Breathlessness Flashcards
1
Q
key things to Ex for in SOB?
A
- wheeze
- stridor
- crepitations
- chest clear
- tracheal deviation
- pain
- stony dullness
2
Q
key Ix in SOB?
A
- obs
- peak flow
- ABG if O2 <94, or concern about sepsis, acidosis, drugs
- ECG (PE, LVH, MI)
- CXR
- bloods (FBC, U+E, glucose)
3
Q
ΔΔ SOB and wheeze?
A
- asthma
- COPD
- HF
- anaphylaxis
4
Q
ΔΔ SOB and stridor?
A
- FB/tumour
- croup
- acute epiglottitis
- anaphylaxis
- trauma
5
Q
ΔΔ SOB and crepitations?
A
- HF
- pneumonia
- bronchiectasis
- PF
6
Q
ΔΔ SOB and chest clear?
A
- PE
- hyperventilation
- DKA (metabolic acidosis)
- anaemia
- salicylate poisoning
- also: (shock, p.jirovecii pneumonia, CNS)
7
Q
ΔΔ SOB and pain, resonance +/- tracheal deviation?
A
pneumothorax +/- tension
8
Q
ΔΔ SOB and stony dullness?
A
pleural effusion
