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Respiratory system history taking - Coggle Diagram
Respiratory system history taking
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chest pain
! distinguish cardiac chest pain from other causes
Ask the patient to point to the chest pain
CLENCHED FIST OVER STERNUM ?MI/ACS
Finger pointing to an area = musculoskeletal pain
hand moving from neck to epigastrium = heart burn
OPD F LIQR SAAC
LOCATION
INTENSITY
QUALITY
ONSET
RADIATION
PROGRESSION
DURATION
FREQUENCY
CHRONIC VS ACUTE ILLNESS
SYMPTOMS ASSOCIATED WITH ILLNESS
AGGRAVATING FACTORS
ALLEVIATING FACTORS
anxiety and costochondritis are a common cause of chest pain
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fun fact : no pain receptors in lung. pain from respiratory pathology originates from nerves in parietal pleura. pericarditis pain is also mostly because of inflammation and irritation of adjacent parietal pleura
dyspnea
!! def- it is a painless , uncomfortable awareness of breathing that is inappropriate for the level of exertion.
present at rest or on exertion
quantify how much exertion causes onset of dyspnea
OPD F SAAC
ANXIOUS PATIENTS - shallow breathing , hyperventilation w paresthesias - pins and needles around areas mouth or limbs
cough
def - reflex response to stimuli that irritate receptors in larynx , trachea or large bronchi
OPD F SAAC
duration !
Acute : <3 weeks
viral URTI is m/c/c/o cough
acute bronchitis
pneumonia
LV heart failure
asthma
foreign body
subacute : 3- 8 weeks
Sinusitis
post infectious cough
asthma
chronic ; more than 8 weeks
post nasal drip !!
GERD
c. bronchitis
bronchiectasis
sympoms associated with disease - sputum
volume , color , odor , consistency
mucoid sputum is translucent vs purulent - yellow or green
foul smelling sputum in anaerobic lung abscess lung abscess and bronchiectasis
wheezing
hemoptysis
coughing up of blood from lungs .
range ; blood streaked sputum to frank blood
confirm the source d/d
can originate from mouith, pharynx , GI tract
occasionally pt with GI bleed/ nasopharynx bleed will aspiratre and cough out blood
blood from stomach is dark colored