Dyspnea resident survival guide: Difference between revisions

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#REDIRECT [[Shortness of breath resident survival guide]]
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{| class="infobox" style="margin: 0 0 0 0; border: 0; float: right; width: 100px; background: #A8A8A8; position: fixed; top: 250px; right: 21px; border-radius: 0 0 10px 10px;" cellpadding="0" cellspacing="0";
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! style="padding: 0 5px; font-size: 85%; background: #A8A8A8" align=center| {{fontcolor|#2B3B44|Dyspnea Resident Survival Guide Microchapters}}
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Overview|Overview]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Causes|Causes]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#FIRE: Focused Initial Rapid Evaluation|FIRE]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Complete Diagnostic Approach|Diagnosis]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Treatment|Treatment]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Do's|Do's]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Dyspnea resident survival guide#Don'ts|Don'ts]]
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{{CMG}}; {{AE}} {{Milan}}
 
==Overview==
Dyspnea is the uncomfortable awareness of one's own breathing. It is a common symptom of numerous medical disorders.
 
==Causes==
 
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
*[[Acute heart failure]]
*[[Acute coronary syndrome]]
*[[Acute papillary muscle rupture]]
*[[Acute respiratory distress syndrome]]
*[[Anaphylaxis]]
*[[Aortic dissection]]
*[[Bronchospasm]]
*[[Cardiac tamponade]]
*[[Foreign body aspiration]]
*[[Glottic edema]]
*[[Pneumothorax]]
*[[Pneumonia]]
*[[Pulmonary embolism]]
*[[Pulmonary edema]]
 
===Common Causes===
*[[Acute heart failure]]
*[[Acute coronary syndrome]]
*[[Asthma]]
*[[Anemia]]
*[[COPD]]
*[[Interstitial lung disease]]
*[[Pulmonary embolism]]
*[[Pneumonia]]
*[[Respiratory tract infection]]
 
Click '''[[Dyspnea causes|here]]''' for the complete list of causes.
 
==FIRE: Focused Initial Rapid Evaluation==
A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention.
{{Family tree/start |summary=FIRE algorithm for Dyspnea}}
{{Family tree | | | | A01 |A01=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''Does the patient have any of the following signs and symptoms that require urgent management'''<br>
❑ Abnormal vital signs <br>
:❑ Fever<br>
:❑ Hypothermia<br>
:❑ Tachycardia<br>
:❑ Bradycardia<br>
:❑ Hypotension<br>
:❑ Tachypnea<br>
:❑ Hypopnea<br>
:❑ Hypoxia<br>
❑ Altered mental status <br>❑ Wheezes <br>❑ Crackles <br>❑ Jugular venous distension <br>❑ Stridor <br>❑ Tracheal deviation <br>❑ Absent breath sounds <br> ❑ Distant heart sounds </div>}}
{{Family tree | |,|-|-|^|.|}}
{{Family tree | B01 | | B02 |-| B03 |B01=Yes|B02=No|B03=[[Diagnosis|Continue with comprehensive diagnostic approach below]]}}
{{Family tree | |,|^|v|-|v|-|-|-|.|}}
{{Family tree | C01 |!| C02 | | C03 | |C01=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Acute heart failure|Acute heart failure]]''' </div>
|C02=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Acute coronary syndrome|Acute coronary syndrome]]''' </div>
|C03=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Acute respiratory distress syndrome|Acute respiratory distress syndrome]]''' </div>}}
{{Family tree | |,|-|+|-|v|-|-|-|.|}}
{{Family tree | D01 |!| D02 | | D03 | |D01=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Anaphylaxis|Anaphylaxis]]''' </div>
|D02=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Aortic dissection|Aortic dissection]]''' </div>
|D03=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Cardiac tamponade|Cardiac tamponade]]''' </div>}}
{{Family tree | |,|-|+|-|v|-|-|-|.|}}
{{Family tree | F01 |!| F02 | | F03 | |F01=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Aspiration|Aspiration]]''' </div>
|F02=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Pneumothorax|Pneumothorax]]''' </div>
|F03=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Pulmonary embolism|Pulmonary embolism]]''' </div>}}
{{Family tree | |,|-|^|-|v|-|-|-|.|}}
{{Family tree | G01 | | G02 | | G03 | |G01=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Pneumonia|Pneumonia]]''' </div>
|G02=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[Asthma|Asthma]]''' </div>
|G03=<div style="float: left; text-align: left; width: 24em; padding:1em;"> '''[[COPD|COPD]]''' </div>}}
{{Family tree/end}}
 
==Complete Diagnostic Approach==
A complete diagnostic approach should be carried out after a focused initial rapid evaluation is conducted and following initiation of any urgent intervention
 
==Do's==
 
==Don'ts==
 
==References==
 
[[Category:Symptoms]]
[[Category:Signs and symptoms]]
[[Category:Resident survival guide]]
[[Category:Cardiology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
 
{{WH}}
{{WS}}
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Latest revision as of 13:56, 4 March 2015