Recurrent Infections Describe what happens Rate from 1 to 10. Current episode: When did it start Having the symptoms on and off or constant? Changes over time Previous episodes When did they start Change over time Is it worse this time compared to previous episodes. Is it always the same type? E.g. resp, UTI etc. Patterns Seasonal Context Context of onset Ideas and triggers Changes at time of onset Anything makes them worse Anything makes them better When they get the previous episodes, what they do to make it go away? Associated features: Fever Duration Pattern Bleeding Brusing Lymph node enlargement Medications history Past medical history Allergies Vaccinations Surgeries Family history Social history Diet Smoking Alcohol Recreational drugs Exercise Occupation Travel Differentials Immunosuppressive states: DM Chemotherapy Medications Chronic diseases DM COPD Leukemias Multiple myeloma Fever Night sweats Weight loss Bone pain -> especially pain Hypercalcemia Spontaneous fractures Increased infections Petechial bleeding Foamy urine Neutropenia Fever Fatigue Sore throat Swollen lymph nodes Ulcers in mouth and around the anus Pain, swelling and rash at an infection site. Diarrhoea Urinary features: Dysuria Urgency Frequency HIV infection Fever Fatigue Myalgia Arthralgia Generalised non tender lymphadenopathy Generalised rash Nausea Diarrhea Weight loss Sore throat Ulcerations Painful swelling Lymphocytopenia Enlarged lymph nodes Enlarged spleen Small tonsils or lymph nodes Pallor Petechiae Jaundice Mouth ulcers Painful and swollen joints Rash