× RS CVS GIT
× CVS RS CNS GIT

RS

Demography:

  • Name
  • Age
  • Sex
  • Occupation
  • Address

Chief complaints with HOPI

Cough

  • Duration
  • Onset
  • Paroxysmal/Persistent
  • Dry/Productive
  • Postural variation
  • Diurnal variation
  • Aggravating/Relieving factor
  • Associated with chest pain, syncope, wheeze

Chest Pain

  • Duration
  • Onset
  • Nature
  • Continuous/Intermittent
  • Radiation
  • Postural Variation
  • Aggravating/Relieving factor
  • Associated with nausea, vomiting, sweating
  • Associated with food intake

Breathlessness

  • Duration
  • Onset
  • Progression
  • Grade
  • Postural and Diurnal Variation
  • Aggravating/Relieving Factor
  • PND/Orthopnea

Sputum

  • Duration
  • Quantity
  • Odour
  • Color
  • Character
  • Postural and diurnal variation
  • With/without blood

Haemoptysis

  • Duration
  • Episodes
  • Fresh/Altered blood
  • Associated with purulent sputum of food particle

Wheeze

  • Duration
  • Diurnal variation
  • Aggravating/Relieving factor

Negative History

CVS

  • H/O pedal edema
  • H/O abdominal distension
  • H/O right hypochondrial pain
  • H/O puffiness of face
  • H/O palpitation
  • H/O syncope
  • H/O hoarseness of voice
  • H/O oliguria

TB

  • H/O fever with evening rise of temperature
  • H/O loss of weight
  • H/O loss of appetite
  • H/O night sweats

Malignancy

  • H/O dysphagia
  • H/O hoarseness of voice
  • H/O loss of weight

Past History

  • H/O previous similar episodes
  • H/O DM, HT, BA
  • H/O TB(any contact, age, treatment failure)
  • H/O suggestive of pneumonia
    • Aspiration( Aspiration, Booze, Cough, Drowning, Epilepsy, Foreign Body- ABCDEF)
    • Exanthematous fever
    • Tooth extraction, Tonsillectomy, Allergy
    • Trauma
    • Exposure to STDs
  • H/O suggestive of pleural effusion
    • Acute abdominal distress( Subphrenic abscess, Amoebic abscess, Pancreatitis)
  • H/O suggestive of past infection
    • Measles, whooping cough
    • Recurrent respiratory infection