CLIN RESP Systems Review - Week 1

Question 1

Respiratory Systems Review Qs (all, incl. overlapping w ENT…)

Answer 1

• Cough
  o Do you have a cough? Timing, duration, character (e.g., barking, whooping…), acute vs chronic, dry vs wet/productive?
• Sputum/phlegm
  o Do you produce sputum/phlegm? Colour , amount , nature , smell ?
• Haemoptysis
  o Do you ever cough up blood? Colour ? Amount? How long? Onset?
• Wheeze
  o Do you have a wheeze?
• Hoarse voice
• Dyspnoea
  o Do you ever feel breathless? Variability? Triggering factors (e.g., exercise)
• Chest pain
  o Do you have chest pain? What is it like? Is it made worse by breathing?
• Sinuses
  o Do you have a postnasal drip ? Sore throat? Painful/blocked/discharging ears? Runny nose/rhinorrhoea? Sneezing?
• Facial pain
  o Do you ever suffer from facial pain?
• Epistaxis
  o Do you ever have nose bleeds?
• Sleep apnoea
  o Do you snore? Does your sleeping partner report your snore? Do you have apnoeic episodes? Have any apnoeic episodes been reported by your sleeping partner? Do you have daytime sleepiness or wake not feeling refreshed? Fatigue?
• Stridor
  o Do you have a stridor?
• Systematic effects
  o Do you ever have fevers I? Night sweats ? Myalgia ? Have you noticed any weight loss ? Fatigue? Malaise?

Question 2

Respiratory Systems Review Qs (those specific to RESP only)

Answer 2

• Cough
  o Do you have a cough? Timing, duration, character (e.g., barking, whooping…), acute vs chronic, dry vs wet/productive?
• Sputum/phlegm
  o Do you produce sputum/phlegm? Colour , amount , nature , smell ?
• Haemoptysis
  o Do you ever cough up blood? Colour ? Amount? How long? Onset?
• Wheeze
  o Do you have a wheeze?
• Hoarse voice
• Dyspnoea
  o Do you ever feel breathless? Variability? Triggering factors (e.g., exercise)
• Chest pain
  o Do you have chest pain? What is it like? Is it made worse by breathing?
• Systematic effects
  o Do you ever have fevers I? Night sweats ? Myalgia ? Have you noticed any weight loss ? Fatigue? Malaise?

Question 3

FHx Qs which should be incorporated if pt presents w cough?

Answer 3

Lung cancer, TB, emphysema…

Question 4

Potential causes of dry cough

Answer 4

Asthma, side effects of ACE inhibitors, GERD disease @ night

Question 5

White sputum is often seen in

Answer 5

Cold/virus

Question 6

Green/yellow sputum is often seen in

Answer 6

Infections

Question 7

Pink sputum (maybe w some blood) is often seen in

Answer 7

Pneumonia

Question 8

Character of sputum produced in asthma

Answer 8

Thick

Question 9

Character of sputum produced in pulmonary oedema

Answer 9

Frothy, sometimes pink.

Question 10

FHx Qs which should be incorporated if pt presents w wheeze?

Answer 10

Hay fever, asthma, eczema.

Question 11

What part of breath is affected by wheeze vs stridor?

Answer 11

WE SI

Question 12

Causes of acute SOB

Answer 12

Pulmonary embolism, asthma attack

Question 13

Causes of chronic SOB

Answer 13

COPD

Question 14

Causes of epistaxis

Answer 14

Severe high BP, runny nose due to cold/virus
Remember: Luna’s ‘episkey.’