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Breathlessness - Coggle Diagram
Breathlessness
Causes
Pulmonary – Asthma, COPD, Pneumonia, PE, Pneumothorax,
Pleural effusion, Bronchiectasis, Lung CA, ILD.
Cardiac – MI, Cardiac arrythmias, Chronic Heart Failure, Acute Pulmonary Oedema.
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Assessment
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Presenting Complaint, History of presenting complaint
(SOCRATES), PMH, Medications
Family history, Social History
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Investigations
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If suspected cancer arrange Chest Xray if ever smoked, Asbestosis exposure or new > 3-4 weeks cough
Weight loss, fatigue, chest pain, persistent chest infections
Pulmonary oedema – give diuretic/opioid/antiemetic, persistent chest infections,
Finger clubbing, supraclavicular nodes
Management
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Admit if life threatening asthma attack, signs of PE or pneumothorax,
If suspected sepsis (NEWS score), cardiac arrhythmia/MI, CRB65 score >0.
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Identify and treat pt with clinical features of MI – Give aspirin 300mg,
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Acute asthma/COPD- prednisolone, bronchodilator
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