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2b > Respiratory History > Flashcards

Respiratory History Flashcards

1
Q

Main respiratory disease types

A

Inflammatory
Neoplastic
Infective
Vascular

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2
Q

Main respiratory structures for disease categorisation

A 
Breathing tubes (obstructive)
Parenchyma (restrictive)
Chest wall (restrictive)
Pulmonary circulation
Pleura
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3
Q

Questions to ask about the occupation

A

Were you ever exposed to industrial dusts or irritants?

Were you ever exposed to cigarette fumes?

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4
Q

History of child health

A 
Premature?
Whooping cough
Pneumonia
Bronchiectasis
Asthma
Exercised?
Open air?
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5
Q

Breathlessness questions

A 
Onset
Duration
Intermittent
Relieving/exacerbating factors
Diurnal variation
Associated factors
-chest pain, palpitations
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6
Q

Grade 1 MRC dyspnoea scale

A

Only SOB on severe exercise

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7
Q

Grade 2 MRC dyspnoea scale

A

Short of breath on slight hill or hurrying

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8
Q

Grade 3 MRC dyspnoea scale

A

Walks slower than most people. Stops after 15mins or 1 mile

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9
Q

Grade 4 MRC dyspnoea scale

A

Stops after 100 yards, or after a few minutes

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10
Q

Grade 5 MRC dyspnoea scale

A

Too breathlessness to leave house, or when undressing

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11
Q

Questions to ask about breathlessness progression

A

Stable?
Progressive?
Speed of progression?
Exacerbations?

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12
Q

Which childhood diseases can increase the chance of bronchiectasis

A

Whooping cough or pneumonia

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13
Q

Questions to ask about wheeze

A

SOCRATES
Inspiration/expiration
Diurnal variation

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14
Q

Questions to ask about cough

A

SOCRATES
Productive/dry?
Sputum? Nature? Volume?
Haemoptysis?

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15
Q

Questions to ask about chest pain

A

SOCRATES

breathless? cough?

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16
Q

‘0ther’ respiratory symptoms

A

Tiredness
Fever/night sweats
Weight loss
Collapses/falls

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17
Q

Components of PMH

A

Check with patient and GP letter
Other medical problems
Cured cancers?

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18
Q

What is wheeze

A

entirely expiratory noise

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19
Q

What causes inspiratory musical noises

A

extrathoracic obstruction

20
Q

What is an inspiratory musical noise called

A

Stridor

21
Q

What causes wheeze

A

Reduction in airways calibre

22
Q

Questions for drug history

A 
Ask patient
Check
-GP letter
-repeat prescription list
-integrated clinical portal
anything herbal/traditional/otc
23
Q

Drugs which cause unexplained breathlessness

A

Clopidogrel < ticagrelor

24
Q

Drugs which cause asthma

A

Aspirin/NSAIDs

25
Q

Drugs which cause cough

A

ACE inhibitors

26
Q

Drugs which cause wheeze

A

Beta blockers

27
Q

Drugs which cause pulmonary toxicity

A

Amiodarone

28
Q

Drugs which cause pneumonitis and fibrosis

A

Methotrexate

29
Q

What is a significant amount of sputum

A

A tea cup in a day

30
Q

What is blood in sputum a sign of

A

young=PE

old/smokes= cancer

31
Q

Drugs which cause pneumonitis

A

Nitrofurantoin

32
Q

Drugs which increase the risk of opportunistic infection

A

Steroids/immunosupressants

33
Q

Drugs which increase the risk of thromboembolism

A

Contraceptive pill

34
Q

Drugs which increase the risk pulmonary hypertension

A

Anorectogens (slimming pills)

35
Q

Localised, sharp, worse on inspiration pain

A

Pleural

36
Q

Which disease is often seen with severe tiredness

A

Sarcoidosis

37
Q

Rheumatological questions

A

Raynauds
Joint pain/swelling
Muscle aches/weakness

38
Q

Dermatological questions

A

Rashes
Lumps and bumps
Unusual bruises

39
Q

Opthalmological questions

A

Itchy eyes, dry eyes (mouth)

40
Q

GI questions

A

Acid in back of throat, heartburn, dysphagia, bowels

41
Q

Neurological questions

A

Fits
Faints and funny turns
Weakness

42
Q

Urological questions

A

Polyuria

43
Q

What is ticagrelor

A

P2Y12 inhibitor, antiplatelet

44
Q

Questions for personal and social history

A 
Smoker (pack years? just tobacco?)
Drinker?
Lives with? Carer?
Pets
Hobbies
Foreign travel
45
Q

Respiratory diseases where the family history is significant

A

Alpha 1 antitrypsin

Primary ciliary dyskinesia

46
Q

Acid reflux is associated with which respiratory disease

A

Pulmonary fibrosis

47
Q

What can budgies give you

A

EAA

2b (28 decks)

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