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Patient presenting with dyspnea, Explanatory notes, Yes, References 1.Some…
Patient presenting with dyspnea
Chronic
Others: Anemia, obesity, physical deconditioning, Thyroid disorder, liver disease, anxiety, neuromotor disease, pulmonary disease
Consider investigations accordingly
Refer to the appropriate team
Treat the underlying cause
Acute
Unstable
Are there red flags features?
Refer To ER
Stable
Associatied symptoms
Cough
Pneumonia/ asthma/ croup
Pleuritic chest pain
Pericarditis/ PE/ Pneumothorax/ pneumonia
Orthopnea/ PND/ edema
CHF
Smoking
COPD, CHF, PE
Indigestion/ dysphagia
GERD, Aspiration
Investigate and manage
Explanatory notes
1. Red Flags requiring urgent ER referral:
Hypotension
Altered mental status
Hypoxemia
Breathing effort
Tracheal deviation
Stridor
Unstable Arrhythmia
Unable to speak complete sentences
3. Investigations to consider :
CXR
ECG
CBC
ProBNP
TSH
Creatinine
Electrolytes
ECHO
Pulmonary function test
HRCT/CTPA
Yes
References
1.Some Causes of Acute Dyspnea
2.Acute Dyspnea in the Office