Chest - History Taking

Question 1

Personal Hx in Chest

Question 2

Personal Hx in Chest

• Name

Answer 2

For familiarity, reassurance and follow up of the patient.

Question 3

Personal Hx in Chest

• Age

Answer 3

As certain diseases are more common in certain ages, e.g:
- TB is common in young adult.
- Bronchial carcinoma in old age.

Question 4

Personal Hx in Chest

• Sex

Answer 4

• Diseases common in males: Bronchial carcinoma.
• Diseases common in females: Bronchial adenoma.

Question 5

Personal Hx in Chest

• Occupation

Answer 5

Certain occupations may expose tire patient to certain diseases, eg

• Pneumoconiosis
• Asbestosis: IPF - bronchogenic carcinoma or mesothelioma.
• Farmers: Bilharziasis- farmer’s lung

Question 6

Personal Hx in Chest

• Marital Status

Answer 6

Question 7

Personal Hx in Chest

• Residence

Answer 7

• Endemic diseases: Bilharziasis may predispose to pulmonary hypertension & cor-pulmonale.
• TB: Common in overcrowded areas as shelters.

Question 8

Personal Hx in Chest

• special Habits

Answer 8

• smoking & alcohol.

Question 9

Types of Smokers

Answer 9

Question 10

Goza Smoking Index

Answer 10

Question 11

Cigarette smoking Index

Answer 11

Question 12

Cigarette smoking Index

• Pack-Year Index

Answer 12

Question 13

Cigarette smoking Index

• Ferris Smoking Index

Answer 13

Question 14

Hazards of smoking on respiratory system

Answer 14

Question 15

What is impoftant to ask about in Chest Personal Hx?

Answer 15

Question 16

Chest Sheet

• Complaint

Answer 16

Question 17

Chest Sheet

• HPI

Answer 17

Question 18

HPI in Chest Sheet

• analysis of Complaint

Answer 18

Question 19

HPI in Chest Sheet

• Other Aspects

Answer 19

Question 20

Analysis of Complaint in Chest Sheet

• Onset

Answer 20

Question 21

Chest Diseases with Acute Onset

Answer 21

Question 22

Chest Diseases with Gradual Onset

Answer 22

Question 23

Chest Diseases with Accidental Onset

Answer 23

The pt. finds his Complain by chance:
- LN enlargement.
- Jaundice.

Question 24

Chest Diseases with Progressive Course

Answer 24

deterioration of the condition:
- bronchogenic carcinoma.

Question 25

Chest Diseases with Regressive Course

Answer 25

improvement of symptoms: - TB. under effective treatment.

Question 26

Chest Diseases with Stationary Course

Answer 26

No appreciable change: - Hereditary diseases.

Question 27

Chest Diseases with Remission & Exacerbation

Answer 27

which means fluctuation: - S.L.E. - BA

Question 28

Def of **Disease Onset**

Answer 28

From beginning of symptoms until the establishment of the disease.

Question 29

Def of **Disease Course**

Answer 29

- From the establishment of the disease until recovery or complications.

Question 30

Complaint Analysis in Arabic

Answer 30

Question 31

Chest Sheet - Symptoms of Realted system

Answer 31

Question 32

Chest Sheet - Symptoms of Other Symptoms

Answer 32

Question 33

Chest Sheet - INVx & TTT

Answer 33

Question 34

Chest Sheet - DM & HTN

Answer 34

Question 35

Chest Sheet - Past Hx

Answer 35

Question 36

Chest Sheet - Family Hx

Answer 36

Question 37

Chest Sheet - Scheme

Answer 37