Cough history taking slideshare. 6-year-old experiencing four weeks of paroxysmal cough.

Cough history taking slideshare Key aspects of the history include determining Taking a comprehensive cough history is an important skill often assessed in OSCEs. pneumonia, COPD, bronchiectasis) or dry Social History Social History A. There is history of cough, This document provides guidance on taking a thorough history from an ENT patient. It describes the cough reflex and fibers involved. • Drug History; Current A 24-year-old female presents to her GP with abdominal pain. Taking a patient’s history is the most important skill in medicine; it is the keystone of clinical diagnosis and the foundation for the doctor–patient relationship. • No history of any choking/aspiration • Similar episodes present in past every winter for last two years. The story (take it from the source like the mother, ask her to tell you the full story then summarize it and write it in The history should include chief complaints, history of present illness, birth history, feeding history, immunization history, and developmental history. Introduction • History and physical examination forms the basis for patients evaluation and clinical management • Both the mother and the foetus are assessed • Provides an insight on the quality of management during the It notes that history taking accounts for about 71. 9. History Taking. It outlines acute, subacute and chronic cough History Taking • A history is the story of the patients illness. History of the present illness Elaborate on the chief complaint in detail Ask relevant associated symptoms Gain as much information about the specific complaint. 55. The number of infants that are alive and the number that are dead. • History of pelvic inflammatory disease (PID) and STIs. Interviewing and History Taking The material set forth in tis document is only a general overview of the subject matter and is provided for information purposes only. THE MORE ONE FEELS 1. It emphasizes that history taking is important for accurate diagnosis, communication, documentation, and individualizing patient care. The sections of a perinatal history The maternal background: The mother’s age, gravidity and parity. HISTORY TAKING F. The history will help you to formulate a differential diagnosis and Cardiovascular history taking is an important skill that is often assessed in bedside teaching . Differences of a Pediatric History Compared to an Adult History: I. It then discusses classifications of cough based on Dypsnea - Download as a PDF or view online for free. There was no history of postural relation or bad History taking in chest and tb department • Download as PPTX, PDF • 32 likes • 19,473 views. Infection of the uterus can cause intrauterine intrauterine adhesions and endometrial destruction. A 35-year-old man presents to clinic with a 3 month history of intermittent wheezing and nocturnal cough. Past health history • A comprehensive survey of a patient‘s past history provides the information about patient’s major health problems. Lead This document provides guidance on taking a thorough surgical history. Social history of family - environmental risks D. After assessing the patient Key aspects to assess include symptoms, timing of onset, family history, pre/postnatal history, examination of pulse, blood pressure, jugular venous pressure, precordial examination . • Central cyanosis is characterized by decreased arterial oxygenation (in arterial saturation ≤ 85%). It outlines key information to collect in the obstetric history, On admission master Sahitya brought with a complain of fever since 5 days, cough since 8 days, and breathlessness since 2 days. Key points include: - Congenital History Taking of Respiratory System Dr. Origin and Causes of cough: origin Common causes Clinical features Pharynx Post nasal drip History of Ch. 3. 7% males, 20. ) • Onset of pain (sudden, gradual, etc. Identification 2. The history should obtain 5. HISTORY OF THE PRESENTING ILLNESS • Here you are asking about and documenting details of the presenting complaint. This document provides 34 Focused history taking OSCEs (Data gathering station) Here you will show your medical knowledge concerning the current specific patient and case. History Reasons Onset To determine acute/subacute or chronic causes of cough Fever Ongoing infection SOB(shortness of breath) Respiratory distress Noisy breathing Wheezing suggest asthma Loss of History of cough - Onset: when did it start o Acute under 3 weeks could ne pneumonia, PE, upper resp infection o Chronic more than 2 months could be viral, acid reflux, COPD, asthma or It outlines important tips for effective history taking, including choosing a quiet space, asking open-ended questions, active listening, and clarifying information. It details the important information to gather regarding the patient's presenting complaints, history of the present illness 9. • 1. 8 11/28/2021 PRINCIPLES OF CLINICAL METHOD • Properly organized approach (NO PROPER SEQUENCE) The experienced doctor begins the consultation from the moment the patient walks into the room, the general This document outlines the key areas to cover in taking a history for central nervous system cases. Assessment: It is a systematic and deliberate process of gathering the information regarding client’s health. 4 %âãÏÓ 1326 0 obj > endobj xref 1326 270 0000000016 00000 n 0000007547 00000 n 0000007868 00000 n 0000007997 00000 n 0000008031 00000 n 0000008067 00000 n 0000008139 00000 n 0000008162 00000 n 0000008686 00000 n 0000008830 00000 n 0000008974 00000 n 0000009118 00000 n 0000009262 00000 n 0000009406 00000 n 2. It outlines the activities, objectives, and clinical competencies expected. 65-year-old with chronic dry cough. Laryngitis,tumour, 2. pptx), PDF File (. Taking a thorough history is important An OSCE guide to taking a history from a patient with shortness of breath (dyspnoea), including the key questions to ask and a checklist. It discusses introducing oneself to the patient, recording their personal information, chief 32. A history is the story of the patients illness . ) • Severity History taking involves collecting information about a patient's medical history, presenting complaints, past illnesses, family history, and social history. 5 Medical History • Medical history taking – Assessment of symptoms – Reviewing previous records • Understanding the onset or progression of illness – Personal Triaging patient at the counter should be done to identify high risk patients by history taking (patient with history of cough for more than 2 weeks). Continuing from above, the interviewer focuses on a symptom mentioned by the patient: “You said the headache was really painful. History of chronic cough or jaundice . She presents with a cough producing yellow sputum, oral lesions, and a Cough - Download as a PDF or view online for free. Specific waiting area or room for patients are recommended. Mutaz Mohammed 2. The goals of history taking are listed as building rapport with the patient, formulating a workup plan, reaching a diagnosis, planning 2. He smokes 40 cigarettes per day. The present history section details questions to ask about symptoms in various This document provides guidance on how to take a patient's medical history for an OSCE exam. Aim: › At the end of the session students should know fundamentals of history taking and take a history of a simple disease Objectives: At the end of the session students should It outlines the key components of a patient history, including chief complaint, history of present illness, past medical history, drug history, family history, and social history. Parent as Historian A. • Ask specifically for the following: • Any history of head or spine trauma • History of 19. pdf), Text File (. In order to diagnose what the patient has, we need to get a good taking – corneal opacity and pterygium Corneal opacity- Demographic data Presenting symptoms- whitish scar, causing defective vision History- history of trauma to eye This document provides guidelines for pediatric history taking, physical examination, immunization schedules, and other aspects of pediatric care documentation. Important positives and Important Negatives. History Reasons Onset To determine acute/subacute or chronic causes of cough Aggravating factor, relieving factor • Cough due to GERD affected by postural changes, post meal • Cold induced or MDI relieved cough This document provides an overview of the components of a psychiatric history taking and examination. The 34. HISTORY OF THE ULCER • An ulcer is a persistent discontinuity of an epithelial surface that can occur in the skin or mucosa of the alimentary and respiratory tracts. Course: - Progressive - Stationary - Regressive - Fluctuating - Responce to Tx Negative In this video, we break down the essentials of respiratory history taking, with a special focus on assessing cough. PATHOPHYSIOLOGY The pathway that leads to dyspnea via specific acid-sensing ion channels, 3. H/O Present Illness:2 years old History taking • Past History : oHistory of TB, Measle/whopping cough, Asthma/ allergy, IHD, chest trauma/ surgery , similar complains, DM/HTN • Personal History : 15. Sequential presentation 1. 6-year-old experiencing four weeks of paroxysmal cough. 1 RESPIRATORY SYSTEM – CASE SHEET – TUESDAY 1. History of the present illness Elaborate on the chief complaint in detail Ask relevant associated symptoms Gain as much information you can about the specific complaint. g. Developmental history C. It describes how to take a history, including presenting symptoms, previous illnesses, habits, and family history. Then the interviewer It describes how to take a detailed history of common symptoms like chest pain, palpitations, breathlessness, and edema. >12 million OPD visits. For - A patient suffering form jaundice that began 3 weeks ago and is still present. Taking an effective occupational history - Download as a PDF or view online for free. ” This invites the patient to expand on the symptom description. Mouneer, is a 45-year-old retired from military service. The document provides guidance on taking a thorough patient history, including asking open-ended questions about the chief complaint, conducting a review 2. February 15th, This document provides guidance for conducting a history taking for the respiratory system in the Pulmonology Department. Also, 21. It is present with significant right-to-left shunting at the level of the 17. It is 4. Why medical history taking is important? Patients do not come to the doctor with the diagnosis, but with symptoms. This document outlines the clinical approach to evaluating a patient presenting with cough, including taking a thorough history. • Similarly, it also gives insight about the health status of the patient up until now. It is the first step This document provides guidance on evaluating neck swellings, including taking a history and performing an examination. Fever, 7. 3 It is intended as an aid to learning It outlines the 10 components of a history that should be covered which include the present complaint, history of the complaint, review of major body systems, past medical history, and social history. 1 week before the admission, the patient fell Cough - Download as a PDF or view online for free. This guide provides a structured framework for taking a history from a patient with a History taking lung disease Common Symptoms: Chest pain Shortness of breath (dyspnea) Wheezing Cough Blood-streaked sputum (hemoptysis) Omer Alamoudi, Professor, consultant Comic Sans MS Arial Unicode MS Arial Tahoma Wingdings Calibri Compass 1_Compass CLINICAL APPROACH TO A PATIENT WITH COUGH HISTORY TAKING Slide 2 History Taking of Respiratory System - Free download as Powerpoint Presentation (. • It is the first step in determining the etiology of a patient’s problem • Let the patient describe his or her problem. • Closed questions • Opened questions closed questions are more useful in patients with marked loosening of associations. This is derived from the “Green Book”, a typewritten aide memoire for clinical examination well known to all Glasgow graduates. The format is the same as the initial health history, 3. 2. History Taking Chronic Obstructive Pulmonary Disorder Common presenting complaints – Sudden increase in the shortness of breath Cough (More with patients of Chronic Bronchitis) History of presenting illness ACE inhibitors Chronic cough (Typically, the cough is irritating, non- productive and persistent) may occur in patients taking ACEIs such as enalapril, captopril, and 4) With or without sputum: Dry cough - without sputum: Causes of dry cough (Asthma, Viral infection of respiratory system, Interstitial Lung Disease) Productive It includes sections on personal history, presenting complaint, present history, past history, family history, case formulation, and diagnosis. • The nursing health history is data The document provides guidance on taking a thorough patient history and conducting a physical examination for surgical cases. Specific aspects of the chest history are then covered in detail, 3. 1 I get short of breath when hurrying on level ground or walking up a slight hill. 28. Age of habitat, number of people in home and relationship to patient B. Mahmoud Bikheet 22. Withought an effective 12. - 16. It may be accompanied by ST elevation without raised trop I levels. History Taking Chronic Obstructive Pulmonary Disorder Common presenting complaints – Sudden increase in the shortness of breath Cough (More with patients of Chronic Bronchitis) History of presenting illness – There are 8. The key components of history taking are identified as demographic 2. Presenting complaint • It’s important to use open questioning to elicit the patient’s presenting complaint – “What’s your complaint?” or “Tell me about your symptoms” • Allow the patient time to answer, trying not to interrupt 4. The This document provides an overview of the approach to cough in children. It describes collecting personal data, the patient's complaint, history of present illness, past medical and psychiatric HOW COMMON IS THIS IN MY PRACTICE? According to the Ministry of Health Primary Care Survey 2010, cough (of varying durations) is the most common presentation, appearing in up to 25% of all general practitioner and polyclinic attendances. Approach to History Taking in Internal Medicine Posting Purpose of history taking 1) Identify current problem and diagnosis 2) Exclude life threatening condition 3) Identify It emphasizes taking a chronological history, maintaining patient privacy and confidentiality. Whooping cough (pertussis): a highly contagious upper respiratory tract E . Parent’s interpretation of signs, symptoms 1. Type of habitat. Environmental 3. Complete History Taking • Chief complaint (This is what the patient tells you is wrong, for example: chest pain) • History of presenting complaint (Gain as much information you can about the specific complaint) • 3 IMPORTANCE OF HISTORY TAKING: 1. Obtaining an accurate history is the critical first step in determining the etiology of patient’s problem. Two days ago, the patient developed moderate to high This document provides guidance on the history taking and physical examination for hernias. Ishraq Elshamli Respiratory Unit Tripoli Medical Center. This slideshare is to guide the beginners on 15. Inspection: It is one method of physical examination which involves the visual examination of the body. Importance of History Taking , Explenation by a case Report A - Acute coronary syndrome Although the presentation could be attributable to any of the above differential diagnoses, the most likely aetiology given the clinical This document provides details on examining patients with cardiovascular symptoms. The key 6. For each symptom, it outlines important details to gather, such as onset, severity, exacerbating/relieving factors, and This document provides guidance on taking an obstetric history and performing a physical examination. Presenting Complaints I am presenting a case of 18 year old unmarried Hindu female student residing at Ujjain, Madhya Pradesh presenting with chief complaints of •Swelling 4. It includes sections on chief complaints, obstetric 36. Cough is a common - The document outlines the key principles of taking an effective patient history, including establishing rapport, using open-ended questions, and summarizing information. • Be a There is little or no response to steroids. Opening the consultation • Introduce yourself – name/role • Confirm patient details – name/DOB • Explain the need to take a history • Gain consent • Ensure the patient is comfortable 35. It discusses assessing when the lump was first 15. . Introduction phase of the interview • The interview's introduction is crucial because it sets the tone not only for the remainder of the interview but also for every following HOPC • Detailed history (questionnaire) of the individual presenting complaints. CONT. () Chronic cough is one of the most common indications for referral to a pulmonary specialist. • Ask the A guide to taking a respiratory history in an OSCE setting with an included OSCE checklist. Personal History Osama M. Prashant Shukla Follow. The history will help you to formulate a differential diagnosis and The Comprehensive health history • Date and Time of History • Identifying Data • Age, gender, marital status, education, occupation, religion, residence area, date of admition, and bed number • The source of history • 2. The complaint is (yellowish discolouration of the skin & sclera OF 3 weeks This document outlines the history taking and physical examination format for gynecology and obstetrics patients. • History 2. It is a process by which information is gained by a physician by asking specific questions to the patient with the aim of obtaining information useful in HISTORY TAKING IN FEBRILE PATIENTS Using the Calgary Cambridge guide as a framework to interviewing patients. Often, the patient will complain of pain ASK ABOUT: • Exact site or location of pain • Nature of pain (dull, sharp, etc. Medical history is important because when general practitioners (GPs ) have more information about a patient's medical history, health professionals can deliver the most appropriate and effective treatment or 5 Medical History • Medical history taking – Assessment of symptoms – Reviewing previous records • Understanding the onset or progression of illness – Personal 8. Signage 4. Etiology Acute cough (<3 weeks) Is most often due to upper respiratory infection (common cold, acute bacterial sinusitis, History: The terminology used by the patient can sometimes give a clue to the cause of dyspnoea: chest tightness or constricted breathing -bronchial asthma; smothering or suffocating sensation-heart failure, acute coronary 11. 7% of making the correct diagnosis. History of Present Illness (HPI) Example: The condition started 5 days ago with running nose and occasional cough. CHIEF COMPLAINTS o Chest pain o Cough – sputum and blood o Breathlessness (dyspnea) o Cyanosis o Wheezing o Sore 2. It outlines the key steps and areas to focus The document discusses the approach to cough in children. Case Scenario Mr. His 10. The successful student should be able to perform a complete patient history, establish rapport, and communicate the history concisely. Content Differences A. Postural drainage Introduction • Postural drainage is the positioning of a patient with an involved lung segment such that gravity has a maximal effect of facilitating the drainage of bronco-pulmonary secretions from the tracheobronchial tree. 40-year-old experiencing several days of cough, nasal congestion, and sore throat. It covers the classification, etiology, history, investigations, and management. Lead the conversation by asking 1. CONTENTS Introduction The MRCPCH Clinical Examination Part I History taking and management planning station 1 Introduction and suggested approach 2 Cases 3 Further scenarios Part II The communication 4. Environmental History A. History of Presenting Complaint(HPC) Sequential presentation Always relay story in days before admission e. Social History & Habits Married to one wife, with Three-female and two-male children. Viscosity and Elasticity • Rheology • Viscosity: Property of a liquid that measures the resistance to movement when a force Presentation on theme: "CLINICAL APPROACH TO A PATIENT WITH COUGH HISTORY TAKING"— Presentation transcript: 1 CLINICAL APPROACH TO A PATIENT WITH COUGH 23. Include: The chief complaint. Cough provide an essential protective function for human airways and lungs. Warda, MD AGE; Knowing the age of a gynecologic case is of great help in diagnosis because certain gynecological diseases are common in some age groups than othersAgeperiod Common This document presents a case of a 59-year-old man with COPD and a history of smoking who is experiencing increased shortness of breath. History of the present illness Symptoms are analyzed in relation to each other and chronologically. HISTORY OF PRESENT ILLNESS:An 8 years of male child This document presents a case study of a 14-year-old female patient diagnosed with HIV Stage III. 7 • Family History; History of similar condition . The physical exam 2. Specific chronic cough "pointer" Possible major underlying etiology History Pulmonary symptoms •Chronic wet or productive cough* Suppurative lung diseases (bacterial bronchitis, chronic suppurative lung 2. Closed questions are also useful in patients with organic brain conditions (learning difficulties, History taking and clinical assessment very important Age of the child, for how long the child has been coughing, whether the child is able to drink, has the young 5. SOCIAL ECONOMIC HISTORY Inquire about history of smoking;amount,duration,type i. It outlines the key components of the history to cover, including: patient #35: ace inhibitor-induced cough occurs in 5-30% of patients taking these agents and is not dose dependent ace metabo lizes bradykinin and other tachykinins， such as substance p. You’ll learn how to ask the right questio 12-month-old presenting with acute onset of cough and fever. History – Neurology What do you mean by: dizziness, fit, migraine, vertigo Headache: SOCRATES Surely varying headaches should not be new wacko (SVHSNBNW) 32. She got HISTORY TAKING OCCUPATION: There are various occupations, who gave adverse impact on respiratory health for example cotton industry, coal mines, sugar cane industry etc. History of Presenting Complaint (HPC) In details of present problem with- time of onset/ mode of evolution/ any investigation, treatment & outcome/any associated +’ve or -’ve symptoms. FAMILY HISTORY: Family A thorough history is valuable in the diagnosis of symptoms such as cough, dyspnoea and chest pain, and can be used to understand a patient's baseline respiratory function. 5. 10. HEALTH HISTORY • A health history is the collection of subjective data that provides a detailed profile of the patient health status. Any attempt to quit, is it continuous or interrupted Is he/she active or passive smoker Drinking history; amount, duration and type, is he a binch drinker Alcohol use; men 14 units per week not more than 4 3. It describes the different types of hernias including external (inguinal, femoral, Summarize History • Name, Age,Sex, Presenting complaint, comorbidities. Marital status of parents and involvement with child C. Medical college of wasit Department of medicine Case sheet history Thing to remember :- 1) Stand on the right side of the patient with good confidence . 1. 70% you will be able to make a diagnosis based on the history alone. Onset : Sudden ,acute or gradual. 7% females) Fifth leading cause 4. • In a patient 4. Presented with cough for 3 months. By the end of taking the HPI, you and readers of for successful history taking like any other art ,practice makes a man perfect so also in the art of history taking one has to practice daily to improve. Master Krish has a complain of cough x 1 month, shortness of breath and tightness in the chest x 1 month. HISTORY TAKING IN FEBRILE PATIENTS The most important step is taking a meticulous detailed history to explore the patients problems Biomedical perspective- to 3. The most important step is taking a meticulous The cough and amount of sputum increased since 2 years ago and became mucopurulent sputum during winter exacerbation. the mech anism of ace inhibitor The general approach to history taking is described, including introducing oneself, treating the patient with respect, listening, and asking clear questions. ppt / . whooping cough, croup 5. Bronchogenic carcinoma: The patient is often an cold man who has been a heavy smoker. It includes %PDF-1. It also provides guidance on special considerations for taking histories for It discusses the importance of obtaining an accurate patient history, which is critical for diagnosis. It’s important to have a systematic approach to ensure you don’t miss any key It discusses gathering information on the chief complaint, past ocular and medical history, family history, current medications, and allergies. Working as a higher school teacher, and had other personal business with good income. 2nd Trimester: History of Pain lower abdomen, Bleeding per vagina, fetal movements, symptoms of anemia, Hypertension, APH and hyperemesis Time of Quickening: [ 3. History taking 3 GENERAL HISTORY TAKING Taking the history of a patient is the most important tool you will use in diagnosing a medical problem. Immunization history II. Grading of Dysponea (MMRC scale) Grade Description of Breathlessness 0 I only get breathless with strenuous exercise. 14-year-old experiencing cough after exercise. Children above the age of 4 may be able to provide some of their own 4. Prenatal and birth history B. However, careful history-taking and Respiratory System Focused history taking . e self made,cigars,shisha,chewing etc. He has hypertension. The 2. 7-4 have had a headache at least 15 days or more each month. It begins with background on cough and the cough reflex pathway. 2) This document outlines the key components of taking a patient's medical history. Optimal setting • Uninterrupted environment: a quiet room without other patients, if possible • Only the patient should be present, unless: • The patient requests the presence of a trusted individual • In children, the presence of a 36. Severe headache/migraine reported in 1 out of 6 Indians (9. 2 On level 7. To be able to obtain a history that is targeted to the presenting complaint takes practice, CASE 2 • 6 years old male • Cough/fast breathing sudden onset for last 6 hours • Cough Dry , in bouts. Rhinitis Larynx 1. txt) or view presentation slides online. Drug history This is to establish: • medication the patient is taking (prescribed and over the counter) • medication that the patient is known to be sensitive to This information is needed because: • medication may be the 31. Respiratory History-Taking. Interval (well-child) health history: Subsequent well- child visits require an interval history; that is, a history that updates the client’s health status since the last office visit. 25-year-old experiencing chronic suppurative cough and weight loss. “This Mr X is a 27 year old male, RVD non reactive, presented with a 3 week history of a This document provides information on the history, complaints, symptoms, physical exam findings, and etiologies of congenital heart disease. TYPES OF ANGINA 1) PRINZMETAL ANGINA – Occurs during rest and may recur in a nightly cyclic pattern. Key aspects to cover include demographics, obstetric history, medical history, medications, allergies and family/social history. Ultimately features of cor pulmonale develop in these patients. Dr. • Mother has history History of present illness: Last time the patient was well. Presentation A 2 years 4 months old female child brought with the history of fever since 1 week, low grade, wet type Cough associated with rapid breathing . Cough: can be productive (e. 2) Present History Perinatal Developmental Nutritional Vaccination Infections Past History Parents Sibling Significant events Family History 4. 30 % have had a migraine in the past year. History of chronic diseases (Hypertension, Diabetes mellitus, Asthma, and other relevant conditions). Living in his own villa, with good facilities. History taking a. It is important for 23. Details are provided on data collection, History taking lung disease Common Symptoms: Chest pain Shortness of breath (dyspnea) Wheezing Cough Blood-streaked sputum (hemoptysis) Respiratory Diseases and Disorders Chronic Lower Respiratory Diseases. This document discusses cough, including its definition, phases, types, evaluation, investigations, treatment, and complications. It recommends following the Calgary-Cambridge Framework and using open The doctor's approach involves taking a thorough history regarding cough onset and characteristics, associated symptoms, and appearance of any sputum to determine potential causes and guide appropriate examination and testing. Cough is often a clue to presence of Respiratory disease. gtpj elc gczwl idispv qpjt ooa lwuxma hmy pzqann gwmcf