Acute dyspnea: Difference between revisions
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| Line 23: | Line 23: | ||
#*CXR: infiltrate/effusion | #*CXR: infiltrate/effusion | ||
#*Tx: abx | #*Tx: abx | ||
#PE | #[[PE]] | ||
#*lungs: clear | #*lungs: clear | ||
#*CXR: clear/Westrmrk/Hmptn | #*CXR: clear/Westrmrk/Hmptn | ||
| Line 46: | Line 46: | ||
*Pulmonary | *Pulmonary | ||
*#Airway obstruction | *#Airway obstruction | ||
*#PE | *#[[PE]] | ||
*#Noncardiogenic edema | *#Noncardiogenic edema | ||
*#Anaphylaxis | *#[[Anaphylaxis]] | ||
*#Spont pneumothorax | *#Spont [[pneumothorax]] | ||
*#Asthma | *#[[Asthma]] | ||
*#Cor pulmonale | *#Cor pulmonale | ||
*#Aspiration | *#Aspiration | ||
*#PNA | *#[[PNA]] | ||
*Cardiac | *Cardiac | ||
*#Pulmonary | *#[[Pulmonary Edema]] ([[CHF]]) | ||
*#MI | *#[[MI]] | ||
*#Cardiac | *#[[Cardiac Tamponade]] | ||
*#Pericarditis | *#[[Pericarditis]] | ||
*Other Associated with Nl/Increased Resp Effort | *Other Associated with Nl/Increased Resp Effort | ||
*#Toxic | *#[[Toxic Ingestion]] | ||
*#DKA | *#[[DKA]] | ||
*#Epiglotitis | *#[[Epiglotitis]] | ||
*#Tension PNTX | *#Tension [[PNTX]] | ||
*#Cardiac | *#[[Cardiac Tamponade]] | ||
*#Flail | *#[[Flail Cchest]] | ||
*#CO | *#[[CO Poisoning]] | ||
*#Abd distension | *#Abd distension | ||
*#Sepsis | *#[[Sepsis]] | ||
*#Hypotension | *#[[Hypotension]] | ||
*#Renal | *#[[Renal Failure]] | ||
*#Electrolyte | *#[[Electrolyte Abnormality]] | ||
*#Metabolic | *#[[Metabolic Acidosis]] | ||
*#PNA | *#[[PNA]] | ||
*# | *#[[Pneumothorax]]/hemothorax | ||
*#Diaphragmatic rupture | *#Diaphragmatic rupture | ||
*#Anemia | *#[[Anemia]] | ||
*Other Associated with Decreased Resp Effort | *Other Associated with Decreased Resp Effort | ||
*#CVA | *#[[CVA]] | ||
*#Organophosphate | *#[[Organophosphate Poisoning]] | ||
*#MS | *#MS | ||
*#Guillian-Barre | *#[[Guillian-Barre]] | ||
*#Tick paralysis | *#Tick paralysis | ||
| Line 87: | Line 87: | ||
#Pleural effusion | #Pleural effusion | ||
#Neoplam | #Neoplam | ||
#PNA | #[[PNA]] | ||
#COPD | #[[COPD]] | ||
#Congenital | #[[Congenital Heart Disease]] | ||
#Pregnancy | #Pregnancy | ||
#Ascites | #Ascites | ||
| Line 95: | Line 95: | ||
#Hypterventilation | #Hypterventilation | ||
#Panic attack | #Panic attack | ||
#Fever | #[[Fever]] | ||
#Thyroid | #[[Thyroid Disease]] | ||
#Rib fx | #Rib fx | ||
#ALS | #ALS | ||
| Line 103: | Line 103: | ||
==Source== | ==Source== | ||
*Rosen | |||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Pulm]] | [[Category:Pulm]] | ||
Revision as of 04:06, 25 March 2014
Workup
- CXR
- ECG
- CBC
- Chem-7
- BNP?
- D-dimer?
- Troponin?
- ABG?
Diagnosis
Emergent Pattern Recognition
- Pulmonary edema
- lungs: b/l rales
- CXR: interstitial fluid
- Tx: ECG (R/O AMI), lasix, nitrates, ACE, BIPAP
- Bronchoconstriction
- lungs: wheezes
- CXR: neg/hyperinflated
- Tx: albuterol, atrovent, steroids, consider anaphylaxis (epi)
- Pneumonia
- lungs: focal ronchi/dec BS
- CXR: infiltrate/effusion
- Tx: abx
- PE
- lungs: clear
- CXR: clear/Westrmrk/Hmptn
- Tx: ECG, D-dimer and/or CT; anticoagulate/thrombolytics
- Pneumothorax/Hemothorax
- lungs: unequal
- CXR: pneumo/hemo
- Tx: needle/chest-tube
- Dysrythmia
- lungs: clear/pulm edema
- CXR: clear/pulm edema
- ECG: abnl
- Tx: rate dependent
- Cardiac Ischemia
- lungs: clear/pulm edema
- CXR: clear/pulm edema
- ECG: nl/abnl
- Tx: B-block, nitrates, anticoag, +/- thrombolytics
DDX
EMERGENT
- Pulmonary
- Airway obstruction
- PE
- Noncardiogenic edema
- Anaphylaxis
- Spont pneumothorax
- Asthma
- Cor pulmonale
- Aspiration
- PNA
- Cardiac
- Other Associated with Nl/Increased Resp Effort
- Toxic Ingestion
- DKA
- Epiglotitis
- Tension PNTX
- Cardiac Tamponade
- Flail Cchest
- CO Poisoning
- Abd distension
- Sepsis
- Hypotension
- Renal Failure
- Electrolyte Abnormality
- Metabolic Acidosis
- PNA
- Pneumothorax/hemothorax
- Diaphragmatic rupture
- Anemia
- Other Associated with Decreased Resp Effort
- CVA
- Organophosphate Poisoning
- MS
- Guillian-Barre
- Tick paralysis
Non-Emergent
- Pleural effusion
- Neoplam
- PNA
- COPD
- Congenital Heart Disease
- Pregnancy
- Ascites
- Obesity
- Hypterventilation
- Panic attack
- Fever
- Thyroid Disease
- Rib fx
- ALS
- Polymyositis
- Porphyria
Source
- Rosen