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RESP. HISTORY TAKING pt.1 - Coggle Diagram
RESP. HISTORY TAKING pt.1
Introduction
Name and DOB
Explain
Consent
Ensure the patient is comfortable
Privacy and explain confidentiality
Presenting Problem
Patient's words
, "what brought you here?"
History of Presenting Problem
Onset, Duration, Severity, Course, Intermittent/continuous, Precipating factors, Relieving Factors, Associated features, prev. episodes
Resp. symptoms
: Dyspnoea, cough,wheezing,,Haemoptysis, chest pain(
SOCRATES
), systemic symptoms
ICE
Past Medical History
Respiratory conditions
– asthma / pneumonia / COPD / pulmonary embolism / malignancy / TB
Other medical co-morbidities
– CVS disease / neuromuscular disease / malignancy
Surgical history
Acute hospital admissions
Resp. chronic disease=ask about
exercise tolerance
Medication History
Inhalers,steroids,diuretics,home O2 ,antibiotics,herbal remedies
Side effects: Beta-blockers, ACE inhibitors, NSAIDS, Cytotoxic agents, amiodarone/ methotrexate, oestrogen