Acute dyspnea: Difference between revisions

Revision as of 19:12, 24 March 2015

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

Authors:

@@ Line 34: / Line 34: @@
 #*Tx: B-block, nitrates, anticoag, +/- thrombolytics
-==DDX==
+==Differential Diagnosis==
-'''EMERGENT'''
+{{SOB DDX}}
-*Pulmonary
-*#Airway obstruction
-*#[[PE]]
-*#Noncardiogenic edema
-*#[[Anaphylaxis]]
-*#Spont [[pneumothorax]]
-*#[[Asthma]]
-*#Cor pulmonale
-*#Aspiration
-*#[[PNA]]
-*Cardiac
-*#[[Pulmonary Edema]] ([[CHF]])
-*#[[MI]]
-*#[[Cardiac Tamponade]]
-*#[[Pericarditis]]
-*Other Associated with Nl/Increased Resp Effort
-*#[[Toxic Ingestion]]
-*#[[DKA]]
-*#[[Epiglotitis]]
-*#Tension [[PNTX]]
-*#[[Cardiac Tamponade]]
-*#[[Flail Chest]]
-*#[[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]]
-#Neoplasm
-#[[PNA]]
-#[[COPD]]
-#[[Congenital Heart Disease]]
-#Pregnancy
-#Ascites
-#Obesity
-#Hyperventilation
-#Panic attack
-#[[Fever]]
-#[[Thyroid Disease]]
-#Rib fx
-#ALS
-#Polymyositis
-#Porphyria
 ==Workup==