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| | #REDIRECT [[Shortness of breath resident survival guide]] |
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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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| *[[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 | | | | | | | A01 | | | |A01=<div style="float: left; text-align: left; width: 12em; padding:1em;"> '''Rapid assessment'''<br>
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| ❑ Circulation <br>❑ Airway <br>❑ Breathing </div>}}
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| {{Family tree | | | | | | | |!| | | | | }}
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| {{Family tree | | | | | | | B01 | B01=Is the patient in acute cardiopulmonary arrest}}
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| {{Family tree | | | | |,|-|-|^|-|.| | }}
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| {{Family tree | | | | C01 | | | C02 |-|-|-| C03 | | | |C01=No|C02=Yes|C03=Activate [[ACLS|ACLS algorithm]]}}
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| {{Family tree | | | | |!| | | | | | | | }}
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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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| ❑ Fever<br>❑ 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 |-|-|-|-| E03 |E01=Yes|E02=No|E03=[[Diagnosis|Continue with complete diagnostic approach below]]}}
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| {{Family tree | | | |!| | | | | | | |}}
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| {{Family tree | | | F01 | | | | |F01=<div style="float: left; text-align: left; width: 12em; padding:1em;"> '''Order stat tests'''<br>
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| ❑ 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/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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