cough and congestion d1

Question 1

acute cough+congestion/

HIV clues

hint: clues valid for any dz

Answer 1

1. blood Product recipent;
2. h_igh-ris^k se^xu_{al b}ehav^ior.
3. I_VDU;
4. th_rush;
5. Ka_pos^{i sar}co^ma.

hint: PMHx, SHx, ROS

Question 2

acute cough+congestion/

As_pirati^on/ risk factors

Answer 2

_PMHx:_D^eliriu_{m o}r de^mentia. c_erebro^vascula^{r ac}cident;

SgHx: se_datio^{n. e}ndosc_{opy. b}ronch^oscop^{y. nas}oga^{stric fe}eding.

SHx: alcoh_{ol o}r dru^{g ab}use.

ROS:vom_iting/di^fficul^{ty sw}allowing;

hint: PMHx, Sghx, Shx, anything that affect mentation or mechanical aspect of swallowing

Question 3

acute cough+congestion/

TB clues/ valid for any dz

Answer 3

1. re_cent ex_posur^{e to} a pt w do^cumen^ted ac^tive TB.
2. hx of a + P^PD.
3. fe_ver o_{r nig}ht sw^eats for 3 +w^eeks.
4. +> 10% w_eight l^oss

hint: cc: sick contact/ PHx, ROS/ general.

Question 4

acute cough+congestion/

influenza clues

Answer 4

1. fl_{u se}asoⁿ: dec to end of may: 12 to 5
2. no_{n va}ccin^ated pt ag^ainst the c^urrent st^rain .
3. Oth_{er co}mmon ^sx include HA; sore throat; m_yalgies. and s_udde^{n on}se^{t of} sx.

hint:

Question 5

acute cough+congestion/

pneumonia/

sx

Answer 5

1. al_tered m_en^{tal sta}tus
2. hig_{h fe}v^er;
3. rig_ors;
4. d_yspn^ea;
5. pl_euriti^{c che}st _pain;

hint:

Question 6

acute cough+congestion/

pneumonia/vital sign

Answer 6

Abnorm^{al V}S including

1. hi^{gh fe}ver ( > 38°C);
2. tach_ypnea (RR > 24 breaths per minute);
3. tac_hycardia (HR > 100 bpm)

hint:

tachy: u try to get + air,+ oxygenated blood

Question 7

acute cough+congestion/

pneumonia/ riskfactors

Answer 7

1. el_der_{ly p}atients +
2. lu_ng;
3. hea^rt;+kidney dz(risk factors == higher risks of complication if u get these dz in addition to pneumonia or a simple cold )
4. im_munocom^prom^ised

hint: