9.1 History Taking and Examination Flashcards

1
Q

Describe pleuritic chest pain

A

Felt anywhere in chest
Pain worse on inspiration
Sharp
Coughing

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2
Q

What are some causes of pleuritic chest pain?

A

Lobar pneumonia
Pulmonary embolism
Infarction
Pneumothorax

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3
Q

What is dyspnoea?

A

The awareness that it is taking an abnormal amount of effort to breathe

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4
Q

What is acute dyspnoea a sign of?

A

Pneumothorax
PE
Asthma attack

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5
Q

What is chronic dyspnoea a sign of?

A

Infection
Pleural effusion
COPD
Anaemia

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6
Q

What can a cough be a sign of?

A
Infection 
COPD
Asthma
Lung cancer
Side effect to medicine
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7
Q

What is haemoptysis?

A

Coughing up blood

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8
Q

What can cause haemoptysis?

A
Bronchitis
Pneumonia
TB
Pulmonary infarction
Bronchial carcinoma
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9
Q

What is a wheeze?

A

A whistling noise from the chest mainly on expiration

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10
Q

What can cause a wheeze?

A

Asthma, COPD, a foreign body

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11
Q

What is hoarseness?

A

Transient inflammation of the vocal cords

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12
Q

What is the cause of hoarseness?

A

Vocal cord tumour

Recurrent laryngeal nerve palsy

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13
Q

What drug can cause coughing as a side effect?

A

ACE inhibitor

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14
Q

What is a barrel chest?

A

Increased AP diameter

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15
Q

What is a pigeon chest?

A

Prominent sternum

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16
Q

What is a funnel chest?

A

Depression of lower end of sternum

17
Q

When might the trachea deviate towards the problem?

A

Upper lobe collapse

Pneumonectomy

18
Q

When might the trachea deviate away from the problem?

A

Large pleural effusion

Tension pneumothorax

19
Q

What structure will give a resonant sound when percussed?

A

Normal lung

20
Q

What structure will give a hyperresonant sound when percussed?

A

Pneumothorax (air)

21
Q

What structure will give a dull sound when percussed?

A

Solid structures like a collapsed lung or dense organs

22
Q

What structure will give a stoney dull sound when percussed?

A

Fluid filled area like a pleural effusion