Respiratory History PDF
Respiratory History PDF
Respiratory History PDF
1. Patient details
• Name –
• Age –
• Gender -
• Hailing from (Address)_____
• Educated up to ___
• Working as a (Occupation)- ______
• Family’s Monthly income / Socio-economic status – (*TB MC In low socio-economic
status)
a) History of Dyspnea
• Onset – sudden, insidious
• Progression –
• MRC class –
• Postural variation – Diaphragmatic palsy ,
• PND –
• Orthopnea / trepopnea -
c) History in cough
• Duration - acute (<3wk) , chronic (>8wks)
• Dry / productive
• Aggravating & relieving factor –
• Postural variation –
• Diurnal variation –
• Cough syncope
F ) History in Hemoptysis
*Differentiate from Hemoptysis
• Duration
• No. of episode –
• Fresh/altered blood/colour (coffee brown)
• Amount & severity
• Association with – purulent sputum, food particles
G ) History in Fever
• onset –
• Duration & progression –
• Associated with chills & rigor ?
• Evening Rise of temperature ?
• Associated with vomiting , abdomen pain, loose motion ?
4. Personal History
• h/o smoking – bidi/cigarrete, no./day, age started (COPD/ lung ca)
• Pack years = years of smoking X no. of cigarrete packet/day (1 pack = 20 cig)
• Alcohol intake
• h/o marked weight loss –
• Pets in home
• Recent travel history –
• h/o any drug intake or allergy -
6. Family history
• Any history of such illness in family?
8) Social history
• Martial status & No. of children –
• Lives with family or alone ?
• Current Martial status? ant h/o of infertility ?
Summary of History
• ____ age of patient, presented with ____________
• Acute/ chronic
• Congenital/ acquired disease
• Parenchymal / pleural/ bronchial pathology
• Probable diagnosis
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