Resp PCP presentations Flashcards
Asthma:
Quality
SOB
Cough
Wheeze
“Tightness”
Asthma:
Severity
Frequency of symptoms
Use of relievers
Hospital admission
Need for preventer
Asthma:
Context
Triggers: Exercise Pollen Smoke Dust Air
Change in workplace or living arrangements
Asthma:
Personal history
The atopic things (allergy, eczema, hayfever)
Medications (as NSAIDs etc can cause asthma)
Asthma:
FHx
Atopic illnesses in the family
Asthma:
Social history
Life/work exacerbating their asthma
Asthma affecting their life/work
Smoking:
Broad framework
Quantity Circumstances/triggers Dependence Harm Quitting
Smoking:
Quantity questions
Duration
Amount
Change over time
Smoking:
Circumstances/triggers questions
When do you smoke
Do your friends/coworkers/partner
Any situations that make you crave cigarettes
Smoking:
Dependence
Withdrawal symptoms
How soon after waking
Smoking:
Harm
Health effects
Financial/social effects
Smoking:
Quitting
Current motivation
Previous attempts
Previous techniques
What are the stages of Prochaska and Diclemente’s model of change
(Relapse) Precontemplation Contemplation Action Maintenance
Cough:
Quality
Sound of the cough
Dry/productive
If productive: sputum colour, volume consistency, odor, pus or blood
What defines an acute cough?
Up to 2 weeks
What defines a chronic cough?
More than 8 weeks
Cough:
Associated features
Cancer/TB stuff
Dyspnoea
Heartburn
Heart failure stuff
“Cancer/TB stuff” associated features?
Fever
Night sweats
Weight loss
Anorexia
Cough:
PHx
Smoking
Travel/immigration
Cardiac risk factors (if heart failure)
Asthma
Cough:
FHx
Cancer
“Heart failure stuff” associated features
Oedema Dyspnoea Cough Orthopnoea Nocturia Fatigue
If a patient isn’t sure if it was haemoptysis or haematemesis, how can we distinguish?
The prodrome:
Cough will feel like irritation in the chest or throat
Vomit will have nausea and abdo discomfort
What is the definition of “massive haemoptysis”?
200-600ml in 24 hours
