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  • History Taking in A Patient With Cough

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    Ajay Sudhakar
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    This document outlines the key aspects to assess in a patient presenting with cough, including differentiating between acute and chronic cough, characterizing the cough, examining sputum properties, relating cough to posture and time of day, determining if cough occurs in spasmodic attacks, identifying associated symptoms, and reviewing past medical, personal, and family history. Key factors that may indicate underlying conditions include duration of cough, presence of hemoptysis, weight loss, dysphagia, wheezing, seasonal patterns, and occurrence at night or with certain positions.

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    Cough

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    This document outlines the key aspects to assess in a patient presenting with cough, including differentiating between acute and chronic cough, characterizing the cough, examining sputum properties, relating cough to posture and time of day, determining if cough occurs in spasmodic attacks, identifying associated symptoms, and reviewing past medical, personal, and family history. Key factors that may indicate underlying conditions include duration of cough, presence of hemoptysis, weight loss, dysphagia, wheezing, seasonal patterns, and occurrence at night or with certain positions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    9 views11 pages

    History Taking in A Patient With Cough

    Uploaded by

    Ajay Sudhakar
    This document outlines the key aspects to assess in a patient presenting with cough, including differentiating between acute and chronic cough, characterizing the cough, examining sputum properties, relating cough to posture and time of day, determining if cough occurs in spasmodic attacks, identifying associated symptoms, and reviewing past medical, personal, and family history. Key factors that may indicate underlying conditions include duration of cough, presence of hemoptysis, weight loss, dysphagia, wheezing, seasonal patterns, and occurrence at night or with certain positions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 11

    History taking in a patient

    with cough
    History of
    presenting illness
    Acute and chronic cough
     Acute cough  Chronic cough
     Foreign body inhalation  More than 4-6 weeks
     Inhalation of irritant gas  Tuberculosis
     Pulmonary edema  Post nasal drip
     Pulmonary embolism
     GERD
     Muscle disease
     Bronchogenic carcinoma
     Compression of resp tract
    from structures outside the
    tract
     Cough lasting for several weeks in a smoker can
    be a sign of malignancy
    Character of cough
     Bovine cough  Laryngeal nerve palsy
     Brassy cough  Involvement of trachea
     Dry irritant cough  Pleurisy, pharyngeal edema
     Cough with expectoration
    Character of sputum
     Yellow sputum  Infection
     Hemoptysis  Infection, carcinoma, vasculitis and pulmonary
    embolism
     Very productive  bronchiectasis
     Pink frothy sputum  pulmonary edema
     Rusty sputum  pneumococcal pneumonia
     Blood streaked sputum  tuberculosis, bronchiectasis, Ca lung or
    pulmonary infarction
     Clear white mucoid sputum –viral infection or longstanding
    bronchial irritation
    Relation to posture and time of day
     Lung abscess
     Asthma
     C/c bronchitis
     Hiatus hernia and CCF  More at night and relieved
    on sitting up
     Bronchoesophageal fistula and palatal palsy  Cough
    on swallowing
    Does cough occur in spasmodic
    attacks?
     Whooping cough, asthma, bronchitis 
    paroxysmal cough occurs
     Cardiac cough can be paroxysmal especially after
    exertion
    Associated symptoms
     Cough with hemoptysis  A/c infection, bronchogenic
    carcinoma, vasculitis, hemorrhagic d/s, cardiac asthma.

     Weight loss  malignancy, c/c infn.

     Dysphagia or change in voice  pressure on


    esophagus, trachea or main bronchus.

     In pneumonia there is fever, dyspnea, chest pain.


     Pain  pleurisy, tracheitis, trauma of chest with or
    without fracture of rib

     Associated with wheezing  Asthma

     Seasonal  Allergic bronchitis

     Cough at night in supine position suggest postnasal drip

     Cough associated with heart burn or sour taste in mouth


    suggest GERD
    Past, personal, family history
     Risk factors  Occupation, smoking, HIV
     Drugs  ACE inhibitor
     H/o seizure  Cough may be due to aspiration pneumonia
     Family H/o asthma

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