General respiratory Flashcards
1
Q
Shortness of breath
A
Acute/Chronic?
Onset, timing, duration, variability, diurnal variation
Exacerbating factors (cold air, exertion, allergies)
Relieving factors (rest, medication)
Associated symptoms (cough, sputum, haemoptysis, pain, wheeze, night sweats, weight loss, oedema)
Severity (at rest, ADLs, on exertion)
2
Q
Cough
A
Onset, timing, duration (acute, chronic)
Recent change
Diurnal variation
Productive?
3
Q
Sputum
A
Onset, timing duration, variation, diurnal variation Colour (rusty, red) Consistency Quantity Odour
4
Q
Haemoptysis
A
Origin of blood Onset, timing, duration, variation Quantity Colour (fresh, dark blood) Consistency (liquid/clots) Sputum Chest pain Recent trauma to chest? Recent/current DVT? Weight loss, fever, night sweats SOB Bleeding/bruising elsewhere
5
Q
Past medical history
A
Pneumonia - bronchiectasis/fibrosis TB - reactivation Measles/whooping cough - bronchiectasis Asthma Surgery: abominal, pelvic, orthopaedic - DVT Surgery: dental - aspiration Cardiac disease - pulmonary odema Immunocompromised
6
Q
Drug history, allergies
A
ACEi - cough
amiodarone - pulmonary fibrosis
beta blockers - wheeze/airway obstruction
7
Q
Social history
A
Job Smoking Pets Travel Living conditions Alcohol Exercise/ADLs etc
8
Q
Family history
A
Infections - spreadable
Asthma etc - genetics
Emphysema -a1 antitrypsin deficiency - genetic
9
Q
Symptoms to ask about
A
Cough (Sputum) Shortness of breath Wheeze Fever Night sweats Chest pain
