Difference between revisions of "DYSPNOEA-APPROACH"

Revision as of 12:30, 21 December 2022

SUMMARY ARTICLE

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.

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-<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>
+<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/>
 ==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.
-<br/>Gale, M., Grantham, H., Morley, P. and Parr, M. (2016). Advanced Life Support Level 1: 3rd Australian Edition. Australian Resuscitation Council.
-<br/>American College Of Surgeons. Committee On Trauma (2012). ATLS : student course manual. Chicago, Ill.: American College Of Surgeons.
 [[Category:Dyspnoea]]
 [[Category:Advanced Life Support]]