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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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| |}
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| {{CMG}}; {{AE}} {{Milan}}
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| ==Overview==
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| Dyspnea is the uncomfortable awareness of one's own breathing. It is a common symptom of numerous medical disorders.
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| ==Causes==
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| ===Life Threatening Causes===
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| Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
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| *[[Acute heart failure]]
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| *[[Acute coronary syndrome]]
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| *[[Acute papillary muscle rupture]]
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| *[[Acute respiratory distress syndrome]]
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| *[[Anaphylaxis]]
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| *[[Aortic dissection]]
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| *[[Bronchospasm]]
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| *[[Cardiac tamponade]]
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| *[[Foreign body aspiration]]
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| *[[Glottic edema]]
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| *[[Pneumothorax]]
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| *[[Pneumonia]]
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| *[[Pulmonary embolism]]
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| *[[Pulmonary edema]]
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| ===Common Causes===
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| *[[Acute heart failure]]
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| *[[Acute coronary syndrome]]
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| *[[Asthma]]
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| *[[Anemia]]
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| *[[COPD]]
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| *[[Interstitial lung disease]]
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| *[[Pulmonary embolism]]
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| *[[Pneumonia]]
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| *[[Respiratory tract infection]]
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| Click '''[[Dyspnea causes|here]]''' for the complete list of causes.
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| ==FIRE: Focused Initial Rapid Evaluation==
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| A Focused Initial Rapid Evaluation (FIRE) should be performed to identify patients in need of immediate intervention.
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| {{Family tree/start |summary=FIRE algorithm for Dyspnea}}
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| {{Family tree | | | | | | | | | D01 | | | | |D01=<div style="float: left; text-align: left; width: 26em; padding:1em;"> '''Does the patient have any of the following signs and symptoms that require urgent management'''<br>
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| ❑ Altered mental status <br>❑ Abnormal vital signs <br>
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| :❑ Fever<br>
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| :❑ Hypothermia<br>
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| :❑ Tachycardia<br>
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| :❑ Bradycardia<br>
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| :❑ Hypotension<br>
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| :❑ Tachypnea<br>
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| :❑ Hypopnea<br>
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| :❑ Hypoxia<br>
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| ❑ Wheezes <br>❑ Crackles <br>❑ Jugular venous distension <br>❑ Stridor <br>❑ Tracheal deviation <br>❑ Absent breath sounds <br> ❑ Distant heart sounds </div>}}
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| {{Family tree | | | | | | | | |,|^|.|}}
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| {{Family tree | | | | | | | E01 | | E02 | | |E01=Yes|E02=No}}
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| {{Family tree | | | | | | | |!| | | |!| | |}}
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| {{Family tree | | | | | | | |!| | | F01 | |F01=[[Diagnosis|Continue with comprehensive diagnostic approach below]]}}
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| {{Family tree | | | | | | | G01 | | | |G01=<div style="float: left; text-align: left; width: 12em; padding:1em;"> '''Order stat tests'''<br>❑ CBC <br>❑ CMP <br>❑ D-dimer <br>❑ Cardiac enzymes <br>❑ NT-proBNP <br>❑ ABG <br>❑ Blood cultures (fever) <br>❑ CXR <br>❑ EKG </div>}}
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| {{Family tree | | | | |,|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|v|-|-|.|}}
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| {{Family tree | | | | H01 | | H02 | | H03 | | H04 | | H05 | | H06
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| |H01=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute heart failure|Acute heart failure]]''' </div>
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| |H02=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute coronary syndrome|Acute coronary syndrome]]''' </div>
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| |H03=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute respiratory distress syndrome|Acute respiratory distress syndrome]]''' </div>
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| |H04=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Anaphylaxis|Anaphylaxis]]''' </div>
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| |H05=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Aortic dissection|Aortic dissection]]''' </div>
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| |H06=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Cardiac tamponade|Cardiac tamponade]]''' </div>}}
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| {{Family tree | | | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|.|}}
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| {{Family tree | | | | I01 | | I02 | | I03 | | I04 | | I05 | | I06
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| |I01=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Aspiration|Aspiration]]''' </div>
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| |I02=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pneumothorax|Pneumothorax]]''' </div>
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| |I03=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pulmonary embolism|Pulmonary embolism]]''' </div>
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| |I04=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pneumonia|Pneumonia]]''' </div>
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| |I05=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Asthma|Asthma]]''' </div>
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| |I06=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[COPD|COPD]]''' </div>}}
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| {{Family tree/end}}
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| ==Complete Diagnostic Approach==
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| A complete diagnostic approach should be carried out after a focused initial rapid evaluation is conducted and following initiation of any urgent intervention
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| ==Do's==
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| ==Don'ts==
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| ==References==
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| [[Category:Symptoms]]
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| [[Category:Signs and symptoms]]
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| [[Category:Resident survival guide]]
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| [[Category:Cardiology]]
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| [[Category:Pulmonology]]
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| [[Category:Emergency medicine]]
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| {{WH}}
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| {{WS}}
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| </div>
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