Dyspnea resident survival guide: Difference between revisions
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{{Family tree/start |summary=FIRE algorithm for Dyspnea}} | {{Family tree/start |summary=FIRE algorithm for Dyspnea}} | ||
{{Family tree | | | | | | {{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> | ||
❑ Altered mental status <br>❑ Abnormal vital signs <br> | ❑ Altered mental status <br>❑ Abnormal vital signs <br> | ||
:❑ Fever<br> | :❑ Fever<br> | ||
| Line 78: | Line 71: | ||
:❑ Hypopnea<br> | :❑ Hypopnea<br> | ||
:❑ Hypoxia<br> | :❑ Hypoxia<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 | | | | | | | | |,|^|.|}} | ||
{{Family tree | | | | {{Family tree | | | | | | | E01 | | E02 | | |E01=Yes|E02=No}} | ||
{{Family tree | | | | | | | | | | | |}} | {{Family tree | | | | | | | |!| | | |!| | |}} | ||
{{Family tree | | | | {{Family tree | | | | | | | |!| | | F01 | |F01=[[Diagnosis|Continue with comprehensive diagnostic approach below]]}} | ||
{{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>}} | |||
{{Family tree | | | | |,|-|-|-| | {{Family tree | | | | |,|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|v|-|-|.|}} | ||
{{Family tree | | | | | {{Family tree | | | | H01 | | H02 | | H03 | | H04 | | H05 | | H06 | ||
| | |H01=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute heart failure|Acute heart failure]]''' </div> | ||
| | |H02=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute coronary syndrome|Acute coronary syndrome]]''' </div> | ||
| | |H03=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Acute respiratory distress syndrome|Acute respiratory distress syndrome]]''' </div> | ||
| | |H04=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Anaphylaxis|Anaphylaxis]]''' </div> | ||
| | |H05=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Aortic dissection|Aortic dissection]]''' </div> | ||
| | |H06=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Cardiac tamponade|Cardiac tamponade]]''' </div>}} | ||
{{Family tree | | | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|.|}} | {{Family tree | | | | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|.|}} | ||
{{Family tree | | | | | {{Family tree | | | | I01 | | I02 | | I03 | | I04 | | I05 | | I06 | ||
| | |I01=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Aspiration|Aspiration]]''' </div> | ||
| | |I02=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pneumothorax|Pneumothorax]]''' </div> | ||
| | |I03=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pulmonary embolism|Pulmonary embolism]]''' </div> | ||
| | |I04=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Pneumonia|Pneumonia]]''' </div> | ||
| | |I05=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[Asthma|Asthma]]''' </div> | ||
| | |I06=<div style="float: left; text-align: left; width: 8em; padding:1em;"> '''[[COPD|COPD]]''' </div>}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 00:22, 29 April 2014
| Dyspnea Resident Survival Guide Microchapters |
|---|
| Overview |
| Causes |
| FIRE |
| Diagnosis |
| Treatment |
| Do's |
| Don'ts |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Milan C. Mathew, M.D., M.P.H. [2]
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 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.
Does the patient have any of the following signs and symptoms that require urgent management ❑ Altered mental status
❑ Crackles ❑ Jugular venous distension ❑ Stridor ❑ Tracheal deviation ❑ Absent breath sounds ❑ Distant heart sounds | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Continue with comprehensive diagnostic approach below | |||||||||||||||||||||||||||||||||||||||||||||||||||
Order stat tests ❑ CBC ❑ CMP ❑ D-dimer ❑ Cardiac enzymes ❑ NT-proBNP ❑ ABG ❑ Blood cultures (fever) ❑ CXR ❑ EKG | |||||||||||||||||||||||||||||||||||||||||||||||||||
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