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What questions might you explore with the patient?

Questions to explore with the patient.
Two women talking looking at a tablet

Let’s consider the questions you should explore with the patient in order to diagnose the respiratory problem.

If she coughs – how long has it been going on, does she produce any phlegm and is there any blood?

  • Acute cough – may be categorised as less than 3 weeks
  • Sub-acute cough – may be categorised as 3-8 weeks
  • Chronic cough – may be categorised as more than 8 weeks source

(Based on National Institute for Health and Care Excellence (NICE) guidance)

  • Does she currently smoke tobacco? If yes, how many cigarettes a day? What type (homemade or bought?) If she doesn’t, does anyone else in her dormitory or factory smoke?

  • Where does she live in Vellore – in an urban or rural location?
  • What is the quality of the living conditions?
  • Is biomass fuel (such as wood) used daily for cooking or heating?
  • Has there been any contact with unwell family, friends or colleagues?
  • What does her job involve – are there any occupational exposures?
  • Has she had any other exposure to environmental hazards such as silica or other airborne substances?
  • Has she travelled recently?
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Chronic Respiratory Diseases (CRD) in Primary Care Settings

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