13 Demo Patient Examination Flashcards
1
Q
What information should be obtained from patient history taking
A
Current presenting complaint History presenting complaint Medical history Medications Drug allergy Family history Social history eg occupation, smoking, pets
2
Q
True or false: there is a gold standard for diagnosis of asthma
A
False: Asthma symptoms and signs fluctuate over time therefore no diagnostic gold standard
3
Q
What is the asthma diagnosis made upon
A
- Presence > 1 from: chest tightness, breathlessness, cough and wheeze
- Symptom variability
- Diurnal variation
- Atopic history
- Recurrent attacks - trigger
- Absence of other diagnosis
- Variable FEV1 and PEF
4
Q
List the triggers for asthma
A
Immunological:
- Cold/flu
- Hormone
- Cigarette smoke
- Dust mite
- Pollens
- Pets
Non-immunological:
- Exercise
- Cold air
- Stress
5
Q
What is the optimal aim for asthma management
A
No daytime symptoms No disrupted night sleep No rescue medications No attack Minimal side effects Unlimited exercise
6
Q
What is included in asthma review
A
- Asthma control: inhaler use and symptoms over the last month
- Compliance with medications
- Inhaler technique
- Lung function assessment
- Education: avoiding triggers
