\documentclass[10pt,a4paper]{article}

% Packages
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\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
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\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{hjsdhaj}
\pdfinfo{
  /Title (respiratory-history.pdf)
  /Creator (Cheatography)
  /Author (hjsdhaj)
  /Subject (Respiratory History Cheat Sheet)
}

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% This two commands together give roughly
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Respiratory History Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{hjsdhaj} via \textcolor{DarkBackground}{\uline{cheatography.com/201639/cs/42715/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}hjsdhaj \\
  \uline{cheatography.com/hjsdhaj} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 13th March, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{p{2.32 cm} x{5.68 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{{\bf{Red Flag Symptoms:}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{F}} & Fever \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
{\bf{L}} & Lethargy \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{A}} & Anorexia \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
{\bf{W}} & Weight Loss \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
{\bf{S}} & Night Sweats \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.8 cm} x{5.2 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Asthma:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{A chronic inflammatory disorder of the airways causing reversible airways obstruction}}}}\{\{ac\}\}\{\{nobreak\}\}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Diagnosis by clinical features and spirometry}}\{\{ac\}\}} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Episodic}}} \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Reversible either spontaneously or with treatment}}} \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Airway hyper-responsiveness to a wide range of stimuli}}} \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 11 (+ 1)
% Row 6
\SetRowColor{LightBackground}
{\bf{Risk Factors:}} & • Particularly common in the second decade of life.\{\{nl\}\} • Much more common in western developed countries.\{\{nl\}\} • Potent Senstisers in the workplace \tn 
% Row Count 18 (+ 7)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 19 (+ 1)
% Row 8
\SetRowColor{LightBackground}
{\bf{Symptoms:}} & • Recurrent episodes of wheezing\{\{nl\}\} • Episodic Breathlessness \{\{nl\}\} • Chest Tightness\{\{nl\}\} • Coughing - Particularly at night or in the early morning \tn 
% Row Count 26 (+ 7)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 27 (+ 1)
% Row 10
\SetRowColor{LightBackground}
{\bf{Clinical Features:}} & • Increased Respiratory and Pulse Rate\{\{nl\}\} • Pulsus Paradoxus - An exaggerated fall in a patient's BP (\textgreater{}10mmHg) during inspiration\{\{nl\}\} • Reduced air entry\{\{nl\}\} • Using muscles of inspiration\{\{nl\}\} • Wheeze -\textgreater{} Silent chest = {\bf{Severe Attack}}\{\{nl\}\} • Inability to Speak -\textgreater{} {\bf{Severe Attack}}\{\{nl\}\} • Cyanosis, Clammy, Sweating, Confused -\textgreater{} {\bf{{\emph{Life Threatening Attack}}}} \tn 
% Row Count 42 (+ 15)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.8 cm} x{5.2 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Asthma: (cont)}}  \tn
% Row 11
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 1 (+ 1)
% Row 12
\SetRowColor{white}
{\bf{Triggers:}} & Specific:\{\{nl\}\} • Allergen\{\{nl\}\} • Occupational\{\{nl\}\}\{\{nl\}\}Non-Specific:\{\{nl\}\} • Exercise\{\{nl\}\} • Cold\{\{nl\}\} • Atmospheric Pollutants - Smoking, Environmental\{\{nl\}\} • Emotion\{\{nl\}\} • Medications - {\bf{{\emph{NSAIDS, Beta Blockers}}}} \tn 
% Row Count 11 (+ 10)
% Row 13
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 12 (+ 1)
% Row 14
\SetRowColor{white}
{\bf{Management:}} & • Patient and family education about asthma, and participation in treatment \{\{nl\}\}• Avoidance of identified causes where possible \{\{nl\}\}• Use of the lowest effective does of convenient medications to minimize short-term and long-term side-effects \tn 
% Row Count 22 (+ 10)
% Row 15
\SetRowColor{LightBackground}
{\bf{Treatment:}} & • Occasional use of inhaled short-acting β2-adrenoreceptor agonists - {\bf{bronchodilators}}\{\{nobreak\}\} \{\{nl\}\}• Introduction of regular preventer therapy \{\{nl\}\}• Moderate dose of inhaled steroid and add-on therapy \{\{nl\}\}• Continuous or frequent use of oral steroids \tn 
% Row Count 33 (+ 11)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.4 cm} x{5.6 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{COPD:}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{Airflow limitation (obstruction) that is not fully reversible, generally progressive.}}}}\{\{ac\}\}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
{\bf{Risk Factors:}} & • Rare under 40y/o - common in elderly \{\{nl\}\} • Industrialised countries \{\{nl\}\} • Lower income groups\{\{nl\}\} • Rates rising in women, but plateaued in men\{\{nl\}\} • Smokers \tn 
% Row Count 10 (+ 7)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 11 (+ 1)
% Row 4
\SetRowColor{LightBackground}
{\bf{Causes:}} & • Tobacco smoke -\textgreater{} 95\% of cases\{\{nl\}\} • Indoor air pollution -\textgreater{} cooking with biomass fuels\{\{nl\}\} • Occupational exposures - Coal dust, silica, cadmium\{\{nl\}\} • Low birthweight, childhood infections, maternal smoking -\textgreater{} Lower maximally attained lung function\{\{nl\}\} • Infections - Adenovirus, HIV\{\{nl\}\} • Cannabis Smoking\{\{nl\}\} • Genetic factors - α1-antiproteinase deficiency, Airway hyper-reactivity \tn 
% Row Count 26 (+ 15)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{\{\{nl\}\}} \tn 
% Row Count 27 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{{\bf{General Signs:}}} \tn 
% Row Count 28 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.356 cm} x{2.66 cm} x{2.584 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Symptoms:}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Cough:}} & Chronology, Timing, Exacerbating, Type\{\{nl\}\}\{\{nl\}\} &  \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{Sputum:}} & Acute Onset:\{\{nl\}\}\{\{nl\}\}Chronic:\{\{nl\}\}\{\{nl\}\}\{\{nl\}\}Amount and Colour: & Infection\{\{nl\}\}\{\{nl\}\}Post Nasal \seqsplit{Drip/COPD/Bronchiectasis/Lung} \seqsplit{Cancer/TB/CCF/ACE} Inhibitor\{\{nl\}\}\{\{nl\}\}\{\{nl\}\}{\emph{Purulent}} =\textgreater{} Infection\{\{nl\}\}{\emph{Foul Smelling and Tasting }}=\textgreater{} Anaerobic Infection\{\{nl\}\}{\emph{"Rusty" }}=\textgreater{} Pneumococcal Pneumonia\{\{nl\}\}{\emph{Pink and Frothy/Foamy }}=\textgreater{} Pulmonary Oedema\{\{nl\}\}{\emph{Copious, Frothy, and Saliva like }}=\textgreater{} \seqsplit{Bronchoalveolar} carcinoma)\{\{nl\}\}\{\{nl\}\} \tn 
% Row Count 34 (+ 30)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.356 cm} x{2.66 cm} x{2.584 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Symptoms: (cont)}}  \tn
% Row 2
\SetRowColor{LightBackground}
{\bf{Haemoptysis:}}\{\{nobreak\}\} & Chronology, Amount & Lung \seqsplit{Cancer/Bronchiectasis/Exacerbation} of \seqsplit{COPD/Pulmonary} \seqsplit{Infarction/TB/Lung} \seqsplit{Abscess/Heart} \seqsplit{Failure/Bleeding} Diatheses (Increased \seqsplit{susceptibility} to bleeding or bruising)\{\{nl\}\}\{\{nl\}\} \tn 
% Row Count 17 (+ 17)
% Row 3
\SetRowColor{white}
{\bf{Breathlessness:}} & Chronology, Onset, Precipitating Events, Severity, Associated with wheeze/cough\{\{nl\}\}\{\{nl\}\} &  \tn 
% Row Count 24 (+ 7)
% Row 4
\SetRowColor{LightBackground}
{\bf{Stridor:}} & Upper Respiratory Tract - {\bf{Inspiratory}}\{\{nobreak\}\} & An abnormal, high-pitched respiratory sound produced by irregular airflow in a narrowed airway.\{\{nl\}\}\{\{nl\}\} \tn 
% Row Count 33 (+ 9)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{2.356 cm} x{2.66 cm} x{2.584 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Symptoms: (cont)}}  \tn
% Row 5
\SetRowColor{LightBackground}
{\bf{Wheeze:}} & Lower Respiratory Tract - {\bf{Expiratory}} &  \tn 
% Row Count 3 (+ 3)
% Row 6
\SetRowColor{white}
{\bf{Pleuritic Chest Pain:}}\{\{nobreak\}\} & Parietal Pleura/Chest Wall &  \tn 
% Row Count 6 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}