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)

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2
Q

Cough

A

Onset, timing, duration (acute, chronic)
Recent change
Diurnal variation
Productive?

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3
Q

Sputum

A
Onset, timing duration, variation, diurnal variation
Colour (rusty, red)
Consistency
Quantity
Odour
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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
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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
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6
Q

Drug history, allergies

A

ACEi - cough
amiodarone - pulmonary fibrosis
beta blockers - wheeze/airway obstruction

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7
Q

Social history

A
Job
Smoking
Pets
Travel
Living conditions
Alcohol
Exercise/ADLs etc
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8
Q

Family history

A

Infections - spreadable
Asthma etc - genetics
Emphysema -a1 antitrypsin deficiency - genetic

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9
Q

Symptoms to ask about

A
Cough (Sputum)
Shortness of breath 
Wheeze
Fever 
Night sweats 
Chest pain
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