Assessment and examination of the respiratory system

2022 ◽  
Vol 33 (1) ◽  
pp. 18-24
Author(s):  
Eleanor Squires

Respiratory complaints are seen regularly in general practice. Eleanor Squires looks at the importance of advanced practitioners carrying out a systematic assessment and examination of a patient with respiratory symptoms The aim of this article is to explore the importance of carrying out a systematic assessment and examination of a patient with respiratory complaints. History taking using recommended acronyms will be discussed, along with a focus on the most common presentations. Finally, it will discuss a systematic examination of the patient.

2020 ◽  
Vol 31 (6) ◽  
pp. 386-386
Author(s):  
Qabass Omran ◽  
Elhaam Avini ◽  
Zara Ahmed ◽  
Fatemazahra Mohamed

2008 ◽  
Vol 21 (1) ◽  
pp. 88-97 ◽  
Author(s):  
Siebrig Schokker ◽  
Elisabeth M.W. Kooi ◽  
Tjalling W. de Vries ◽  
Paul L.P. Brand ◽  
Paul G.H. Mulder ◽  
...  

2018 ◽  
Vol 11 (4) ◽  
pp. 185-189
Author(s):  
Magnus James

Patients presenting with foot or ankle pain are commonly seen in general practice, and the differential diagnoses are extensive. There are many conditions that can affect the foot and ankle, including orthopaedic, vascular, rheumatologic and traumatic causes. This article will describe a general template for history taking and clinical examination of the foot and ankle. It will then focus on some conditions that commonly present in general practice, and consider their diagnosis and management.


2007 ◽  
Vol 24 (6) ◽  
pp. 636-641 ◽  
Author(s):  
E. Hoefman ◽  
K. R Boer ◽  
H. C. van Weert ◽  
J. B Reitsma ◽  
R. W Koster ◽  
...  

2018 ◽  
Vol 90 (8) ◽  
pp. 131-136
Author(s):  
V N Abrosimov ◽  
I B Ponomareva ◽  
A A Nizov ◽  
M V Solodun

One of the manifestations of gastroesophageal reflux disease (GERD) is extraesophageal symptoms, in particular, from the upper and lower respiratory tract. Gastroesophageal reflux is capable of both causing respiratory symptoms independently and aggravating the course of already existing diseases of the respiratory system. The article presents available in the literature current information on the pathogenesis of GERD respiratory symptoms, their clinical course, considerations of diagnosis and treatment.


Author(s):  
James Thomas ◽  
Tanya Monaghan

IntroductionHistoryDyspnoeaCough and expectorationOther respiratory symptomsThe rest of the historyExaminationGeneral appearanceHands, face, and neckInspection of the chestPalpationPercussionAuscultationImportant presentationsThe elderly patient


2020 ◽  
Vol 37 (5) ◽  
pp. 682-688 ◽  
Author(s):  
Chenwen Zhong ◽  
Zhuojun Luo ◽  
Cuiying Liang ◽  
Mengping Zhou ◽  
Li Kuang

Abstract Background General practitioner (GP) consultation has long been considered an important component of general practice, but few studies have focused on its characteristics in China. Objective This study aimed to explore the content and elucidate the characteristics of GP consultations in general practice in China. Methods A multimethod investigation of GP consultations in eight community health centres in Guangzhou and Shenzhen, China was conducted between July 2018 and January 2019. Data from 445 GP consultations were collected by direct observation and audio tape and analysed by a modified Davis Observation Code with indicators for frequencies and detailed time durations. GP and patient characteristics were collected by post-visit surveys. Results The mean visit duration was approximately 5.4 minutes. GPs spent the most time on treatment planning, history taking, negotiating, notetaking and physical examination and less time on health promotion, family information collecting, discussing substance use, procedures and counselling. The time spent on procedures ranked first (66 seconds), followed by history taking (65 seconds) and treatment planning (63 seconds). Besides, patients were very active in the consultation, specifically for topics related to medicine ordering and drug costs. Conclusions This study described the profile of GP consultations and illustrated the complexity of care provided by GPs in China. As patient activation in GP consultations becomes increasingly important, future studies need to explore how to promote the engagement of patients in the whole consultation process other than just requesting for medicine.


PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. 848-852
Author(s):  
WILLIAM F. H. YEE ◽  
ROBERT G. CASTILE ◽  
AMIEL COOPER ◽  
MARY ROBERTS ◽  
ROY PATTERSON

Bird fancier's disease is a form of hypersensitivity pneumonitis resulting from inhalation of various avian proteins. It is rarely diagnosed in childhood but should be considered in any child with persistent unexplained respiratory symptoms.1,2 We describe two patients referred to our pulmonary clinic with nonspecific respiratory complaints, in whom the diagnosis of avian protein-related hypersensitivity pneumonitis was initially not confirmed by serologic studies. CASE REPORTS Patient 1 An 11-year-old boy was admitted to the hospital with a 1-year history of a mild nonproductive cough, poor appetite, weight loss, malaise, and an intermittent low-grade fever. According to an environmental history, the boy's father had been breeding pigeons, canaries, and parakeets in the family yard for years.


2009 ◽  
Vol 90 (1) ◽  
pp. 82-86 ◽  
Author(s):  
Marlous Kastelein ◽  
Pim A. Luijsterburg ◽  
Harry P. Wagemakers ◽  
Santusha C. Bansraj ◽  
Marjolein Y. Berger ◽  
...  

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