Common chest histories - Cough Flashcards
1
Q
What would you want to ask about a cough?
A
- Duration, progression, timing
- Productivity
- Sputum
- Haemoptysis
2
Q
What would you want to ask about sputum?
A
- How much
- How often
- Colour
- Consistency
- Any blood
3
Q
What would you want to ask about haemoptysis?
A
- Volume
- Fresh/altered
- Frequency
- Mixed in??
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
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
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
7
Q
What features of a cough would suggest post-nasal drip?
A
- Chronic rhinitis/sinusitis
- Chronic cough to clear throat
8
Q
What features associated with a cough suggest COPD as a cause?
A
- Chronic productive cough
- Significant smoking history
- Chronic SOB
9
Q
What features associated with a cough would suggest lung tumour?
A
- Haemoptysis
- Weight loss
- Significant smoking history
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
11
Q
What are non-cardiorespiratory causes of a cough?
A
- GORD
- Drugs