Basic History
 

Smoking History

 
 
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Overview

  • Smoking tobacco places patients at risk of multiple respiratory, cardiovascular and other complications. By understanding our patients' smoking history and overall exposure to tobacco it is possible to estimate this risk and guide them in attempting to quit smoking.
    • Ask About

    • Everyone

    • Whether the patient currently smokes or has smoked
    • What age they started smoking
    • How many years they smoked in total
    • How many cigarettes per day
    • Heavy Smokers

    • Past attempts to quit
    • Length they were able to quit for
    • Cravings between cigarettes
    • Aids used in attempting to quit - nicotine gum / patches, champix
    • Willingness to cut down or stop
    • Consequences of Tobacco Smoking

    • Atherosclerosis - coronary artery disease, cerebrovascular disease, peripheral vascular disease
    • Cancer - lung, throat, liver, gastric, colorectal, pancreatic, genitourinary
    • Chronic obstructive pulmonary disease
    • Pregnancy / neonatal complications - infertility, growth restriction, placental abruption, preterm delivery, SIDS
    • Increased infection risk
    • Peptic ulcer disease
    • Osteoporosis

Pack-Years

  • The number of ‘packs' a patient has smoked per day over how many years. A useful measure of the amount of tobacco exposure the patient has had.
    • Formula

    • Pack years = ( Cigarettes per day / 20 ) * number of years smoked
 
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 Boehlecke B, Sperber AD, Kowlowitz V, Becker M, Contreras A, McGaghie WC. Smoking history?taking skills: a simple guide to teach medical students. Medical education. 1996 Jul 1;30(4):283-9. Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk Factors for Falls in Community-dwelling Older People: A Systematic Review and Meta-analysis. Epidemiology. 2010 Sep 1:658-68. Dhame S, Sheikh A. History-taking and examining allergies. The Foundation Years. 2007 Oct; 3(5): 185-187. Edwards IR, Aronson JK. Adverse drug reactions: definitions, diagnosis, and management. The lancet. 2000 Oct 7;356(9237):1255-9. Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, Keystone JS, Pandey P, Cetron MS. Spectrum of disease and relation to place of exposure among ill returned travelers. New England Journal of Medicine. 2006 Jan 12;354(2):119-30. Hark LI, Deen Jr DA. Taking a nutrition history: a practical approach for family physicians. American family physician. 1999 Mar;59(6):1521-8. House HR, Ehlers JP. Travel-related infections. Emergency medicine clinics of North America. 2008 May 31;26(2):499-516. Hu FB. Sedentary lifestyle and risk of obesity and type 2 diabetes. Lipids. 2003 Feb 1;38(2):103-8. Jose JA. History Taking. Work. 2012; 41: 5369-5370. Le Marchand L, Wilkens LR, Kolonel LN, Hankin JH, Lyu LC. Associations of sedentary lifestyle, obesity, smoking, alcohol use, and diabetes with the risk of colorectal cancer. Cancer research. 1997 Nov 1;57(21):4787-94.
Manley AF. Physical activity and health: A report of the surgeon general. DIANE Publishing; 1996 Nov 1.
Manson JE, Skerrett PJ, Greenland P, VanItallie TB. The escalating pandemics of obesity and sedentary lifestyle: a call to action for clinicians. Archives of internal medicine. 2004 Feb 9;164(3):249-58.
 Mayfield D, McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. American journal of psychiatry. 1974 Oct;131(10):1121-3. Phelan M, Blair G. Medical history-taking in psychiatry. Advances in Psychiatric Treatment. 2008; 14: 229-234.
Rackemann FM. History taking in allergic diseases. Journal of the American Medical Association. 1936 Mar 21;106(12):976-9.
 Rusznak C, Davies RJ. ABC of allergies: Diagnosing allergy. BMJ: British Medical Journal. 1998 Feb 28;316(7132):686.
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