Examen Respiratoire Introduction

Study Notes

The presentation covers the importance of the history-taking process in medicine, specifically focusing on the respiratory system.
It will detail various functional respiratory symptoms.

Cough (Toux):
- Definition and mechanisms
- Semiological analysis
- Complications
- Main etiologies
Sputum (Expectoration):
- Definition and mechanisms
- Semiological analysis
- Main etiologies
Vomica (Vomique):
- Definition
- Semiological analysis
- Main etiologies
Hemoptysis (Hémoptysie):
- Definition
- Semiological analysis
- Main etiologies
Thoracic Pain (Douleur thoracique):
- Definition
- Semiological analysis
- Main etiologies
Dyspnea (Dyspnée):
- Definition and mechanism
- Semiological analysis
- Main etiologies
Other signs
- These are other symptoms of respiratory issues that are detailed in the presentations.

The healthcare professional (doctor or student) should introduce themselves.
Maintain confidentiality.
Ensure patient comfort during the procedure.
If the examination occurs at the bedside, request that visitors leave and ensure privacy.
The doctor's attire should be appropriate.
Ensure the patient feels at ease.
The questions must be clear and unambiguous.
The professional should maintain a neutral demeanor and avoid nonverbal cues that could influence the patient's answers.
Value judgments should be avoided.
Recognize situations where examination is impossible (coma, dementia, speech impediments) and collect information from the patient's entourage or medical history.

Identifying the reason for the medical consultation.
Common symptoms and complaints are a key element in the study of patients.
Identifying significant radiologic imaging findings.
Detecting contagious diseases in close contacts of the affected individual.
Assessing professional work environments related to potential respiratory risks.
Investigating the patient's current lifestyle to identify related factors (tobacco use, drug use, etc.) and work habits.
Determining the patient's living situation (home, neighborhood, etc.)

Infectious context: angina, rhinopharyngitis, otitis, sinusitis, bronchitis, pneumonia…
Cardiac context ( Congestive heart failure (ICG))
Allergic context (e.g., asthma)
Medication toxicity (OAP)
Other conditions

Cough Analysis:
- Onset and duration (sudden or gradual)
- Productivity (dry or producing sputum)
- Frequency and timing (morning, night, postprandial)
- Other characteristics or traits
Sputum Characteristics:
- Amount (excessive, bronchorrhea)
- Time of appearance in relation to other symptoms
- Consistency (purulent, mucopurulent, mucous...)
- Color (clear, gray, yellow, green, brown, bloody).
Associated symptoms: (fever, headache, chest pain, hemoptysis)