Common chest histories - Cough Flashcards

1
Q

What would you want to ask about a cough?

A
  • Duration, progression, timing
  • Productivity
  • Sputum
  • Haemoptysis
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2
Q

What would you want to ask about sputum?

A
  • How much
  • How often
  • Colour
  • Consistency
  • Any blood
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3
Q

What would you want to ask about haemoptysis?

A
  • Volume
  • Fresh/altered
  • Frequency
  • Mixed in??
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4
Q

What systemic questions would you want to ask about in someone with a cough?

A
  • Fever, sweats, weight loss
  • Chest pain
  • Palpitations
  • SOB/wheeze
  • Leg swelling
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5
Q

What features associated with a cough would suggest URTI/LRTI/pneumonia as a cause?

A
  • Acute productive cough
  • May have associated SOB
  • Systemic symptoms - fever
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6
Q

What features associated with a cough would suggest asthma as a cause?

A
  • Nocturnal cough
  • Intermittent wheeze
  • Diurnal variation
  • Exacerbating factors - pets, exercise
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7
Q

What features of a cough would suggest post-nasal drip?

A
  • Chronic rhinitis/sinusitis
  • Chronic cough to clear throat
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8
Q

What features associated with a cough suggest COPD as a cause?

A
  • Chronic productive cough
  • Significant smoking history
  • Chronic SOB
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9
Q

What features associated with a cough would suggest lung tumour?

A
  • Haemoptysis
  • Weight loss
  • Significant smoking history
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10
Q

What are cardiorespiratory causes of cough?

A
  • URTI/LRTI/Pneumonia
  • Asthma/COPD
  • Post-nasal drip
  • Lung tumour
  • Smoking
  • LVF
  • Bronchiectasis
  • CF
  • Sarcoidosis/TB
  • Interstitial lung disease
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11
Q

What are non-cardiorespiratory causes of a cough?

A
  • GORD
  • Drugs
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