GENERAL OBSERVATION: ANY ACUTE DISTRESS PRESENT OR NOT
Points to be taken care of.
Following acute conditions should be taken care of immediately:
Breathlessness
Acute chest pain
Ongoing haematemesis, haemoptysis, haematuria, haematochezia, melaena,
epistaxis or bleeding from any part of the body
Acute abdominal pain
Incessant vomiting, continuous hiccough
High rise of temperature with or without rigor
Severe headache
Convulsions
Delirious (with acutely disturbed state of mind and shouting relentlessly)
Psychosis (e.g., with abnormal behaviour)
Blue tongue and periphery (e.g., central cyanosis)
Functional overlay (e.g., hysterical personality).
NB: A proper history cannot be elicited in comatose, drowsy, dysphasic, deaf, delirious,
psychotic, severely dementic, or mentally retarded patient. In this setting, history should
be obtained from the relatives or accompanying persons.
Points to be taken care of.
Following acute conditions should be taken care of immediately:
Breathlessness
Acute chest pain
Ongoing haematemesis, haemoptysis, haematuria, haematochezia, melaena,
epistaxis or bleeding from any part of the body
Acute abdominal pain
Incessant vomiting, continuous hiccough
High rise of temperature with or without rigor
Severe headache
Convulsions
Delirious (with acutely disturbed state of mind and shouting relentlessly)
Psychosis (e.g., with abnormal behaviour)
Blue tongue and periphery (e.g., central cyanosis)
Functional overlay (e.g., hysterical personality).
NB: A proper history cannot be elicited in comatose, drowsy, dysphasic, deaf, delirious,
psychotic, severely dementic, or mentally retarded patient. In this setting, history should
be obtained from the relatives or accompanying persons.