Please enable JavaScript.

Coggle requires JavaScript to display documents.

Dyspnoea, Metabolic & Endocrine - Coggle Diagram

- - - - Pericarditis
        Is the pain pleuritic in nature? Is it relieved by reaching forward and worsened by lying down?
        ask for:
        Uraemia (itching, frothy urine)
        Previous Viral URTI
        Previous cardiac event
      - Angina
        Is the chest pain episodic, reproducible and occurs on exertion / relieved by rest? (Stable angina)
        Does it feel like an elephant is standing on your chest?
        Any sweating, N&V?
        RFs:
        CVRF
      - Infective Endocarditis:
        Any fever, night sweats, chills?
        Any joint pain, muscle pain or bumps on hands?
        Previous Dental instrumentation?
        Artificial Valves?
        Haemodialysis?
    - - Pneumonia
        Cough? Productive or not? Colour of phlegm?
        Fever?
        RFs:
        Hospitalisation
        Close Contacts infection
        Treatments
      - AECOPD:
        Wheeze?
        Cough?
        Fever?
        do you normally have difficulty breathing and this is just a worsening?
        RFs:
        Smoking
      - Pulmonary Embolism
        Pleuritic Chest pain?
        Haemoptysis?
        Cough?
        Pain in LL?
        RFs:
        long haul flights
        immobilisation
        Pregnancy
        OCP / HRT
        APS
      - Asthma:
        Wheeze?
        Dry Cough?
        Fever?
        Chest Tightness?
        Do you normally have difficulty breathing?
        Is this your first episode?
        Is it worse at night and in the morning? worsened with cold
        RFs:
        Triggers: Ask for exposure to pollen, dust, new environments, when was the onset etc
        FHx of atopy, eczema
    - - Myasthenia Gravis
        Ptosis?
        Proximal Myopathy?
        Double Vision?
        Dysphagia
        Dysarthria
        RFs:
        Young White women
        FHx
        Thymoma
      - Guillain-Barre Syndrome
        recent infection? specifically GI / URTI campylobacter
        Glove and stocking pattern of numbness?
  - - - Anaemia:
        SOBOE, Pallor, Palpitations, LoC
        THINK CANCER, bleeds (gastrointestinal & genitaurinary)
        ask about:
        diet (iron / B9/12)
        
        Cx:
        T2MI
      - ILD:
        Dry Cough?
        Clubbing?
        clubbing?
        Rf:
        Occupation, exposure, FHx autoimmune
      - Bronchiectasis:
        any past infections?
        Smoking?
        nail changes?
        haemoptysis?
        RF:
        infection (ask past TB or pneumonia)
        obstruction (lymphadenopathy, space occupying lesion, swallowed an object)
        congenital - cytsic fibrosis, cilliary dyskinesia
      - TB:
        Haemoptysis?
        LoW, LoA
        Fever, worse at night!
        diarrhoea (in GI)
        cystitis /urethritis like symptoms
        meningitis-like
        Very wet cough
        RF:
        THx
        HIV
        Dormitory / prison stay
      - Cancer:
        Constitutional sx
        Haemoptysis
        RF:
        Smoking
        FHx