1. Surgical history
2. Drug history
3. Cardiac
4. Pulmonary
5. Alimentary
6. Nervous
7. Urogenital
8. Anxiety level

Surgical history

• Any prior operations.

Drug history

• Reactions to anesthetic during previous operation.
• Family history of reaction to anesthetic (malignant hyperthermia).
• Drugs currently takingtook in past.
• Allergies to drugs: dye and esp. antibiotics that you might need[differentiating s/e from allergy very important here].

Cardiac 

• Activity level.
• MIangina.
• HTN.
• Murmurs.
• IEprosthetic valve (antibiotic prophylaxis needed).
• Listen to heart sounds. See CardiacExamination.
• BP.

Pulmonary

• Smoking: ever smokedhow many per dayfor how longtype [cigarettepipechew].
• Dyspnoea.
• AsthmabronchitisTBCF.
• Chest infections.
• Listen to lungs. See LungExamination.

Alimentary

• Inspect: is patient obese?
• Goitre (impinges airway).
• Operations on throat.
• Reflux problemsheartburn (aspiration risk).
• Seasickness in past (more likely vomiting from drugs).
• Dentures.
• Loose crownsbridges.
• How far can pt open mouth?
• Pt sticks out tongueDr. looks at back of throat.
• Cervical injury
• Can pt touch chin to chestmove up and down.
• TMJ problems: never broken itdoesn't lockdoesn't click.
• How long have been fasting.
• Alcohol (heavy drinker needs more propofol).
• Speakingthroat problems [avoids post-op blame].

Nervous

• Epilepsy (propofol contraindicated).
• Other nervous disorders [avoids post-op blame].

Urogenital

• OCP
• No chance currently pregnant (drugs teratogenic and abortion riskaspiration risk from morning sickness).

Anxiety level

• How do you feel about operation?
• If very anxiousgive a benzodiazepene.

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