33.2

• 33.3

• 33.4

• 33.5

• 35.1

• 35.2

• 35.3

• 35.4

• 35.5

• 36.1

• 36.2

• 36.3

• 36.4

• 36.5

• 37.1

• 37.2

• 37.3

• 37.4

• 37.5

• 38.1

• 38.2

• 38.3

• 38.4

• 38.5

• 39.1

• 39.2

• 39.3

• 39.4

• 39.5

• 41.1

• 41.2

• 41.3

• 41.4

• 41.5

• 42.1

• 42.2

• 42.3

• 42.4

• 42.5

• 43.1

• 43.2

• 43.3

• 43.4

• 43.5

• 44.1

• 44.2

• 44.3

• 44.4

• 44.5

• 45.1

• 45.2

• 45.3

• 45.4

• 45.5

• 46.1

• 46.2

• 46.3

• 46.4

• 46.5

• 48.1

• 48.2

• 48.3

• 48.4

• 48.5

• 49.1

• 49.2

• 49.3

• 49.4

• 49.5

• 50.1

• 50.2

• 50.3

• 50.4

• 50.5

• 52.1

• 52.2

• 52.3

• 52.4

• 52.5

• 53.1

• 53.2

• 53.3

• 53.4

• 53.5

• 54.1

• 54.2

• 54.3

• 54.4

• 54.5

• 55.1

• 55.2

• 55.3

• 55.4

• 55.5

• 57.1

• 57.2

• 57.3

• 57.4

• 57.5

• 58.1

• 58.2

• 58.3

• 58.4

• 58.5

• 59.1

• 59.2

• 59.3

• 59.4

• 59.5

• 61.1

• 61.2

• 61.3

• 61.4

• 61.5

• 62.1

• 62.2

• 62.3

• 62.4

• 62.5

• 64.1

• 64.2

• 64.3

• 64.4

• 64.5

• 65.1

• 65.2

• 65.3

• 65.4

• 65.5

• 66.1

• 66.2

• 66.3

• 66.4

• 66.5

• 67.1

• 67.2

• 67.3

• 67.4

• 67.5

• 68.1

• 68.2

• 68.3

• 68.4

• 68.5

• 69.1

• 69.2