Cough History

• CC:
  • Onset: first time? When? Sudden\gradual? Continues\intermittent? Duration? Recent URTI?
  • Timing: day\night? After exercise? Seasonal variation? How frequent?
  • Character: dry? Productive? Coughing up blood? Barking?
  • Aggravating\relieving factors: dust, cold air, animal dander, laying down, medications?
  • Severity: wakes you up from sleep? Interfering w\ ADL? How many pillows do you sleep on?

• Associated sx:
  • Constitutional: fever, wt loss, loss of appetite, night sweats, chills?
  • Resp: chest pain, SOB, PND, wheezing?
  • Cardiac: palpitations, LL swelling, claudication?
  • GI: abdominal pain, N\V, heartburn, change of BM?
  • URTI: runny nose, hoarseness, swollen lymph nodes?
  • Atopy: eczema?

• PMHx:
  • Diseases:
    • Chronic ds (HTN, DM, DLP)
    • Respiratory ds (asthma, COPD)
    • Cardiac ds
    • CF
  • Medications: OTC, herbals
  • Surgery, hospitalization, trauma
  • Blood transfusions, IV drug use, tattoos
  • Allergies

• FMHx:
  • Similar complaint?
  • Same diseases as in PMHx?

• Social Hx:
  • Occupation, marital status, children?
  • Smoking, alcohol, recreational drugs?
  • Travel Hx, contact with sick pts?
  • Diet, exercise

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