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1. 2ND LECTURE
RESPIRATORY SKILLS
SYMPTOMATOLOGY
Dr
Muneer Bashoaib

2. DYSPNEA
 Definition
 TYPES

4. ANLYSIS OF DYPNEA
Onset,Course,Duration,Type
,Severity,Aggravating&Relieving
Factors,Grade,Associated
Symptoms.

10. ABCD ASSESSMENT TOOL OF
COPD

14. SIR WILLIAM
OSLER (1849–
1919)
Learn to see, learn to hear, learn
to feel, learn to smell and know
that by practice alone can you
become experts.

15. COUGH

18. ANALYSIS OF THE COUGH
Onset,Course,Duration,Frequency,Aggravating&RelievingFactors,Sputum
,Timing, RelationToPosition,AssociatedSymptoms

19. SPUTUM
Colour
• Clear (mucoid): COPD/bronchiectasis without current infection/rhinitis.
• Yellow (mucopurulent): acute lower respiratory tract infection/asthma.
• Green (purulent): current infection – acute disease or exacerbation of chronic disease, such as
COPD.
• Red/brown (rusty): pneumococcal pneumonia . Try to distinguish between rusty and frank red
blood
• Pink (serous/frothy): acute pulmonary oedema.
Volume
• Establish the volume produced over 24 hours: small amounts into a tissue or enough to fill a
spoon(s), eggcup(s) or cup(s).
• Compare the current volume with the patient’s baseline or minimal volume.
Consistency
• An increase in stickiness (viscosity) may indicate exacerbation in bronchiectasis.
• Large volumes of frothy secretions over weeks/months are a feature of the uncommon
bronchoalveolar cell carcinoma.

20. MUCOID MUCOPURULENT PURULENT
Rusty red sputum

23. HEMOPTYSIS

25. DISTINGUISHED HEMOPTYSIS FROM
HEMATEMESIS
Hemoptysis Hematemesis
Causes Pulmo or cardiac digestive system
Previous symptoms Cough, chest
tightness
Nausea, vomiting
Spit up Cough up Vomited
Color Bright red Dark red
Mixture Sputum, frothy Gastric contents
pH alkality acidity
Tarry stools
(Melena )
- or + +
Post-bleeding Sputum with blood No sputum

29. OTHER SYMPTOMS
Stridor vs wheezing
Chest pain
Fevers/rigors/night sweats
Weight loss: Loss of < 3 kg in the previous 6 months is rarely
significant.
Sleepiness