PC: Cough Flashcards
what do you want to ask in order to explore the symptoms of cough
timing: when did it start, acute/gradual onset, duration, progression, intermittent or continuous
cough: productive or not, triggers ie nocturnal
sputum: how much, how often, colour, consistency, nay blood
Haemoptysis: volume, fresh or altered, frequency
what relevant systems review questions would you ask
general: fever, sweats, weight loss
cardioresp: chest pain, palpitations, SOB/wheeze, leg swelling
name the key differentials of a cough
URTI/LRTI/ pneumonia asthma post nasal drip COPD pulmonary embolism lung tumour
others: GORD, smoking, LVF, drugs (eg ACEi), bronchiectasis, ILD, sarcoidosis/TB, cystic fibrosis
what are the clues/symptoms for the following disease:
URTI/LRTI/pneumonia
acute cough and sputum
may be associated with SOB
systemic symptoms such as fever
what are the clues/symptoms for the following disease:
asthma
nocturnal cough
intermitent wheeze
diurnal variation
exacerbating factors eg exercise, pets
what are the clues/symptoms for the following disease:
post nasal drip
chronic rhinitis/sinusitis
chronic cough to clear throat
what are the clues/symptoms for the following disease:
COPD
chronic productive cough and sputum
chronic SOB
significant smoking history
what are the clues/symptoms for the following disease:
PE
Haemoptysis
pleuritic Chest Pain and SOB
risk factors (long haul flights, recent surgery, immobility)
what are the clues/symptoms for the following disease:
lung tumour
Haemoptysis
weight loss
significant smoking history
what medication can cause a dry cough
ACEi ramipril
which disease are these symptoms strongly suggestive of:
acute cough and sputum
may be associated with SOB
systemic symptoms such as fever
URTI/LRTI/pneumonia
which disease are these symptoms strongly suggestive of: nocturnal cough intermitent wheeze diurnal variation exacerbating factors eg exercise, pets
asthma
which disease are these symptoms strongly suggestive of:
chronic rhinitis/sinusitis
chronic cough to clear throat
post nasal drip
which disease are these symptoms strongly suggestive of:
chronic productive cough and sputum
chronic SOB
significant smoking history
COPD
which disease are these symptoms strongly suggestive of:
Haemoptysis
pleuritic Chest Pain and SOB
risk factors (long haul flights, recent surgery, immobility)
PE
