©1999, Herbert A Yates, D.O. and Neal R. Chamberlain, Ph.D.. All rights reserved.
Respiratory History |
Yes / No |
| Do you have seasonal allergies? |
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| Do you ever cough up blood? |
|
| Do you have a morning cough? |
|
| Do you produce sputum with the cough? |
|
| If so, what color? |
|
| How many pillows do you sleep on? |
|
| Have you had a flu vaccine? |
|
| Have you had a pneumonia vaccine? |
|
| When was your last chest x-ray? |
|
©1999, Herbert A Yates, D.O. and Neal R. Chamberlain, Ph.D.. All rights reserved.