Difference between revisions of "DYSPNOEA-APPROACH"

Latest revision as of 11:31, 1 January 2023

SUMMARY

Inability to complete sentences in one breath implies severe breathlessness, differentials:

1. Wheezing? Differentials: asthma, COPD exacerbation, heart failure (cardiac asthma), anaphylaxis.

2. Stridor? Differentials: upper airway obstruction from foreign body or tumour, acute epiglottitis, anaphylaxis, trauma.

3. Crepitations? Differentials: heart failure, pneumonia, bronchiectasis, fibrosis.

4. Clear chest? Differentials: PE, hyperventilation, metabolic acidosis (diabetic ketoacidosis), anaemia, drugs (salicylates), shock ('air hunger'), CNS causes.

5. Pleural causes? Differentials: pneumothorax, pleural effusion.

6. Investigations: baseline obs, ABG, CXR, ECG, baseline bloods.

Reference(s)

Longmore, Murray; Wilkinson, Ian; Baldwin, Andrew; Wallin, Elizabeth. Oxford Handbook of Clinical Medicine - Mini Edition (Oxford Medical Handbooks) (p. 796). OUP Oxford. Kindle Edition.

@@ Line 1: / Line 1: @@
-<div>Inability to complete sentences in one breath implies severe breathlessness, differentials:<br><br><font color=#ff007f>1. Wheezing?</font> Differentials: asthma, COPD exacerbation, heart failure (cardiac asthma), anaphylaxis.<br><br><font color=#ff007f>2. Stridor?</font> Differentials: upper airway obstruction from foreign body or tumour, acute epiglottitis, anaphylaxis, trauma.<br><br><font color=#ff007f>3. Crepitations?</font> Differentials: heart failure, pneumonia, bronchiectasis, fibrosis.<br><br><font color=#ff007f>4. Clear chest?</font> Differentials: PE, hyperventilation, metabolic acidosis (diabetic ketoacidosis), anaemia, drugs (salicylates), shock ('air hunger'), CNS causes.<br><br><font color=#ff007f>5. Pleural causes?</font> Differentials: pneumothorax, pleural effusion.<br><br><font color=#ff007f>6. Investigations:</font> baseline obs, ABG, CXR, ECG, baseline bloods. <br><br>
+===== [[Summary Article|'''SUMMARY''']] =====
+Inability to complete sentences in one breath implies severe breathlessness, differentials:
+<br/>
+<br/>1. Wheezing? Differentials: asthma, COPD exacerbation, heart failure (cardiac asthma), anaphylaxis.
+<br/>
+<br/>2. Stridor? Differentials: upper airway obstruction from foreign body or tumour, acute epiglottitis, anaphylaxis, trauma.
+<br/>
+<br/>3. Crepitations? Differentials: heart failure, pneumonia, bronchiectasis, fibrosis.
+<br/>
+<br/>4. Clear chest? Differentials: PE, hyperventilation, metabolic acidosis (diabetic ketoacidosis), anaemia, drugs (salicylates), shock ('air hunger'), CNS causes.
+<br/>
+<br/>5. Pleural causes? Differentials: pneumothorax, pleural effusion.
+<br/>
+<br/>6. Investigations: baseline obs, ABG, CXR, ECG, baseline bloods.
 ==Reference(s)==
 Longmore, Murray; Wilkinson, Ian; Baldwin, Andrew; Wallin, Elizabeth. Oxford Handbook of Clinical Medicine - Mini Edition (Oxford Medical Handbooks) (p. 796). OUP Oxford. Kindle Edition.
-Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council.
-American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
 [[Category:Dyspnoea]]
 [[Category:Advanced Life Support]]