文档介绍：RESPIRATORY SYPTOMS
Symptoms of Respiratory Diseases
Cough and Sputum
Cough
Cough is a deep inspiration foonsistency and unusual odor
Colorless and transparent: mild inflammation and normal
Productive and purulent-bacterial infection as bronchitis pneumonia, lung abscess, bronchiectasis
Blood streaked- cancer, tuberculosis, lung infarction
Blood foamy- congestive heart failure
Rust-colored– pneumococal pneumonia
Large quantity- lung abscess, bronchiectasis,lung cancer
Purulent with foul odor- streptococcus and anaerobe in lung abscess
Acute Cough
Viral infections
Rhinoviruses, coronaviruses, and respiratory syncytial virus
influenza, parainfluenza, and adenoviruses
Allergic rhinitis
Exacerbations of COPD
Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis
Bordetella pertussis infection
Chronic Cough
Upper airway cough syndrome(Postnasal drip )
Asthma
Gastroesophageal reflux (GERD)
Eosinophilic bronchitis
ACE inhibitors
Chronic bronchitis
Bronchiectasis
Interstitial Lung Disease
Lung Cancer
Congestive Heart Failure
Psychogenic Cough
Complications of cough
pain from intercostal muscle strain
cough fracture
cough syncope
cough-induced incontinence
pneumothorax,pneumomediastinium
Haemoptysis
SYMPTOMS AND SIGNS--haemoptysis
The cough up of blood is termed haemoptysis
Blood tinged sputum to pure blood
Differentiation: upper airway, upper gastrointestinal tract(hematemesis-vomiting blood)
Haemoptysis—blood is bright red mixed with frothy sputum, alkaline
Hematemesis—dark, acidic, food particle
Bronchial circulation massive
Pulmonary circulation
airways
Pulmonary parenchyma.
Vascular disorders
Origin and disorders
Hemoptysis
Bleeding from lower respiratory tract
The amount varies from blood-strained sputum to several hundreds ml pure blood
Mild: 100ml/d
Moderate: 100-500/d
Severe: >500ml/d, or 100-500/time
Differential diagnosis
Bleeding from upper respiratory tract
Hematemesis
Distinguished hemoptysis from