Presenting symptoms in Respiratory disease

Question 1

Chest pain could indicate a problem in which general areas?

Answer 1

Lungs- PLEURA
Heart
Bones, muscle, skin, GI tract in thorax

Question 2

Central crushing, heavy, tight band pain could indicate?

Answer 2

Cardiac pain

Question 3

symptoms indicating cardiac pain:

Answer 3

crushing, heavy, tight band pain
left sided
epigastric
can radiate to left arm, neck, jaw
autonomic symptoms
brought on by exertion

Question 4

Sharp chest pain, worse on inspiration, easily locatable/non-specific can indicate?

Answer 4

Pleuritic respiratory pain

Question 5

Burning pain, oesophagal spasm, trapped wind, reflux indicates?

Answer 5

GI pain

Question 6

Pain worse on movement, after a recent trauma and reproducible indicates?

Answer 6

musculoskeletal pain

Question 7

Important information about breathlessness?

Answer 7

• what’s normal for patient
• when?
• inspiration/expiration
• brought by any actions?
• apnoea?
• PND?
• associated symptoms?

Question 8

Very quick onset breathlessness indicates?

Answer 8

PE
Pneumothorax
Pulmonary oedema

Question 9

Subacute breathlessness indicates?

Answer 9

Pneumonia
Pulmonary oedema
pleural effusion
asthma

Question 10

Chronic breathlessness indicates?

Answer 10

COPD
pulmonary fibrosis
PE (small emboli)

Question 11

Dry cough is usually an indication of?

Answer 11

Post viral infection

Question 12

Productive cough (Sputum) is usually an indication of?

Answer 12

Bacterial infection

Question 13

Haemoptysis can be an indication of?

Answer 13

Infection (eg. TB)
Carcinoma
PE
Bronchiectasis

Question 14

Chronic cough can indicate?

Answer 14

Lung cancer
mesothelioma
pulmonary metastases
pulmonary fibrosis
sarcoidodis
pneumonitis

Question 15

Other factors to consider:

Answer 15

Weight loss
fevers
rashes

Question 16

Trachea deviation can indicate?

Answer 16

Lung collapse (trachea towards collapse)
Effusion (trachea away)

Question 17

Hyper-resonant percussion can indicate?

Answer 17

pneumothorax (boom)

emphysema

Question 18

impaired resonance can indicate?

Answer 18

consolidation

Question 19

Stony/dull resonance can indicate?

Answer 19

PE

Question 20

Reduced auscultation can indicate?

Answer 20

effusion/collapse

Question 21

transmitted auscultation can indicate? (similar to sound over trachea)

Answer 21

pneumonia/ pulmonary fibrosis

Question 22

wheeze could indicate?

Answer 22

asthma

bronchitis

Question 23

squeaks and crackles on inspiration can indicate?

Answer 23

bronchiolitis

Question 24

pleural click can indicate?

Answer 24

pneumothorax