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If productive, one should ask about the colour, viscosity, and the amount. Essentially normal sputum is light and white whereas sputum associated with pathology is purulent, greenish-yellow with blood tinge. This is significant as will play a major role in coming up with differential diagnosis. Associated factors: The patient should be asked about any other condition associated with the chief complain. These factors could include; chest tightness and pain, hemoptysis, shortness of breath, fever, night sweats, easy fatigability, chills, and arthralgia. Chronic illnesses like TB should also be inquired about. Immunization history: As if the patient received immunizations in this case pneumococcal vaccine is significant Review of systems Cardiovascular: Ask about orthopnea, claudication, high blood pressure, palpitations ankle swelling, exercise intolerance Gastrointestinal: Enquire about nausea, vomiting, diarrhea, constipation and distension Respiratory: purulent cough, wheezing, dyspne...

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Young H
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