Resp Flashcards
5 key symptoms
SOB, cough, sputum, haemoptysis, chest pain
7 questions for breathlessness
Acute/chronic, onset/duration, variability (diurnal), exacerbating factors, relieving factors, ass. symptoms (cough, sputum, haemop, pain, wheeze, night sweats, weight loss, oedema), severity (rest/exertion/ADL)
8 ass. symptoms breathlessness
Cough, sputum, haemoptysis, pain, wheeze, night sweats, weight loss, oedema
2 questions for cough
Onset/timing/duration, productive
7 questions sputum
Onset, variation (diurnal), colour, haemoptysis, consistency (fluid, mucous, frothy), quantity (teaspoon/cupfull), odour
What does rusty sputum suggest
Pneumococcal pneumonia
What does pink frothy sputum suggest
Pulmonary oedema
What does fetid smelling sputum suggest
Bronchiectasis/lung abscess
13 questions for haemoptysis
Origin (cough/vomit), onset/timing/duration, quantity, colour (fresh/dark), consistency (liquid/clots/mixed with sputum), sputum , chest pain, trauma (chest/elsewhere), recent/recurrent DVT, weight loss, fever/night sweats, SOB, bleeding/bruising elsewhere
Questions for pain
SOCRATES
4 PMH questions for resp
Previous resp problems (pneumonia -> bronchietasis/fibrosis, TB reactivation, measles/whooping cough -> bronchiectasis, asthma), previous surgery (dental -> aspiration, DVT risk factors), hear disease (pulmonary oedema - ask angina/orthopnoea/PND), immunocompromised atypical infections (HIV/immunosuppressed/post-transplant)
What do the following drugs do to resp system: ACE inhibitors, amiodarone, BB
Ace cough, amiodarone pulmonary fibrosis, BB worsen obstruction
7 social history questions
Occupation (industrial hazards eg dust/asbestos), smoking, pets (infection/hypersensitivity), overseas travel, living conditions (damp), alcohol, exercise/ADL
3 family history questions
Infections between family members, genetics of allergy/asthma, alpha 1-antitrypsin emphysema
