Dyspnoea Interview Flashcards
Is the site important?
No
What is the quality?
Heavy
Shallow
What are the aspects of severity that you should explore?
In relation to exertion
How far can you walk before becoming short of breath?
Is it present at rest?
People have wide tolerance
What should you focus on in time course?
Sudden/slow onset
Worsening with time/episodic
What can context provide?
Clues to diagnosis
What can you ask about aggravating factors?
Anything that makes it worse?
Orthopnoea usually caused by heart failure
- Measure severity by asking how many pillows they need at night when sleeping
What can you ask about relieving factors?
Anything that relieves it?
Tried taking anything for it?
How effective was it?
What should you focus on in associated features?
Specific questions to help point to diagnosis Chest pain Cough Wheeze Swelling of ankles