Sandbox/22: Difference between revisions
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{{familytree | | | A01 | |A01=<div style="float: left; text-align: left; height: 23em; width: 40em; padding:1em;">'''Characterize the symptoms:''' | {{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> ❑ | ❑ '''Chest pain''' <br> ❑ Cough<br> ❑ Cyanosis<br>❑ Diaphoresis<br>❑ Dyspnea<br>❑ Fever<br>❑ Hypotension<br>❑ Tachycardia<br>❑ Tachypnea</div>}} | ||
{{familytree | | | |!| | |}} | {{familytree | | | |!| | |}} | ||
{{familytree | | | B01 | |B01=<div style="float: left; text-align: left; height: 17em; width: 40em; padding:1em;">'''Patient evaluation:''' | {{familytree | | | B01 | |B01=<div style="float: left; text-align: left; height: 17em; width: 40em; padding:1em;">'''Patient evaluation:''' | ||
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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%) | {{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 | '''Consider additional tests if necessary''': <br> | ||
<table> | <table> | ||
<tr class="v-firstrow"><th>❑ | <tr class="v-firstrow"><th>❑ Bronchoalveolar lavage - gram stain, culture & cytology</th><th>❑ Bronchoscopy </th></tr> | ||
<tr><td>❑ | <tr><td>❑ BNP - <100 pg/mL</td><td> ❑ [[CT]]</td></tr> | ||
<tr><td>❑ Echocardiography </td><td> ❑ [[EKG]] - sinus tachycardia, non-specific ST-T wave changes</td></tr> | |||
<tr><td>❑ | <tr><td>❑ Lung biopsy </td><td>❑ PAWP - <15 mmHg</td></tr> | ||
<tr><td>❑ | |||
</table> | </table> | ||
</div> | </div>}} | ||
{{familytree | | | |!| | | |}} | {{familytree | | | |!| | | |}} | ||
{{familytree | | | D01 | | | |D01=}} | {{familytree | | | D01 | | | |D01=}} | ||
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{{familytree | | | | | I01 | |I01=}} | {{familytree | | | | | I01 | |I01=}} | ||
{{familytree/end}} | {{familytree/end}} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 19:37, 20 January 2014
Management
Characterize the symptoms:
❑ Chest pain ❑ Cough ❑ Cyanosis ❑ Diaphoresis ❑ Dyspnea ❑ Fever ❑ Hypotension ❑ Tachycardia ❑ Tachypnea | |||||||||||||||||||||||
Patient evaluation:
❑ Obtain a detailed history: ❑ Examine the patient: ♦ Head/Neck - Neck veins (flat, no ↑JVP) ♦ Chest - No S3/S4, no murmurs ♦ Limbs - Hyperdynamic pulses, no edema | |||||||||||||||||||||||
Urgent Labs: ❑ ABG ❑Calculate A-a gradient ❑ CBC ❑ Electrolytes ❑ BUN ❑ Creatinine ❑ CXR ♦ normal-sized heart ♦ Peripheral distribution of infiltrates ♦ Air-bronchogram (80%) Consider additional tests if necessary:
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