History Taking

Question 1

Acute cough

Answer 1

(<3 wks)
.upper respiratory tract infection
.pneumonia
.congestive cardiac failure

Question 2

Subacute cough

Answer 2

(3- 8 weeks)
.postal nasal drip
.GERD
.post infective

Question 3

Chronic cough

Answer 3

> 8 wks
• Bronchial Asthma
• Post nasal drip
• GERD
• Drugs like ACE inhibitors
• Eosinophilic bronchitis
• Pulmonary Tuberculosis
• COPD
• Bronchogenic carcinoma
• Congestive cardiac failure

Question 4

Nocturnal cough

Answer 4

• Post nasal drip.
• GERD
• Chronic brochitis.
• Bronchial asthma.
• Obstructive sleep apnea
• Left Ventricular Failure
• Aspiration

Question 5

Serous sputum

Answer 5

–(like water) Upper Respiratory tract Infection, Bronchoalvelolar carcinoma

Question 6

Mucoid sputum

Answer 6

– (like jelly) Chronic bronchitis, Bronchial Asthma

Question 7

Mucopurulent sputum

Answer 7

Bacterial infection

Question 8

Yellow / Green sputum

Answer 8

Bacterial infection

Question 9

Black sputum

Answer 9

Coal Worker Pneumoconiosis

Question 10

Pink frothy sputum

Answer 10

Pulmonary edema

Question 11

Rusty sputum

Answer 11

Pneumococcal Pneumonia

Question 12

Red currant jelly sputum-

Answer 12

Klebsiella

Question 13

Blood tinged / streaking of sputum-

Answer 13

Tuberculosis

Question 14

Anchovy sauce sputum

Answer 14

Ruptured amoebic abscess

Question 15

Foul smell

Answer 15

– Lung abscess – Bronchiectasis – Anaerobic bacterial infection

Question 16

DYSPNEA Within minutes

Answer 16

– Pneumothorax – Pulmonary embolism – Inhalation of foreign body – Laryngeal edema – Left heart failure

Question 17

DYSPNEA Hours to Days

Answer 17

– Acute Respiratory Distress Syndrome – Bronchial Asthma – Pneumonia – Left heart failure

Question 18

DYSPNEA Weeks to Months

Answer 18

– COPD – ILD – Pleural effusion – Anemia – Thyrotoxicosis – Left ventricular failure

Question 19

Grading dyspnea

Question 20

Causes of hemoptysis

Answer 20

Infections – TB – Lung Abscess – Bronchiectasis – Pneumonia – Fungal infection (aspergillosis blastomycosis)

– Bronchogenic ca – Bronchial adenoma – Metastatic tumour

• Cardiovascular system Pulmonary embolism Mitral stenosis AV malformation Pulmonary HT

• Collagen vascular disorder Vasculitis Wegener’s granulomatosis (GPA) Microscopic polyangitis Churgstrasuss syndrome (EGPA) Goodpastures’s syndrome
• Traumatic • Iatrogenic • Bleeding disorder

Question 21

Causes of chest pain

Answer 21

• Upper – Tracheatis
• Mid and Lower  Aortic disseciton  MI  Mediastinitis  Mediastinal tumor  GERD  Achalasia cardia  Diffuse esophageal spasm

Question 22

Pleural Inflammation

Answer 22

Catchy pain, increases on deep inspiration and on pressure is stabbing in character.

Question 23

Pancoast tumor

Answer 23

shoulder and arm pain due to compression of C8, T1
-2 roots is sharp shooting pain along the course of nerve.

Question 24

Pancoast tumor

Answer 24

shoulder and arm pain due to compression of C8, T1
-2 roots is sharp shooting pain along the course of nerve.

Question 25

Erosion of ribs

Answer 25

constant dull aching chest pain.

Question 26

Tietze’s syndrome

Answer 26

costochondritis (usually 2nd costochondral junction), unknown etiology.