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Respiratory Seminar (SOB/dyspnoea (Abnormal patterns (Cheyne-Stokes…
Respiratory Seminar
SOB/dyspnoea
Onset
Time course
Secs to mins
Asthma
PE
Pneumothorax
Pulmonary oedema
Anaphylaxis
Foreign body obstruction
Hours/days
COPD
Cardiac failure
Infection
Pleural effusion
Metabolic acidosis
Weeks/longer
Pulmonary fibrosis
COPD
Interstitial lung disease
Anaemia
On exertion
Fibrosis
Heart failure
Valvular heart disease
Severity
Walking distance
Time to walk up flight of stairs
Position
Lying down (orthopnoea)
PND
No of pillows
Sitting up (platypnoea)
Lying on 1 side (trepopnoea)
Associated sx
Haemoptysis
Haematorrhea
Wheeze, cough
Chest pain
After SOB
Angina
PE
Upon inhalation
Pericarditis
Pleuritis
Causes
Noncardiorespiratory
Anaemia
Anxiety
Multiple sclerosis
Myasthenia gravis
Respiratory
Pneumonia
COPD
Pneumothorax
Pleural effusion
Cardiac
Left ventricular failure
Mitral valve disease
Cardiomyopathy
Pericardial effusion
Abnormal patterns
Cheyne-Stokes breathing
Kussmaul’s breathing
Sleep apnoea
Hyperventilation
Paradoxical breathing
Cough
Onset
Sudden
Foreign body obstruction
Acute
Infection
Chronic
Underlying dzs
After eating
Reflux
Fistula
Character
Dry
ACE inhibitors
Allergy
Irritation
Productive
*look at sputum
#
Time
Morning
COPD
Reflux
Evening (night cough)
Asthma
Heart failure
Associated sx
Heartburn
Fever
Chest pain
SOB
Wheezing
Haemoptysis
Headache
Facial tenderness
Causes
Respiratory
CVS
GI
Psych
Iatrogenic
Other Histories
Past Medical history (PmHx)
Respiratory illness
Investigations
Immunosuppressive conditions
Occupational hx
Substance
Coal pneumoconiosis
Silicosis
Asbestosis
Talcosis
Agriculture
Bird fancier’s lung
Farmer’s lung
Aspergilllosis
Social hx
Alcoholism
Pneumococcal/Klebsiella pneumonia
Family hx
A1AT deficiency
Emphysema
Sputum
Colour
Yellow
Acute pneumonia
Bronchitis
Green
Pneumonia
Bronchiectasis
Purulent yellow/green
Bronchiectasis
Lobar pneumonia
Rusty brown
Strep pneumoniae
Pink & frothy
PE, cardiac failure
Blood (haemoptysis)
Cancer
Tuberculosis
Pneumonia
Dark
Abscess + anaerobe
Khaki green
Bronchiectasis
Volume