History Taking â Overview. A thorough history and physical exam is required to identify other signs and symptoms to lead to a ⦠Exacerbating/alleviating factors: Look for triggers (e.g., only at work or after mowing lawn). Suggestive of pneumonia or bronchiectasis, Suggestive of infection, chronic bronchitis, lung cancer or PE, Suggestive of bronchiectasis, lung abscess or necrotizing pneumonia. History and physical examination are paramount in the diagnosis of cough. Cough is a non-specific symptom that may occur acutely or be present over a prolonged period of time. What colour is it? Asks about symptoms, smoking, and personal and family history of respiratory disease. Whether the cough is moist, dry or productive. OSCE 5 presents a clinical encounter of a 45-year-old dispute mediator who presents with a complaint of a cough that has lasted for over 1 week. What painkillers have you been taking? Children under four should not have cough medicine. Introduction (WIIPP) Wash your hands; Introduce yourself: give your name and your job (e.g. Close history taking and physical examination are sufficient to diagnose the cause of an acute cough without red flag symptoms! Cough severity in some individuals may be negatively influenced by the amount of menthol consumed via cough drops. Focused History . History Taking of Cough. Clipping is a handy way to collect important slides you want to go back to later. Initial evaluation of the patient with chronic cough (i.e., of more than eight weeksâ duration) should include a focused history and physical examination, and in most patients, chest radiography. Nevertheless, some people on ACE inhibitors develop a⦠⢠Do you bring anything up? Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Angiotensin-converting enzyme inhibitors (ACE inhibitors) like lisinopril, captopril, and enalapril are antihypertensive medications. History taking 1. Water can help ease your cough - whether you drink it or add it to the air with a steamy shower or vaporizer. Not only does it cause discomfort for the child, cough also elicits stress and sleepless nights for their parents. Explains risk factors. ⢠When do you cough? The doctor's agenda, incorporating lists of detailed questions, should not dominate the history taking. Search pattern for Chest X-ray, How to read CXR systematically? The colour, volume and consistency of the sputum. Wash your hands and don PPE if appropriate. If you continue browsing the site, you agree to the use of cookies on this website. Protectivemechanism Seeks MEDICAL CARE Discomfort from cough itself Interference with normal lifestyle Concern for cause of cough 3. 1. It is also an important presenting symptom for a variety of disorders, some of which are serious and life threatening. 2009 Mar 19;27(2):68. Verify the identity of the patient and her reason for seeking care. A. Shawka. Abbas A. Cough History Taking 1. General Examination - OSCE (Y3 Medical Students), No public clipboards found for this slide. Analysis of dyspnea (History Taking) â¢Site? Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com. You can change your ad preferences anytime. History Taking Series (12) Cough is a very common presenting complaint of patients. See our User Agreement and Privacy Policy. Note: there is a âthoracicâ set of questions you can ask for chest pain, cough, dyspnea. Analysis of cough Character/circumstance: Productive or not, hacking, hemoptysis. Target questions. Your electronic clinical medicine handbook. Cough When taking a history of a cough, ask the patient: ⢠How long have you been coughing for? Background Cough is a common indication of respiratory illness and is one of the more common symptoms of children seeking medical attention. While cough often suggests pathology of the upper or lower airway, non-respiratory causes should also be considered. The physician should ask about associated symptoms. ; At some point during the encounter, start coughing uncontrollably and observe whether the examinee offers you a drink of water and/or a tissue. Communicate the purpose and value of a thorough respiratory history and ⦠Now customize the name of a clipboard to store your clips. Character Whether the cough is moist, dry or productive. Ainslie G. Assessment of cough. Includes checking fingers, legs, and feet for swelling. Whether the cough has been going on for days, weeks, months or years. â¢Associated symptoms â¢Timing? Whether the cough is associated with any other symptoms. Exam includes checking weight and height, and listening to heart and lungs. Act like your cough really annoys you. Suggestive of LRTI, COPD exacerbation or bronchiectasis, Suggestive of viral illness, asthma, GI reflux, restrictive lung disease or ACE inhibitors. ⦠Have you had shortness of breath in the past? Allergies. â¢Relieving? Characteristic of smoker’s cough (chronic bronchitis). A good history is one which reveals the patient's ideas, concerns and expectations as well as any accompanying diagnosis. See our Privacy Policy and User Agreement for details. Subjects â¢How to take a medical history from a patient that presented mainly with cough? Use the checklists below for history⦠Use of inhalers (assess compliance and technique). An acute cough lasts less than 3-weeks and the most common causes are the common cold, pneumonia and whooping cough. ... history-taking skills: Students should be able to obtain, document and present an age-appropriate medical history, that differentiates among ⦠Patients with lung disease often complain of the following symptoms: dyspnea/shortness of breath, cough, sputum production, fatigue, exercise intolerance, chest tightness or chest pain. History Taking Series (12) Analysis of cough Abbas A. History of Present Illness . -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------. If you have a cold or the flu, antihistamines may work better than non-prescription cough medicines. Can you tell me more about feeling breathless? Introduce yourself to the patient including your name and role. â¢Onset? Presenting complaint. Dr. Loiuse Gooch, ward doctor) Identity: confirm youâre speaking to the correct patient (name and ⦠If you continue browsing the site, you agree to the use of cookies on this website. Listening is at the heart of good history taking. ⢠Have you noticed any blood in your sputum? Running Time: 16:29. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------. Go through the questions and memorise them, for coughing is one of the most common symptom of disease. Past medical history. 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