Respiratory History Flashcards
what are the key parts of a history and how do they relate to resp Hx?
HPC - key resp symptoms PMH- conditions and co-mobidities drug history - regular and side effects family history - inherited, contact social history - risk factors travel history - TB, DVT/PE
what are you asking about: HPC
dyspnoea cough sputum wheeze haemoptysis chest pain stridor systemic symptoms
what are you asking about: PMH
conditions: asthma, pneumonia, COPD, PE, malignancy, TB
co-morbidities: CVD, NMD, malignancy
what are you asking about: drug Hx
regular: inhalers, steroids, diuretics, home oxygen
side effects:
beta blockers and NSAIDs (bronchoconstriction)
ACE inhibitors (dry cough)
oestrogen - COC or HRT (PE)
amiodarone and methotrexate (pleural effusion, interstitial lung disease)
what are you asking about: family Hx
inherited: CF, asthma, atopy, lung cancer
contact: virus, pneumonia, TB
what are you asking about: social Hx
smoking cannabis coal mining keeping pigeons bakers lung shipyard/construction/plumber - asbestos farmer
what are you asking about: travel Hx
high risk area for TB
long haul flight - PE
what do you need to know about cough
dry vs productive
what do you need to know about sputum
volume
colour
consistency
what do you need to know about wheeze
triggers
poly/monophonic
what do you need to know about haemoptysis
volume
what do you need to know about chest pain
socrates
what do you need to know about systemic symptoms
fever
night sweats
weight loss
