Quality Temporal factors: How did the condition change over time? Quantity Aggravating and alleviating factors Associated symptoms Beliefs Impact Concerns Expectations 3. Systems Review + Risk Factors SYSTEMS REVIEW MSK PNS Pain Swelling Joint stiffness (morning/after activity) Loss of motion Loss of function Deformity Weakness Instability Fever Weight loss Seizures or Fits Fainting Dizziness Vertigo Headache Paraesthesia/Anaesthesia Weakness (One/Both sides) Gait or Movement Problems Visual, Hearing, Smelling disturbance Neck stiffness Disturbance of sphincter control (bowel, bladder) Head injury with loss of consciousness
Chest pain/heaviness Exertional dyspnoea Paroxysmal nocturnal dyspnoea Orthopnoea Ankle swelling Palpitations Intermittent claudication Syncope Fatigue RISK FACTORS Gender Obesity Occupation and Sport Family history Infections Medication (eg. corticosteroids >2 months) Overseas travel Poor diet (inadequate dietary calcium and vit D) Smoking Excess alcohol PH of musculoskeletal injury or other conditions Past history of cancer Diabetes Alcohol Diet (eg. vit 812 deficiency) Infections (Shingles, Meningitis) Cancer Drug use and abuse Injuries Hypertension PH of CVD (eg. MI, IHD, CABG, stroke) FH of CVD (age
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