Medicine
Volume 36, Issue 3 , Pages 119-125, March 2008

Symptoms and signs of respiratory disease

Richard M Leach MD FRCP is Consultant Physician and Honorary Senior Lecturer at Guy's and St Thomas' Hospital Trust and GKT School of Medicine London, UK. Competing interests: none declared

Abstract 

The primary symptoms of respiratory disease are breathlessness, chest pain, wheeze, cough and associated sputum production. However, non-respiratory conditions including anaemia and metabolic acidosis can cause breathlessness, and lung diseases can cause distant symptoms, for example the non-metastatic manifestations of lung cancer. A comprehensive, systematic approach to history-taking, in which the time-course, nature and severity of individual symptoms are explored, followed by a thorough analysis of clinical signs has been demonstrated to be the most important factor in establishing the cause of respiratory disease, enabling most clinicians to form a differential diagnosis and proceed to investigations that will confirm the diagnosis and appropriate therapy. This contribution focuses on symptoms, signs and aspects of the history and examination that are directly relevant to the respiratory system.

Keywords: breathlessness, chest pain, cough, haemoptysis, respiratory signs, respiratory symptoms, sputum expectoration, stridor, wheeze

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PII: S1357-3039(07)00410-0

doi:10.1016/j.mpmed.2007.12.003

Medicine
Volume 36, Issue 3 , Pages 119-125, March 2008