Checklist – Counseling “History of Acute Intermittent Porphyria”

Introduce and check the details1
Presenting Compliant 
Elicit intermittent nature of abdominal pain1
Details on length of suffering and regularity of attacks1
Dermal lesions: photosensitive1
Autonomic activation/ GI: Vomiting, Hypertension, Constipation, neurological signs1
Neurological: respiratory failure, cerebellar signs (DANISH),1
Colour of urine1
Elicit relapsing course1
Family History: Autosomal dominant1
Elicits trigger: Alcohol, infections, starvation, medication, menstrual period2
Past medical history: previous admissions and what happened1
Social history: alcohol and smoking1
Summarise findings1
Question Investigations: urinary urobilinogen, FBC, U&E, LFTs, haematinics (increased iron), abnormal GTT, porphobilinogen deaminase in erythrocytes1
Question Management: prevent triggers and supportive1


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