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| ==Management== | | ==Management== |
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| {{familytree | | | A01 | |A01=<div style="float: left; text-align: left; height: 23em; width: 40em; padding:1em;">'''Characterize the symptoms:'''
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| ❑ '''Chest pain''' <br> ❑ Cough<br> ❑ Cyanosis<br>❑ Diaphoresis<br>❑ Dyspnea<br>❑ Fever<br>❑ Hypotension<br>❑ Tachycardia<br>❑ Tachypnea</div>}}
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| {{familytree | | | B01 | |B01=<div style="float: left; text-align: left; height: 17em; width: 40em; padding:1em;">'''Patient evaluation:'''
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| ❑ '''Obtain a detailed history:'''<br>♦ Age<br>♦ History of heart disease<br>♦ History of chest infection<br>
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| ❑ '''Examine the patient:'''<br>♦ Head/Neck - Neck veins (flat, no ↑JVP)<br>♦ Chest - No S3/S4, no murmurs<br>♦ Limbs - Hyperdynamic pulses, no edema</div>}}
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| {{familytree | | | C01 | | |C01=<div style="float: left; text-align: left; height: 30em; width: 40em; padding:1em;">'''Urgent Labs:'''<br> ❑ ABG<br> ❑Calculate A-a gradient<br> ❑ [[CBC]]<br>❑ [[Electrolytes]] <br> ❑ [[BUN]] <br> ❑ [[Creatinine]]<br>❑ [[CXR]]<br>♦ normal-sized heart<br>♦ Peripheral distribution of infiltrates<br>♦ Air-bronchogram (80%)
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| '''Consider additional tests if necessary''': <br>
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| <table>
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| <tr class="v-firstrow"><th>❑ Bronchoalveolar lavage - gram stain, culture & cytology</th><th>❑ Bronchoscopy </th></tr>
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| <tr><td>❑ BNP - <100 pg/mL</td><td> ❑ [[CT]]</td></tr>
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| <tr><td>❑ Echocardiography </td><td> ❑ [[EKG]] - sinus tachycardia, non-specific ST-T wave changes</td></tr>
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| <tr><td>❑ Lung biopsy </td><td>❑ PAWP - <15 mmHg</td></tr>
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| </table>
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| {{familytree | | | F01 | | |F01=}}
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| {{familytree | G01 | | G02 | | |G01=|G02=}}
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| {{familytree | H01 | | H02 | | | |H01=|H02=}}
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| {{familytree | | | | | I01 | |I01=}}
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| {{familytree/end}}
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{Reflist|2}} |