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Dyspnea History
Nov 23, 2010
•
Mark Morgan
categories:
Pulmonology
Subjective/History
Dyspnea
Onset
prior to evaluation
Onset while
Now it is of
severity at the time of this evaluation.
At it worst it is of
severity.
The dyspnea is relieved with
no
YES
<-- worse lying flat
no
YES
<-- exertional
no
YES
<-- worse with coughing
no
YES
<-- cough
productive of sputum
no
YES
<-- wheezing
no
YES
<-- chest pain
no
YES
<-- palpitations
no
YES
<-- fever
no
YES
<-- diaphoresis
Pertinent PMH:
no
YES
<-- COPD
no
YES
<-- Asthma.
no
YES
<-- CHF
no
YES
<-- Coronary Disease
no
YES
<-- Prior Intubations
Tobacco use:
Pertinent Medications:
Albuterol recent use up to every
and was last used
Steroid inhaler:
Oral steroids last used:
Pitfalls:
no
YES
<-- Pneumothorax history or risk
no
YES
<-- Pneumonia history or risk
no
YES
<-- unilateral leg swelling
no
YES
<-- recent prolonged travel, recent trauma, hypercoagulable state, hormonal therapy
no
YES
<-- anxiety related symptoms such as panic, dizziness, or finger paresthesias.
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reference:
#1
Dr. Scott Moses, creator/author of the Family Practice Notebook
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