The General Approach to the Patient

Key Points to Remember

Perform an ‘End-Of-The-Bed-O-Gram’:

  • Look at the patient.
  • Look at the observation chart.
  • Speak to the nurse.

Use our ‘system of 5′:

History Examination
  1. Onset
  2. Progression
  3. Duration
  4. Associated Symptoms
  5. Risk Factors
  1. Consent
  2.  Inspection
  3.  Palpation
  4.  Percussion
  5.  Auscultation
Investigations Management
  1. Bedside tests
  2.  Blood tests
  3.  Microbiology
  4.  Imaging
  5.  Specialist tests
  1. Does the patient need oxygen?
  2. Fluid balance: IV fluids? Urinary catheter?
  3.  Drugs: Analgesia, Anti-emetic, Antibiotics
  4.  VTE prophylaxis
  5.  Escalation

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