respiratory history taking tips Flashcards

1
Q

pulmonary oedema is symptom of what?

A

heart failure - specifically left sided heart failure

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2
Q

what is the most sinister reason for voice horseless?

A

pharyngeal cancer

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3
Q

peripheral oedema is a symptom of what?

A

right sided heart failure

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4
Q

drenching night sweats (like change bedsheets etc) are indicative of what?

A

malignancy

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5
Q

what is it called when you have pain upon respiration?

A

pleuritic pain

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6
Q

what questions should you ask about a cough?

A
painful?
productive? (color, type, duration, amount, difference from normal, worse at time of day?) 
blood?
when did it start?
Did anything precipitate it?
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7
Q

what might be reasons for coughing blood?

A

TB

malignancy

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8
Q

what questions should you ask about dyspnoea?

A

is it associated with exertion?

What is your baseline exercise tolerance and how has that changed?

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9
Q

what is nocturnal dyspnoea?

A

wake up in the middle of the night short of breath and gasping

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10
Q

what is wheezing associated with?

A

COPD and asthma - more obstructive respiratory disease

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11
Q

What sort of respiratory causes of chest pain?

A

fractures,
PE,
pneumonia
any sort of reason for inflammation of the pleuritic surfaces

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12
Q

what is it called when you cough up blood?

A

Haemoptysis

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13
Q

what are the three atopic conditions?

A

Excema, Hay fever and asthma,

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14
Q

what does alpha 1 antitrypsin cause?

A

non-smoking linked emphysema

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15
Q

when is someone likely to get a DVT from being on oral contraceptives?

A

within the first few months after starting the pill

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16
Q

what people are likely to get a spontaneous pneumothorax

A

men - long tall skinny men

elderly people with emphysema

17
Q

unilateral pleuritic chest pain - what are our possibilities ?

A

PE
Pneumonia
Pneumothorax

18
Q

what is a confusion a potential sign of in a respiratory illness?

A

hypoxia secondary to infection