DR. WALEED HADDAD ASS. PROF CONSULTANT ORTHOPAEDICS SYMPTOM ANALYSIS DR. WALEED HADDAD ASS. PROF CONSULTANT ORTHOPAEDICS
Site Let the patient name and point to the site of pain
Duration and Frequency Since when? Comes in attacks How many times How long in between the attacks (free of pain, mild or negligible pain)
Radiation and Referral
Severity Subjectivs not objective Mild, moderate, sever: depends on pain threshold of the patient Indirect question Did you sleep? Does it awake you from sleep? Does it stop you doing your job? Did you seek any consultation before?
Nature Burning Throbbing Tearing Dull Heaviness Compressing …..
Onset Sudden Over short period Gradual insedious
Course Continuous Interrupted: pain free periods Fluctuant How long each Fluctuant
Frequency Comes in attacks How many times How long in between the attacks (free of pain, mild or negligible pain)
Aggravating Factors What increases the pain? Food Exercise Certain movement .
Relieving Factors Rest Medication Sitting Leaning .
Associated Symptoms Nausea Vomiting Fever Dizziness Loss of appetite …….