Presenting Symptoms In Respiratory Disease

Question 1

What is SOCRATES?

Answer 1

Site
Onset (gradual or sudden)
Character 
Radiation 
Associations (nausea, vomiting)
Timing (duration of pain)
Exacerbating and alleviating factors 
Severity (1-10 (or compare to childbirth))

Question 2

After the presenting complaint has been taken what else should be asked?

Answer 2

Systemic enquiry
PMH
RH (drug history)
FH
Social

Question 3

Where could the chest pain coming from?

Answer 3

Cardiac
Respiratory
Gastro
Muscular

Question 4

What would be a sign of cardiac chest pain?

Answer 4

Tightness

Question 5

What would be a sign of respiratory chest pain?

Answer 5

Hurts to breathe

Question 6

What would be a sign of gastro chest pain?

Answer 6

Burning sensation (acid reflux)

Question 7

What would be a sign of muscular chest pain?

Answer 7

Painful to touch

Question 8

What are some of the sinister causes of a cough?

Answer 8

Lung cancer
Mesothelioma
Pulmonary metastases

Question 9

What are some courses of a cough (non-sinister)?

Answer 9

Pulmonary fibrosis
Sarcoidosis
Pneumonitis

Question 10

What is sputum composed of?

Answer 10

Neutrophils
Eosinophils
Bacteria/fungus/virus
Airway secretions

Question 11

What is haemoptysis?

Answer 11

Coughing up of blood.

Question 12

What is massive haemoptysis?

Answer 12

More that 500ml in 24 hours

Question 13

What is non massive haemoptysis?

Answer 13

Less that 500 ml in 24 hours.

Question 14

What are the big four respiratory causes of haemoptysis?

Answer 14

Infection
Carcinoma
PE
Bronchiectasis