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Respiratory General History (Chest Pain? (S, O, A, C, T, R, E, S), Social…
Respiratory General History
Has they coughed up any blood? Haemoptysis
Have they had any swollen legs?
DVT
Heart Disease
1**. Introduction of yourself and ask patient for Name and DOB
Gain consent for the consultation**
Chest Pain?
S
O
A
C
T
R
E
S
Ask about SOB (How long, has it gotten worse, how far can they walk until they get breathless)
Orthopnoea
POD
Family History
HAS ANYONE BEEN ILL RECENTLY?
Any diseases common ?
Start with a open question such as "Why have you come to see me today"
Have they had a wheeze at all recently?
Cough : How long has it been going on for? Has it gotten any worse recently
Productive
What color
What is the smell
How much sputum
Non-productive
Each Symptom: ask for how long and has it been getting any worse?
Has the patient been feeling systemically unwell?
Night sweats?
Fever ?
Weight loss?
Nausea/Vomiting?
Past Medical History
COPD
ASTHMA
Bronchiectasis
PE/DVT
Cystic Fibrosis
Social History?
Smoking/Alcohol
Hobbies/Pets
Living Conditions? Damp Room ?
How is it impacting their everyday life?
Occupation
Any recent travel?
Have they had the BCG Vaccine
Drug History?
Medicinal
Allergies
Recreational