Here are some of the symptoms that patients with disease of the respiratory tract can present with:
– Nasal symptoms
- Obstruction
- Leakage – rhinitis, epistaxis (epistaxis may be one of the signs of Nasopharyngeal carcinoma – there may also be associated tinnitus or ‘blocked ear’)
- Snoring (eg. obstructive sleep apnoea)
– Cough
- Dry or Productive (nature of sputum is helpful eg. purulent – think infection; bloody – think neoplasm; frothy – think heart failure etc.)
– Dyspnoea (shortness of breath)
- Many different conditions can cause this, eg. infections (pneumonia – inflammatory exudates filling alveolar spaces rather than air); respiratory distress syndrome COPD; asthma; interstitial lung disease; pneumothorax; respiratory failure; heart failure etc.
– Chest wall symptoms
- Pain – eg. pneumothorax; trauma; costochondritis; advanced tumours infiltrating parietal pleura (pain receptors present)
– Systemic symptoms
- General malaise, loss of appetite and loss of weight (tuberculosis; malignancy)
- Cyanosis (symptom or clinical sign) – Type 2 respiratory failure