Control questions

1. Main respiratory symptoms

2. What is cough and its refinement, features at the respiratory patients?

3. What is dyspnea and its refinement, features at the respiratory patients?

4. What is wheezing? Which syndrome and diseases can it appear in?

5. What is hemoptysis? How is it differenced from lung bleeding?

6. Features of the chest pain in case of the respiratory diseases.

7. Peculiarities of taking history respiratory patients.

8. Assessment of the obtaining data during inquiring respiratory patient.

Practical tasks

1. Asking patient about respiratory symptoms as main complaints

2. Refinement respiratory complains and their assessment

3. Taking disease history and its assessment

4. Taking life history patients with respiratory diseases and its assessment

5. Making conclusions after inquiring respiratory patient

6. Writing part of case history of the respiratory patient

Situation tasks

Task 1

25-year-old male patient suddenly felt breathlessness with audible whistle noise after contact with dust. He noted similar respiratory disorders periodically during last 7 years.

1. Which respiratory symptom does patient have?

2. How should the symptom be specified?

3. What parts of life history are the most informative in this case?

Task 2

67-year-old female patient complains of dyspnea, cough and left side chest pain. The symptoms appeared after hard work and overcooling 3 days before.

1. What additional questions should you ask for refinement the symptoms?

2. Is the disease acute or chronic? What should you ask for obtaining this data?

3. How may origin of the chest pain be established using interviewing?

Task 3

34-year-old female was admitted to pulmonology department with severe mixed dyspnea, high fever (39°C), cough with rusty sputum, piercing chest pain.

1. What questions should be asked for refinement chest pain?

2. How should the anamnesis morbi be collected?

3. What parts of the anamnesis vitae must be take into account for prescribing treatment?

Task 4

70-year-old male patient notes increasing dyspnea, cough with purulent sputum production during last week after overcooling. Mild dyspnea and periodical morning cough disturbed patient long time (15 years). Patient is long time smoker (has been smoking 55 year, on average 1 pack cigarettes in a day).

1. What type of dyspnea does patient have?

2. How is present condition of the patient named?

3. Calculate patients smoking history parameter.