Sponsors

You're browsing as an anonymous user. Join the community today to view notes at your university, edit pages, and share knowledge!

Respiratory History

From Mediwikis

Presenting Complaint

  • Cough
    • Frequency
    • Mucus
      • Colour
      • Amount (teaspoon, eggcup, mug)
    • Blood
    • Taste/Smell
  • Chest Pain
    • SOCRATES
      • Character
        • Sharp/Pleuritic ("stabbing")
        • Dull/Ache ("toothache")
        • Isolate from cardiac origin
    • Location
  • Dyspnoea (breathlessness)
    • Progression
      • Sudden/Gradual, hours/months
    • Exacerbating/Relieving factors
    • Severity
    • On exertion
      • How far can they walk before being out of breath?
  • Wheeze
    • On inspiration or expiration? (Stridor)
    • Time (Day/Night)
  • Apnoea (not breathing)
    • Waking up not breathing (Sleep apnoea)
    • Snoring
    • Daytime sleep

Drugs

  • Recent dose change
  • Previous effectiveness
  • Inhalers, Oxygen, thrombolytics

Family History

  • Cystic Fibrosis
  • Asthma
  • Eczema

Social History

  • Smoking
    • How long for
    • Still smoking?
    • How many per day
    • Calculate pack years (cigs/day out of 20 x number of years smoking)
  • Pets
  • Occupational History
    • Industry
    • Cleaning
    • Asbestos exposure
    • Symptoms better or worse during work?