resp

Question 1

Breathlessness, haemoptysis, cough - exploring symptoms

Answer 1

DOTS + frequency + exacerbating/relieving factors

Question 2

Breathlessness, haemoptysis, cough - system review

Answer 2

• General: fever/night sweats, weight loss/appetite, recent illness
• Cardiorespiratory: leg swelling, PND/sleeping upright/pillows, cough/wheeze, chest pain, palpitations, haemoptysis, dizziness, anxiety
• If ? infection - urine colour and output (dehydration)

Question 3

Breathlessness, haemoptysis, cough - PMHx

Answer 3

Recurrent chest infections

Question 4

Breathlessness, haemoptysis, cough - FHx

Answer 4

Heart disease, lung disease

Question 5

Breathlessness, haemoptysis, cough - SHx

Answer 5

• Alcohol
• Smoking!!!
• Job
• Living situation
• Exercise tolerance - current, previous, effect on daily living
• VTE risk factors if relevant