πΈFocused Hx ( important Q. ) :
-How long have you been suffering from cough?
- paroxysmal or persistent?
- dry or productive?
-When does the cough get worse? (day or night)
- What is the character of cough?
- If productive of sputum, ask about its amount, color, odor, time of sputum production (morning), presence of blood and relation to posture change.
- associated with hemoptysis? If yes, fresh or altered blood?
-associated with chest pain, dyspnea?
- Is the cough aggravated by dust, cold air, smoke or pollen ?
- occur after eating or drinking?
- Are you taking any drug? (such as ACE inhibitor).
- Do you have diseases, such as rhinitis, asthma, heart disease, renal disorder ?
-How long have you been suffering from cough?
- paroxysmal or persistent?
- dry or productive?
-When does the cough get worse? (day or night)
- What is the character of cough?
- If productive of sputum, ask about its amount, color, odor, time of sputum production (morning), presence of blood and relation to posture change.
- associated with hemoptysis? If yes, fresh or altered blood?
-associated with chest pain, dyspnea?
- Is the cough aggravated by dust, cold air, smoke or pollen ?
- occur after eating or drinking?
- Are you taking any drug? (such as ACE inhibitor).
- Do you have diseases, such as rhinitis, asthma, heart disease, renal disorder ?
π Keep in your Mind :
βͺοΈ The first step is to assess for alarm symptoms. Next, define
the duration of the symptoms. Although most cases of acute
cough are due to viral infections and other benign diagnoses,
serious causes of cough may also present acutely.
βͺοΈ In elderly patients, acute cough may be the manifestation of left ventricular failure (chronic heart failure) or aspiration
βͺοΈ The first step is to assess for alarm symptoms. Next, define
the duration of the symptoms. Although most cases of acute
cough are due to viral infections and other benign diagnoses,
serious causes of cough may also present acutely.
βͺοΈ In elderly patients, acute cough may be the manifestation of left ventricular failure (chronic heart failure) or aspiration
Hemoptysis.pdf
1.3 MB
β
For more and more Details .
5- approach to Dyspnea :
π° Acute dyspnea
π°Chronic dyspnea
π° Acute dyspnea
π°Chronic dyspnea
dyspnea.pdf
927.7 KB
β
For more and more Details .
πΈFocused Hx ( important Q. ) :
-onset sudden (acute) or gradual (chronic)?
-occur with exertion or at rest?
- If exertional, how much activity causes breathlessness? (Mild, moderate and severe.
Ask how far he can walk or how many stairs he can climb or if he can undress himself without feeling
breathlessness).
-Do you get breathless at night that wakes you up from sleep (PND)? How do you feel better?
- Do you feel breathless on lying flat? (orthopnea).
- paroxysmal or progressive?
- any seasonal variation with breathlessness?
- any history of recent travel abroad by air?
- Do you smoke? If yes, number of sticks per day.
- any aggravating factor or occupational exposure to coal dust, etc ?
- any relieving factor? (drugs, rest, change of posture, after expectoration of sputum, etc).
-associated with other symptoms? (cough, chest pain, wheeze or hemoptysis)?
- any history of respiratory or cardiac disease or allergy or renal failure?
πΈFocused Hx ( important Q. ) :
-onset sudden (acute) or gradual (chronic)?
-occur with exertion or at rest?
- If exertional, how much activity causes breathlessness? (Mild, moderate and severe.
Ask how far he can walk or how many stairs he can climb or if he can undress himself without feeling
breathlessness).
-Do you get breathless at night that wakes you up from sleep (PND)? How do you feel better?
- Do you feel breathless on lying flat? (orthopnea).
- paroxysmal or progressive?
- any seasonal variation with breathlessness?
- any history of recent travel abroad by air?
- Do you smoke? If yes, number of sticks per day.
- any aggravating factor or occupational exposure to coal dust, etc ?
- any relieving factor? (drugs, rest, change of posture, after expectoration of sputum, etc).
-associated with other symptoms? (cough, chest pain, wheeze or hemoptysis)?
- any history of respiratory or cardiac disease or allergy or renal failure?