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Objectives

History taking OF Respiratory System in Adult Prayudi Santoso , Arto Y. Soeroto Pulmonary Division Dept. of Internal Medicine, School of Medicine Padjadjaran University BANDUNG. Objectives. After this session, you will be able to recognize and describe the following:

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Objectives

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  1. History taking OF Respiratory System in AdultPrayudiSantoso, Arto Y.SoerotoPulmonary DivisionDept. of Internal Medicine, School of Medicine Padjadjaran UniversityBANDUNG

  2. Objectives • After this session, you will be able to recognize and describe the following: • Useful techniques for interviewing the patient with respiratory symptoms • The common symptoms of respiratory disease and the significant characteristics of each to identify in the interview

  3. Categories of the Medical History • Patient identification • Chief complaints • History of present illness • Past Medical History • Family history • Occupational history • Smoking history • Review of systems

  4. History of Present Illness • Describes the current medical problems and the circumstances surrounding each problem • For example: dyspnea: • When it started • How severe it was • What made it worse or better • Various other details that may be important (e.g. wheezing)

  5. Past Medical History • Describes important medical problems the patient has had in the past. • For example: if the patient has a history of asthma, COPD, heart disease. Cancer or stroke it will be reported in the Past Medical History

  6. Review of Systems • Determine whether the disease is confined to the pulmonary complaints are a manifestation of illness elsewhere (e.g. conjunctivitis and rhinitis in asthma, sinusitis in bronchiectasis) • Aspiration of postnasal drip or GERD can cause exacerbate chronic bronchitis and asthma

  7. COUGH • A COUGH 1S THE COMMONEST MANIFESTATION OF LOWER RESPIRATORY TRACT DISEASE • A PERSON MAY COUGH VOLUNTARILY, BUT MORE TYPICALLY COUGH IS A REFLEX RESPONSE TO STIMULLI → IRRITATE RECEPTORS → LARYNX, TRACHEA, LARGE BRONCHE

  8. COUGH • DO YOU HAVE A COUGH ? • ITS QUALITY DRY OR PRODUCTIVE COUGH • ITS QUANTITY OR SEVERITY : • VOLUME → amount is it? • INTERMITTENT • PERSISTENT CHRONIC BRONCHITIS • COLOR • ODOR • CONSISTENCY

  9. ITS TIMING : NEW SYMPTOM OR MORE CHRONIC • THE SETTING IS WHICH OCCURS WORSE AT NIGHT ? WORSE IN THE MORNING • FACTORS THAT MAKE A BETTER OR WORSE • ASSOCIATED MANIFESTATION : (TABLE 1,2,3) SYMPTOMS ASSOCIATED WITH THE COUGH LEAD YOU ITS CAUSE

  10. Patterns of cough in asthma and chronic bronchitis

  11. Types of sputum

  12. Common Respiratory Causes Of Cough

  13. OVERLAP BETWEEN COPD AND ASTHMA COPD ASTHMA ~10%

  14. Cough and Hemoptysis (1

  15. Cough and Hemoptysis (2

  16. Cough and Hemoptysis (3

  17. Chest Pain (1

  18. Chest Pain (2

  19. Chest Pain (3

  20. Dyspnea (1

  21. Dyspnea (2

  22. Dyspnea (3

  23. HASAN SADIKIN GENERAL HOSPITAL THANK YOU

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