History
The history of presenting complaint should be directed towards identifying symptoms reflecting acute or progressive end organ involvement.
This table outlines the features which indicate potential end organ damage.
| Organ system | Symptoms | Underlying pathology |
|---|---|---|
| Cardiovascular | Chest pain Dyspnoea | Myocardial ischaemia Myocardial infarction Thoracic aortic dissection Left ventricular failure Pulmonary oedema |
| Central Neurological | Headache Seizures Visual disturbance Confusion Weakness | Cerebral encephalopathy +/- cerebral Haemorrhage |
| Renal | Oliguria Nocturia | Renal impairment |