Respiratory examination-signs and symptoms
Cardinal respiratory symptoms:
Breathlessness-static- lung disease or episodic- angina, acute/chronic
onset,limitations
Cough- acute,chronic,wet,drug,time of day,upon eating,speaking,occupational
Sputum
Haemoptysis- duration,frequency,amount, coughed/vomited, gums,nose
Chest pain
Hoarseness-abnormal change to voice
Scales for breathlessness:
Dyspnoea scale 5 most severe- too breathless to leave the house
WHO score- 0-5- dead 4-completely disabled
Scales for cough:
VAS score (Visual analogue score)
LCQ- questionnaire
If new cough with no infection- prompt cancer assessment
Haemoptysis-indicative of PE,severe mitral stenosis,decompensated congestive left heart
failure
Stridor: large airway obstruction
Chest pain:
S- central/L/R sided, retrosternal pain,epigastric
O- sudden, exertional, at rest
C- heavy,crushing,tight,pleuritic
R-left arm,neck,jaw,back
A- Rest,sittingup
T-
E-arm movement,pressure,exercise
S- 1-10
Upon examination- 45 degree angle
Respiratory paraphernalia- (equipment/apparatus)- general inspection
Cardinal respiratory symptoms:
Breathlessness-static- lung disease or episodic- angina, acute/chronic
onset,limitations
Cough- acute,chronic,wet,drug,time of day,upon eating,speaking,occupational
Sputum
Haemoptysis- duration,frequency,amount, coughed/vomited, gums,nose
Chest pain
Hoarseness-abnormal change to voice
Scales for breathlessness:
Dyspnoea scale 5 most severe- too breathless to leave the house
WHO score- 0-5- dead 4-completely disabled
Scales for cough:
VAS score (Visual analogue score)
LCQ- questionnaire
If new cough with no infection- prompt cancer assessment
Haemoptysis-indicative of PE,severe mitral stenosis,decompensated congestive left heart
failure
Stridor: large airway obstruction
Chest pain:
S- central/L/R sided, retrosternal pain,epigastric
O- sudden, exertional, at rest
C- heavy,crushing,tight,pleuritic
R-left arm,neck,jaw,back
A- Rest,sittingup
T-
E-arm movement,pressure,exercise
S- 1-10
Upon examination- 45 degree angle
Respiratory paraphernalia- (equipment/apparatus)- general inspection
