Annual Review
Good medical practice involves a clear history, physical examination and investigation in any out-patient review.
History from Alström person and family
- General well-being
- Psychology – adjustment to condition
- Mobility
- Eyesight and visual aids – Braille, IT
- Hearing and appropriate hearing aids
- Growth and development
Ask if there is any:
- Shortness of breath
- Tiredness
- Problems with passing water
- Heartburn
- What treatments are being taken?
Examination
- Observe mobility
- Weight, height, blood pressure
- Acanthosis
- Condition of feet
- Listen to heart and lungs
Investigation
Blood:
- Urea and electrolytes
- Liver function tests
- Haemoglobin A1c and blood glucose
- Serum triglycerides and cholesterol
- Thyroid function
- Oestrogen or testosterone, FSH and LH
Imaging:
- Bladder scan post micturition if urinary symptoms
- ECG
- Echocardiogram
Respiratory Function
From seven years and older standard respiratory function tests:
- Peak Flow
- Forced Expiratory Volume in 1 second (FEV)
- Forced Vital Capacity (FVC)
- FEV1/FVC ratio
- Digital oximetry at rest and after a five-minute walk
