General Resp

Question 1

Heart failure:

• PMHx?
• Common complaints at night?
• Signs L vs R?

Answer 1

IHD, hypertension

Orthopnoea, paroxysmal nocturnal dyspnoea

L: Bi-basal crackles, third heart sound (S3)

R: Peripheral oedema, raised JVP

Question 2

Aortic stenosis:

• Common symptoms?
• Signs?

Answer 2

Chest pain, SOB, syncope

Ejection systolic murmur radiating to neck, narrow pulse pressure

Question 3

When to suspect recurrent small PE as a cause for SOB?

Answer 3

Predisposing factors e.g. malignancy

Pleuritic chest pain, haemoptysis, vague symptoms

Tachycardia and tachypnoea often acutely

Right heart failure in severe cases

Question 4

When to suspect anaemia as cause of SOB?

Answer 4

Hx of GI/menstrual bleeding
Tiredness, vague complaints
Pallor

Question 5

What resp disorder does obesity cause?

Answer 5

Obesity hypoventilation syndrome

Leads to resp acidosis and type 2 resp failure