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Breathlessness, - Coggle Diagram
Breathlessness
Hx taking
cough
sputum - colour/consistency
onset/duration
wheeze
fever
orthopnea
alleviating/exacerbating factors
chest pain/pleuritic pain
weightloss
dyspepsia
allergies
headaches
dizziness
PMH - any asthma/COPD - inhalers. HF. Previous anaemia. Cancers
Paroxysmal nocturnal dyspnoea
Exercise tolerance
palpatations
travel history
smoker/vape
Causes
Asthma/COPD/Bronchectasis
Cancer
LRTI
Covid/Influenza
Heart failure
Anxiety/Panic attack
Anaemia
DKA
Pulmonary odeama
PE
Pneumothorax
Respiratory acidosis
Heart attack
Red Flags
Haemoptysis
Silent chest
Stridor
Weightloss
Night sweats
Unilateral leg swelling
Trachea deviation
Pleuritic pain
Frothy sputum
Investigations
Respiratory Exam
Cardiac exam
Chest XRay
USOC referral
sputum
PEFR
ECG
Bloods - FBC/U&Es/TFTs/LFT/BNP/CRP/Bone profile/Glucose
Observations
RR 12-20
HR 60-100bpm
SpO2 > 94% or 88-92% if COPD
PEFR is known asthmatic
Lymphadenopathy