Signs and Symptoms of Respiratory Diseases
Signs and Symptoms of Respiratory Diseases
Signs and Symptoms of Respiratory Diseases
Respiratory Dis
Cardinal Symptoms
Cough
Sputum
Hemoptysis
Dyspnea
Wheezes
Chest pain
Apnea
Hoarseness
Stridor
Snoring
Fever
Night sweating
Weight loss
Acute cough
Acute bronchitis
Pneumonia
Pulmonary
Embolism
Left ventricular
failure
Bronchial asthma
Chronic bronchitis
Pulmonary fibrosis
Lung cancer
Drugs ( ACE inhibitors)
Bronchiectasis
Sputum
Bronchiectasis (yellow, green,
large amount, more in the
morning)
Lung abscess ( Foul smelling,
more on lying on
the
other side of lesion)
Pneumonia
( yellowish,
streaks of blood)
Pulmonary edema ( Pink
frothy)
Hemoptysis
Massive >200 ml/episode
Frank (fresh, bright red,
no sputum)
Causes
Dyspnea
Sudden ( seconds)
Pneumothorax
( Male, COPD, or
Tall, thin)
Pulmonary
embolism ( Female,
Pills)
Dyspnea
Acute dyspnea
(hours to days)
Bronchial
asthma
Pneumonia
Massive pleural
effusion
Pulmonary
edema (LVF, MS)
Chronic dyspnea
(months to Years)
Chronic bronchitis
Emphysema
Pulmonary
fibrosis
Chronic
thromboembolis
m
Types of dyspnea
Paroxysmal dyspnea
Bronchial asthma
(wheezes, no crackles)
Left ventricular failure (crackles,
cardiomegaly)
Nocturnal dyspnea
Bronchial asthma
GERD
LVF
Wheezes (Rhonchi)
Bronchial asthma
COPD
Pulmonary embolism
Lung cancer
Bronchiectasis
LVF
Chest pain
Pulmonary infarction
Pneumonia
Acute pleurisy
Tietz syndrome
Angina pectoris
General examination
Sputum
White mucoid Chronic bronchitis
Purulent, yellow, green
Suppurative
lung
syndrome
Red TB, Ca lung, PE
Frothy pink
Pulmonary edema
General examination
Sputum
White mucoid
Chronic bronchitis
Red
TB, Ca lung, PE
Frothy pink
Pulmonary edema
General examination
Respiratory rate (n=142)
Cyanosis (>5gm% of Hb
deoxygenated)
Central (blue hands & tongue)
Peripheral (blue hands & red tongue)
Hands examination
Central Cyanosis
COPD, Asthma
Pulmonary fibrosis
Pneumonia, PE
A/V malformation
Cardiac Rt to Lt
shunts
Peripheral cyanosis
Cold weather
Low COP
Clubbing of the
fingers and toes
Bronchiectasis
Ca lung
Lung abscess
Pulmonary fibrosis
Asbestosis
Cystic fibrosis
Hands
examination
Hypertrophic
pulmonary
osteoarthropathy
Ca lung
Hands examination
Tremors
Fine
Flapping
B2 agonist
CO2 retention
Ptosis
Enophthalmos
Miosis
Anhydrousis
Chest
examination
Skin (scar)
Thoracotomy
Chest
examination
Shape
Barrel shape
(COPD)
Chest
examination
Shape
Kyphoscoliosis
Chest
examination
Shape
Pectus
excavatum
Lymph nodes
Chest examination
Position of the
trachea
Chest examination
Cardiac apex
(dextrocardia)
Chest expansion
(n=3-5cm)
Tactile Vocal fremitus
Increased
Consolidation
Decreased
Pleural effusion
Collapse
Chest examination
Percussion
Decreased
Pleural effusion
(stony dull)
Consolidation
(dull)
Collapse
Fibrosis
Increased
Pneumothorax
& emphysema
Auscultation
Breathing sounds
Vesicular
Bronchial
Aegophony
Whispering pectrology
Auscultation
Decreased breath sound
Pleural effusion
Collapse/Atelectasis
Pneumothorax & Obesity
Increased breath sound
Consolidation
Cavity
Top of pleural effusion
Auscultation
Wheeze (Rhonchi)
Bilateral
Unilateral
FB
Lung cancer
Mucous plug
Auscultation
Crackles
(crepitations)
Fine
Pulmonary fibrosis
Coarse
Bronchiectasis
Pneumonia
Pulmonary edema
Friction rub
Infection,
Infarction, tumor
Examination of
systems related to
respiratory disease
CVS
P2, Corpulmonale,
CHF
Abdomen
Hepatosplenomegal
y
Renal
Goodpastures
syndrome
Rheumatoid
arthritis, SLE, PAN,
Bone pain
CNS
CO2 retention
Epilepsy
Cranial nerve palsy
Examination of
systems related
to respiratory
disease
Skin
erythema nodosum,
vasuclitis
heliotropic
rash
Quizzes
1
2
3
4
5