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What questions might you explore with the patient?

Questions to explore with the patient.
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© Woman in Gray Long Sleeve Shirt Holding White Tablet Computer by Cedric Fauntleroy Licensed CC0
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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