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Respiratory system

Enquiry about a functional condition of all the organs and systems. | Alimentary Gastro-intestinal system | Urinary organs | What time of the onset of the disease? | Patient anamnesis | General assessment | Auscultation of hearts |


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Breathing through nose: free, difficult (nasal obstruction). A cold: frequency, causative agents (supercooling, hypersensitization to smells etc.). Nasal discharge: quantity, character (thick, liquid, serous, mucoid, purulent, sanious, bloody, with an unpleasant smell, without smell). Nasal bleeding: frequency, intensity, duration, connection with high arterial blood pressure. Olfaction: usual, impairment, be absent.

Voice: usual, hoarse, absent (aphonia), feeling of dryness, scratch in a throat.

Chest Pain: localization, character (sharp, dull, shooting, aching), intensity (mild, moderate, intense), its connection with respiratory movements, cough and the posture, radiation, the position relief pain.

Cough: intensity (insignificant, moderate, intense), permanent, periodic (in the morning, in the afternoon, at night), paroxysmal (paroxysmal (attack-like)), dry (unproductive, without sputum), moist (with sputum, productive). Sputum: amount of sputum expectorated during one spit or during entire day (large or small), expectoration freely or difficultly, the time of the day mainly (in the morning, in the afternoon, at night), dependence sputum expectoration from patient posture (in what position of the body better), character (serous, mucous, mucopurulent, purulent, putrefactive), odour, color.

Expectoration of blood (haemoptysis): frequency, degree (blood-streaked sputum, blood-stained sputum, diffuse colouration of the sputum, frank haemoptysis, rusty sputum), duration, color (scarlet, fresh, rusty, dark, pink), foamy.

Breathlessness (shortness of breath, dyspnoea): with difficulty of inhalation, an exhalation, mixed; at rest, at walking (usual, fast). Attacks of asthma (onset of breathlessness): with difficulty of a inhalation, an exhalation, time of occurrence (at night, in the morning, during the day), intensity, duration, frequency, accompanied by cough, filling of wheeze in a chest, the reason of occurrence (smells, a dust, a tobacco smoke, supercoolings, excitements etc.), the position alleviate breathing during an attack, the medicaments that patient take for alleviation the condition.

 

 


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