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Osce > Respirstory History > Flashcards

Respirstory History Flashcards

1
Q

Describe the characteristic pain in pulmonary disease

A

Unilateral
Aggravated by deep inspiration, coughing, sneezing
Usually localised to chest wall

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2
Q

Where can diaphragmatic pain refer to?

A

Shoulder to or anterior abdo wall

C3, 4, 5

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3
Q

What can right lower lobe pneumonia cause?

A

Upper abdo pain

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4
Q

Causes of acute breathlessness

A

Acute asthma
PNEUMONIA
Pneumothorax
Pe

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5
Q

Causes of intermediate onset breathlessness

A

Bronchial carcinoma
Pleural effusion
Tuberculosis

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6
Q

Causes of chronic breathlessness

A

Copd

Interstitial lung disease

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7
Q

Previous breathing problems and baseline

A 
How has breathing been in the past 
Breathless lying flat 
Woken up gasping for breath 
How many pillows 
How far can you walk 
Able to walk further before?
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8
Q

Other repository symptoms

A 
Stridor 
Wheeze
Cough 
Sputum
Haemoptysis
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9
Q

Pmh

A 
Childhood asthma/ wheeze/ bronchiolitis
Malignancy 
Infections 
Chest trauma or operations  
Asthma /Copd
Dvt
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10
Q

Social history

A 
Recent travel 
Occupation 
Pets
Hobbies 
Alcohol 
Illcit drugs- smoked?
Sexual -hiv/aids
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11
Q

Family history

A

Atopic illness
Dvt
Infections diseases such as 8th
Current health of close contracts

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12
Q

Drug history

A 
Inhalers 
Steroids 
Ace inhibitors 
Aspirin 
Nsaids
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13
Q

Allergies

A

Drug
Food
Inhaled
Pets

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14
Q

Systemic enquiry

A 
Loss of appetite 
Malaise 
Weight loss 
Night sweats
Fevers 
Upper respirstory symptoms 
Urinary 
Cardio-angina, ankle swelling
Ra 
Neuromuscular disease
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15
Q

Further investigations

A 
Bloods - fbc, u&e, calcium, lfts, for
ECG
Peak flow
Abg 
Chest x-ray 
Sputum culture 
Spirometry 
Bronchoscopy
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16
Q

Curb65

A 
Confusion 
Urea >7
RR >30
BP <90/60
age >65

Osce (11 decks)

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