Resp PCP presentations Flashcards

1
Q

Asthma:

Quality

A

SOB
Cough
Wheeze
“Tightness”

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2
Q

Asthma:

Severity

A

Frequency of symptoms
Use of relievers
Hospital admission
Need for preventer

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3
Q

Asthma:

Context

A
Triggers:
Exercise
Pollen
Smoke
Dust
Air

Change in workplace or living arrangements

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4
Q

Asthma:

Personal history

A

The atopic things (allergy, eczema, hayfever)

Medications (as NSAIDs etc can cause asthma)

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5
Q

Asthma:

FHx

A

Atopic illnesses in the family

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6
Q

Asthma:

Social history

A

Life/work exacerbating their asthma

Asthma affecting their life/work

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7
Q

Smoking:

Broad framework

A
Quantity
Circumstances/triggers
Dependence
Harm
Quitting
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8
Q

Smoking:

Quantity questions

A

Duration
Amount
Change over time

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9
Q

Smoking:

Circumstances/triggers questions

A

When do you smoke
Do your friends/coworkers/partner
Any situations that make you crave cigarettes

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10
Q

Smoking:

Dependence

A

Withdrawal symptoms

How soon after waking

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11
Q

Smoking:

Harm

A

Health effects

Financial/social effects

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12
Q

Smoking:

Quitting

A

Current motivation
Previous attempts
Previous techniques

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13
Q

What are the stages of Prochaska and Diclemente’s model of change

A
(Relapse)
Precontemplation
Contemplation
Action
Maintenance
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14
Q

Cough:

Quality

A

Sound of the cough
Dry/productive
If productive: sputum colour, volume consistency, odor, pus or blood

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15
Q

What defines an acute cough?

A

Up to 2 weeks

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16
Q

What defines a chronic cough?

A

More than 8 weeks

17
Q

Cough:

Associated features

A

Cancer/TB stuff
Dyspnoea
Heartburn
Heart failure stuff

18
Q

“Cancer/TB stuff” associated features?

A

Fever
Night sweats
Weight loss
Anorexia

19
Q

Cough:

PHx

A

Smoking
Travel/immigration
Cardiac risk factors (if heart failure)
Asthma

20
Q

Cough:

FHx

A

Cancer

21
Q

“Heart failure stuff” associated features

A
Oedema
Dyspnoea
Cough
Orthopnoea
Nocturia
Fatigue
22
Q

If a patient isn’t sure if it was haemoptysis or haematemesis, how can we distinguish?

A

The prodrome:
Cough will feel like irritation in the chest or throat

Vomit will have nausea and abdo discomfort

23
Q

What is the definition of “massive haemoptysis”?

A

200-600ml in 24 hours