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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