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Respiratory Hx & Examination
Introduction
10
Medical
Undergraduate 2
04/13/2012

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Cards

Term
9 Major respiratory symptoms
Definition
Cough, sputum, haemoptysis, dyspnoea, wheeze, chest pain, fever, hoarseness & night sweats. (could sir henry die whilst charles flew hither in the night?)
Term
NYHA Classification of dyspnoea
Definition
1. Only on heavy exertion
2. On moderate exertion
3. On minimal exertion
4. At rest
Term
Causes of dysnoea
Definition
Respiratory, cardiac, anaemia and non-cardiorespiratory.
Term
Important sections resp. hx
Definition
Presenting symptoms, previous Hx and treatment, occupation, social hx and FHx.
Term
General inspection
Definition
+Vital signs (RR bw 16-25)
+ Conscious state
+ Accessory muscle use
+ Purse lip breathing
+ Cyanosis
+ Noisy breathing
Term
The face
Definition
+ Eyes: Horners
+ Skin changes: Scleroderma
+ Nose: Polyps
+ Mouth: Cyanosis
Term
Tubular breath sounds
Definition
Vesicular breath sounds, wheeze or bronchial breath sounds.
Term
Parenchymal breath sounds
Definition
Course or fine crackles
Term
Cardiovascular aspects of exam
Definition
+JVP
+ Apex beat
+ Peripheral oedema
+ Liver edge
+ Pemberton's sign (raising arms above head, +ve indicates SVC syndrome)
Term
Pneumonia
Definition
Hx of sudden onset malaise, chest pain, dyspnoea and fever. Record vital sg. Expansion will be reduced, vocal fremitis increased on affected side, percussion dull, breath sounds bronchial and vocal resonance increased.
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