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 |