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Wednesday 7 April 2010

pulmonary history taking

some specific questions that may interest us when asking questions regarding pulmonary diseases.

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upon collecting personal details, the
NASAROME

Name
Address
Sex
Age
Religion
Occupation
Marital status
Ethnicity

the Occupation may be important to assess occupational diseases of the lungs,
the address may be important to assess infectious diseases.

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History of presenting complaint;

S.O.C.R.A.T.E.S

Site
Onset
Charactor
Radiation
Associated symptoms
Time factors (when does it get worse? how long have you had what?)
Exeberating and relieving factor
Severity

Blue - less relavant
red - more relavant

in pulmonary medicine, the charactor of...

Cough
Sputum

may be particularly important.


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also, for well-known or more frequently prevalent diseases like asthma, it may be important to assess the severity, e.g.

can you excersize?
how many days off work do you have in a month?
how many sleep disturbances in a month?


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