Checklist – Counseling “History of Acute Intermittent Porphyria”
| Introduction | Points |
| Introduce and check the details | 1 |
| Consent | 1 |
| Presenting Compliant | |
| Elicit intermittent nature of abdominal pain | 1 |
| Details on length of suffering and regularity of attacks | 1 |
| Dermal lesions: photosensitive | 1 |
| Autonomic activation/ GI: Vomiting, Hypertension, Constipation, neurological signs | 1 |
| Neurological: respiratory failure, cerebellar signs (DANISH), | 1 |
| Colour of urine | 1 |
| Elicit relapsing course | 1 |
| Family History: Autosomal dominant | 1 |
| Elicits trigger: Alcohol, infections, starvation, medication, menstrual period | 2 |
| Other | |
| Past medical history: previous admissions and what happened | 1 |
| Medications | 1 |
| Social history: alcohol and smoking | 1 |
| Closure | |
| Summarise findings | 1 |
| Question Investigations: urinary urobilinogen, FBC, U&E, LFTs, haematinics (increased iron), abnormal GTT, porphobilinogen deaminase in erythrocytes | 1 |
| Question Management: prevent triggers and supportive | 1 |
