SUBJ – PRESENT HEALTH

We know he has shortness of breath so we’ll ask him OLDCARTS about that:
--- Onset: when did you start having shortness of breath?
--- Duration: when did it start?
--- Duration-2: Does it come and go? Is it continuous?
--- Character: Can you describe it to me? What does it feel like?
--- Associated: Is there anything else going on?
--- Relief/Aggravation: Does anything make it better? Worse?
--- Treatment: Have you taken anything to help it?
--- Subjective: What do you think is going on?

If he answers yes to any of the below we should do OLDCARTS on those as well.

Thorax and Lungs - from Lab Book Page 171:
--- Do you have a cough?
--- Do you have any chest pain while breathing?
--- Do you have any past history of lung disease?
--- Do you smoke cigarettes? How many per day?
--- Are there any conditions at home or work that affect your breathing?
--- When was your last TB test / or Chest X-Ray?
--- Have you had a flu vaccine?
--- Have you had a pneumonia vaccine?
--- How many pillows do you sleep on at night?
--- Do you have sputum? Can you describe it?

Heart and Neck Vessels – from Lab Book Page 185:
Let me know if you think some of these might make sense – I picked out a few
If you think I should nuke these, let me know
--- Do you have any chest pain or tightness?
--- Do you seem to tire easily?
--- Is your facial skin ever blue or ashen?
--- Do you have any swelling of feet or legs?
--- Do you awaken at night to urinate?