Presenting complaint

History of presenting complaint

Symptoms

• Cyanosis/Cyanotic episodes
• Dyspnoea
• Exercise tolerance
• Cough, Orthopnoea and Hoarseness
• Chest pain
• Failure to thrive
• Arrhythmias
• Headaches
• Pyrexia

Systems enquiry

Past medical history

Cancer history

Pregnancy

Birth history

Family history

Maternal health

Immunisations

Developmental

Social problems

Sex

General inspection

Limbs

• Clubbing
• Pulses
• Blood pressure

Head and neck

Chest

• Apex beat
• Heaves
• Thrills
• Perfusion
• Inspection
• Percussion
• Auscultation
• Student notes

Acites and Pitting oedema

Liver

Fundoscopy