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24 Cards in this Set
- Front
- Back
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Pulmonary Neoplasm
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Pulmonary Neoplasm
Hx MC ■Cough lasting days ■Tobacco use C ■Age >60 ■Cough associated with exercise ■Fatigue ■History of productive cough LC ■Age 40-60 ■Chills ■A history of occasional hemoptysis ■Recent significant weight loss ■Cough worse while supine ■Dysphagia ■Bone pain PE MC C ■Appearance of malnourishment; muscle wasting ■Unilateral breath sounds LC ■Tachypnea ■Bloody sputum |
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Pneumonia
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Pneumonia
Hx MC ■Fever ■Cough lasting days C ■History of purulent sputum ■Cough worse while supine ■History of productive cough ■Chills ■Cough associated with exercise ■Tobacco use ■Fatigue LC ■Cough reduced with beta agonist ■Recent immobility ■Age 40-60 ■Age >60 ■History of alcohol abuse ■Age 20-40 PE MC ■Unilateral breath sounds C ■Tachypnea LC ■Wheezes ■Crackles Labs MC C |
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COPD
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Hx MC ■Tobacco use
■Cough reduced with beta agonist ■Recurrent episodes of URI/cough ■Cough lasting days C ■History of productive cough ■Cough lasting minutes to hours ■Age 40-60 ■Male ■Cough associated with exercise ■Cough worse while supine ■Fatigue LC ■Age >60 ■History of purulent sputum PE MC ■Wheezes ■Tachypnea |
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Upper Respiratory Infection
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Upper Respiratory Infection
Hx MC ■Cough lasting days C ■History of productive cough ■Fever ■Cough worse while supine ■Age < 20 LC ■Cough associated with seasonal changes ■Cough reduced with beta agonist ■Cough associated with exercise ■Tobacco use ■Nasal drip ■History of allergies ■History of laryngitis ■Fatigue PE MC C ■Tachypnea LC ■Wheezes Labs MC |
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Bronchiectasis
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Bronchiectasis
Hx MC ■Cough lasting days ■History of productive cough ■History of copious sputum ■History of purulent sputum C ■Age >60 ■Recurrent episodes of URI/cough ■Cough reduced with beta agonist ■Cough worse while supine ■Fatigue LC ■Fever ■Age 40-60 ■History of alcohol abuse PE MC C ■Crackles ■Appearance of malnourishment; muscle wasting LC ■Wheezes Labs MC |
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Chronic Bronchitis
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Hx
MC ■History of productive cough C ■Cough lasting days ■Tobacco use ■Age 40-60 ■Cough worse while supine ■Cough reduced with beta agonist LC ■Age >60 ■Cough associated with seasonal changes ■History of allergies ■Cough lasting minutes to hours ■History of alcohol abuse ■Fatigue PE MC C ■Wheezes LC ■Crackles ■Tachypnea |
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Post Nasal Drip
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Post Nasal Drip
Hx MC ■Nasal drip ■Cough lasting minutes to hours ■Cough associated with nighttime ■Cough associated with seasonal changes ■History of allergies C ■Cough worse while supine ■Recurrent episodes of URI/cough ■History of productive cough LC ■Cough reduced with sitting upright ■Age 40-60 ■Age 20-40 ■Age < 20 |
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Asthma
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Asthma
Hx MC ■Cough reduced with beta agonist ■Age < 20 C ■Cough associated with seasonal changes ■Cough lasting minutes to hours ■Cough associated with exercise ■Cough associated with nighttime ■Family history of cough ■Cough worse while supine ■Recurrent episodes of URI/cough ■Nasal drip LC ■History of allergies ■Cough associated with use of NSAIDs ■Occupational exposure to toxins, fumes, etc ■Cough lasting days PE MC ■Wheezes ■Tachypnea |
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x HX: A 74 year old female presents with a cough present for 6 days. The cough has for the most part been productive. The patient also describes a low grade fever, chills, copious sputum, purulent sputum and recurrent episodes of chest congestion. Prior episodes of cough have been associated with nothing. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: the patient appears malnourished. VITAL SIGNS: Temperature: 101.1, BP: 151 / 80, Pulse: 91 Respiratory rate: 15. RESPIRATORY exam reveals: crackles in the bases. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
Bronchiectasis (purulent, copious sputum, malnourishment, over 60)
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x HX: A 31 year old male presents with a cough present a few hours. The cough has for the most part been non productive. The patient also describes a nasal drip, purulent sputum and recurrent episodes of chest colds. Prior episodes of cough have been associated with night time and changes in seasons. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with sitting upright. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.6, BP: 140 / 87, Pulse: 84 Respiratory rate: 17. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
post nasal drip (no wheezes and tachypnea as in asthma, productive cough)
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x HX: A 48 year old female presents with a cough present for 4 days. The cough has for the most part been productive. The patient also describes a nasal drip, purulent sputum, fatigue and recurrent episodes of chest congestion. Prior episodes of cough have been associated with exercise. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with beta-agonists. The following seem to increase the cough: supine position. Surgeries: recent gallbladder surgery. Habits: 1-2 packs of cigarettes a day. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.7, BP: 132 / 81, Pulse: 77 Respiratory rate: 29. RESPIRATORY exam reveals: wheezing. EXTREMITIES demonstrate clubbing. NEUROLOGICAL exam: unremarkable. |
COPD (TOBACCO use, over 40, cough with exercise, male, purulent sputum, wheezes, clubbing extremities)
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x HX: A 54 year old female presents with a cough present a few hours. The cough has for the most part been productive. The patient denies other associated findings. Prior episodes of cough have been associated with nothing. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. The following seem to increase the cough: supine position. Surgeries: none. Habits: 1 packs of cigarettes a day and consumes 2 shots of alcohol a day. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.7, BP: 152 / 82, Pulse: 76 Respiratory rate: 14. RESPIRATORY exam reveals: crackles in the bases. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
chronic bronchitis (allergy, alcohol, crackles)
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x HX: A 37 year old female presents with a cough present a few hours. The cough has for the most part been productive. The patient also describes a nasal drip and recurrent episodes of chest congestion. Prior episodes of cough have been associated with exercise, night time and changes in seasons. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.6, BP: 130 / 83, Pulse: 84 Respiratory rate: 15. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable |
post nasal drip (productive cough, nighttime)
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z HX: A 71 year old female presents with a cough present for 4 days. The cough has for the most part been productive. The patient also describes a low grade fever, chills, copious sputum, purulent sputum, fatigue and recurrent episodes of chest congestion. Prior episodes of cough have been associated with nothing. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with sitting upright. Nothing makes the cough worse. Surgeries: none. Habits: consumes 3 beers a day. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 100.2, BP: 147 / 81, Pulse: 94 Respiratory rate: 16. RESPIRATORY exam reveals: crackles in the bases. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable |
bronchiectesis (alcohol, copious, purulent cough, crackles, malnourishment)
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z HX: A 74 year old male presents with a cough present for 4 days. The cough has for the most part been productive. The patient also describes a low grade fever, chills, copious sputum, purulent sputum and fatigue. Prior episodes of cough have been associated with nothing. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: there is evidence of muscle wasting. VITAL SIGNS: Temperature: 100.1, BP: 121 / 89, Pulse: 81 Respiratory rate: 15. RESPIRATORY exam reveals: wheezing and crackles in the bases. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable |
bronchiectesis
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z HX: A 18 year old female presents with a cough present for 5 days. The cough has for the most part been productive. The patient also describes a low grade fever. Prior episodes of cough have been associated with exercise. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. Nothing makes the cough worse. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 100.8, BP: 150 / 89, Pulse: 92 Respiratory rate: 25. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable |
upper respiratory infection
(18 yr old, no history of allergies so not asthma) |
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HX: A 33 year old male presents with a cough present for about one day. The cough has for the most part been productive. The patient also describes a nasal drip. Prior episodes of cough have been associated with exercise, night time and changes in seasons. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with sitting upright. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.6, BP: 147 / 75, Pulse: 86 Respiratory rate: 14. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
post nasal drip
(not asthma because asthma patients are <20) |
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z HX: A 42 year old female presents with a cough present for 4 days. The cough has for the most part been productive. The patient also describes a low grade fever, chills, purulent sputum and fatigue. Prior episodes of cough have been associated with nothing. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has been recently immobilized due to surgery. Nothing seems to reduce the frequency or severity of coughing. Nothing makes the cough worse. Surgeries: none. Habits: 2 packs of cigarettes a day and consumes 2 beers a day. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 101.8, BP: 123 / 81, Pulse: 76 Respiratory rate: 27. RESPIRATORY exam reveals: unilateral breath sounds. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
pneumonia (unilateral breath sounds, fever, cough lasting days, 40-60yo, reduced coughing w/ beta agonsit, crackles, trauma)
unilateral sound -> think pneumonia and pulmonary neoplasm |
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z HX: A 67 year old female presents with a cough present for 3 days. The cough has for the most part been productive. The patient also describes fatigue, bone pain and occasional episodes of hemoptysis. Prior episodes of cough have been associated with exercise. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. Nothing makes the cough worse. Surgeries: none. Habits: 1 packs of cigarettes a day. Family history: unremarkable.
PE/APPEARANCE: there is evidence of muscle wasting. VITAL SIGNS: Temperature: 98.5, BP: 134 / 80, Pulse: 88 Respiratory rate: 29. RESPIRATORY exam reveals: bloody sputum at the bedside and unilateral breath sounds. EXTREMITIES are normal. NEUROLOGICAL exam: reveals decreased mental acuity. |
pulmonary neoplasm (bone pain, hemoptysis, unilateral breath sound, malnourishment, bloody sputum)
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z HX: A 18 year old male presents with a cough present since two nights ago. The cough has for the most part been non productive. The patient also describes recurrent episodes of chest congestion. Prior episodes of cough have been associated with exercise, night time and changes in weather. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with beta-agonists. The following seem to increase the cough: supine position. Surgeries: none. Habits: 1-2 packs of cigarettes a day. Family history: reveals pulmonary problems, heart disease, high blood sugar and cancer.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.7, BP: 133 / 76, Pulse: 82 Respiratory rate: 29. RESPIRATORY exam reveals: wheezing. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
Asthma (tricky!)
Notice pt is 18yr (<20yo), family hx, wheezing.... |
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z HX: A 51 year old female presents with a cough present for about one day. The cough has for the most part been productive. The patient also describes recurrent episodes of chest colds. Prior episodes of cough have been associated with nothing. The patient denies allergies. Work does pose air-borne environmental exposures. The patient has not been recently immobilized. The patient notes reduced coughing with beta-agonists. Nothing makes the cough worse. Surgeries: recent hernia surgery. Habits: 1-2 packs of cigarettes a day. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 98.4, BP: 137 / 79, Pulse: 81 Respiratory rate: 27. RESPIRATORY exam reveals: wheezing and crackles in the bases. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
COPD (NOT asthma, despite occupational exposure to fumes, there is high tobacco usage here, and pt is 51 yo, so COPD)
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z HX: A 65 year old male presents with a cough present for 4 days. The cough has for the most part been non productive. The patient also describes fatigue. Prior episodes of cough have been associated with exercise. The patient denies allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. Nothing makes the cough worse. Surgeries: none. Habits: 2 packs of cigarettes a day. Family history: unremarkable.
PE/APPEARANCE: there is evidence of muscle wasting. VITAL SIGNS: Temperature: 98.7, BP: 139 / 84, Pulse: 83 Respiratory rate: 25. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
pulmonary neoplasm (instead of COPD, because of appearance of malnourishment)
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z HX: A 18 year old male presents with a cough present for 3 days. The cough has for the most part been productive. The patient also describes a low grade fever and fatigue. Prior episodes of cough have been associated with nothing. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. Nothing makes the cough worse. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 101.6, BP: 123 / 77, Pulse: 81 Respiratory rate: 25. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
upper respiratory infection (cough, <20yo, history of allergies, tachypnea, laryngitis)
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z HX: A 36 year old female presents with a cough present for 3 days. The cough has for the most part been productive. The patient also describes a low grade fever. Prior episodes of cough have been associated with exercise and changes in seasons. The patient admits to allergies. Work does not pose air-borne environmental exposures. The patient has not been recently immobilized. Nothing seems to reduce the frequency or severity of coughing. The following seem to increase the cough: supine position. Surgeries: none. Habits: no smoking or alcohol consumption. Family history: unremarkable.
PE/APPEARANCE: unremarkable. VITAL SIGNS: Temperature: 101.9, BP: 146 / 85, Pulse: 84 Respiratory rate: 28. RESPIRATORY exam reveals: no abnormal findings. EXTREMITIES are normal. NEUROLOGICAL exam: unremarkable. |
upper respiratory infection (fever, tachypnea, cough for days, associated with exercise) generic stuff!!!
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