WHAT ALL SHOULD BE INCLUDED IN A HOPI ?

for need to evaluate from the

any symptom ,
you
3
things history
✗

① WHAT IS THE SYSTEM INVOLVED ie .

what is the EASE

② WHAT IS THE CAUSE ?

→
3C 's

③ ARE THERE ANY COMPLICATIONS ?

1st
complaint →

Breathlessness
Eg
→

① WHAT IS THE CASE? → WHAT SYSTEMS CAN BE INVOLVED? FOR NOW Let I. CARDIAC CAUSE
say
→

2. RESPIRATORY CAUSE

ASK CARDINAL FEATURES OF

EACH OF THE SYSTEM

d d

CAC RES

,.p•
✗ →

?
Check if Breathleeeneeeisaee . c- PND ?
?
au -
c-
preceding cough ? , Sputum
Orlhopnea
Hemoptysis ?
Palpitations?
Wheeze ?
a.ee

syncope ?
Pedal edema?

lets
say pt initially sputum
had fib
,
.
.

cough i
breath tenners
,

-
s cardinal feature of CVS are -0

RESPIRATORY
probably
IS THE CASE

\/
?⃝
 ② WHAT IS THE CAUSE?

Check if slos onset is

--
d --

Acute Subacute Chronic

For Cale, there be VASCULAR

any can

INFECTIONS acute

TRAUMA

AI chronic

Allergic / Hypersensitivity
CD ④etabolic
VITAMIN
>
(a) Endocrinal
[
audit (b) Nutritional
chronic (c)
Electrolyte
Iatrogenic
Idiopathic
chronic
Neoplastic →

chronic
congenital
→

Dwgss Toxins →
/
acute chronic

µ
Eg→ Respiratory caines of Breath tenners can be → Check for slos of each of caeeee

② →
Pulmonary embolism 40 DVT / immobile'sah'on⑦ ?

⑦ →
Pneumonia / long abscess / Bronchiectasis / Pleural effusion fever / large amount sputum/ Foul
smelling ? TB
/
H 0

⑦ → Pneumothorax Hfo trauma ? imp .

④ → KDS / Pleural effusion H

/0 alopecia / oral ulcers

Asthma 40 exposure / acute

exacerbation)
Allergic →

allergen rhinitis
eczema / / conjunctivitis / family 40

④
ive
④ lung tumours weight loss / anorexia / paraneoplastic / Meli ?
→ -

② Ho
cyelichbmsis.com etc since birth ?
→
.

⑦ ,, ,,

⑦ →

s coP☐ 1 I

chronic
go smoking ⑦ ,
c-
poogreeei.ve#athels
fire
c- acute exacerbation -10

-1
 PROBABLE CAUSE IS SCOPD

-,

③ ANY COMPLICATIONS -10 ?

not ?
COPD can lead to RIO them
hospitalised or

① Acute exacerbations acute attacks of fever

purulent sputum?
any hlo
e-

② MAT Ho palpitation ?
③ Respiratory failure type I 40 morning headache ab@ behaviour
,

altered sensorium edema .

,
altered sleep ,

④ Cor pulmonate

%y¥
"" -
Cvs
Boeathlennen
-

(
cardinal features
Neg

µ
end at

tlemat
Evert d
ere

☒ other Rubin Caine

) irin-imiiic.is
sykora
> -

sget
→ COPD

/ )
IE
→

complication →
Cvs -
Arrythmias