Clinical Skills: Respiratory History

Question 1

Approach to cough

What does a chronic cough suggest?

Answer 1

1. Asthma
2. Ace Inhibitor
3. Bronchiectasis
4. Carcinoma of the lung
5. Cardiac failure
6. COPD
7. Gastro-esophageal reflux
8. Psychogenic (having a psychological origin).
9. Upper airway cough syndrome

GO PAC Ur BACC

Question 2

approach to cough

What does a Acute cough suggest?

Answer 2

1. Common cold
2. Sinusitis
3. Pneumonia
4. Bronchitis
5. COPD exacerbation
6. Inhalation of broncial irritant(e.g. smoke or fumes)

**PIC BROCES(BroCES)

Question 3

Describe the differential diagnosis based on its Origin and Character

Larynx- barking, painful

Answer 3

Laryngitis, Pertussis(whooping cough)

Question 4

Describe the differential diagnosis based on its Origin and Character

Bronchi- sometimes productions, worse at night, worse in the morning, with blood.

Answer 4

Asthma

COPD

Bronchial Malignancy

Question 5

Describe the differential diagnosis based on its Origin and Character

ACE Inhibitors- Dry, scartchy, persistent

Answer 5

Medication Induced

Question 6

Describe the differential diagnosis based on its Origin and Character

Larynx/Nasopharynz- Throat Clearing, Chronic

Answer 6

Postnasal drip,

Acid Reflux

Question 7

Describe the differential diagnosis based on its Origin and Character

Lung parenchyma- dry then productive, chronic, very productive, with blood, irritating and dry, worse on lying down

Answer 7

Pneumonia

Bronchiectasis

Tuberculosis(TB)

Interstatila Lung Disease

Pulmonary Oedema

Question 8

What does a subacute cough suggest?

Answer 8

1. Post-infectious cough
2. Exacerbations of underlying diseases.