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10 Cards in this Set
- Front
- Back
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Q. 9 DDx for Shortness of Breath?
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ARDS, Congestive Heart Failure, Epiglotitis,
Foreign Body Aspiration, Asthma, Emphysema, Pulmonary Edema, Pulmonary Embolism, Shock, |
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Q. ARDS
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ER!!
Crackles, rhonchi bilaterally Pulmonary edema Dyspnea, progressive repiratory distress Restlessness, distress, anxiety, decrease mental acuity Cyanosis Tachycardia, tachypnea Shock |
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Q. Congestive Heart Failure
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Dyspnea on exertion, orthopnea, dyspnea at rest, PND
Non-productive cough Fatigue Displaced apical impulse Rales Hepatomegaly, edema, liver failure, ascites, JVD |
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Q. Epiglotitis
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ER!!
Dyspnea, accessory muscle use Usu children Drooling, Leaning forward High fever Trouble talking Appears restless and panicky |
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Q. Foreign Body Aspiration
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ER!
Acute dyspnea, choking episode, cough Accessory muscle use Inspiratory stridor, wheeze Tachycardia, tachypnea, cyanosis Later = Bradypnea Decreased or absent breath sounds |
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Q. Asthma
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Audible wheezing
Dry cough < night, early morning, exercise, stress, smoke, meds (NSAIDS, ASA) Prolonged expiration Tachycardia, tachypnea Flushing or cyanosis |
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Q. Emphysema
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Progressive exertional dyspnea
Accessory muscle hypertrophy Diminished breath sounds, hyperresonance, prolonged expiration Barrel chest Pursed lip breathing Hx of smoking |
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Q. Pulmonary Edema
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Preceded by signs of CHF
Acute dyspnea Orthopnea, PND, Cough, JVD Crackles in both lung fields Tachycardia, tachypnea, diaphoresis S3 Gallop Cyanosis |
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Q. Pulmonary Embolism
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ER!
Sudden onset painful breathing, dyspnea Choking sensation Hemoptysis Tachycardia, tachypnea Leg swelling/pain with palpation of deep leg veins Hx OCP use, long travel, immobilization, or surgery in past 4 wks |
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Q. Shock
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ER!
Compensated (initial): tachycardia, hypertension, dec skin perfusion, diminished distal pulses, cool, clammy skin, prolonged capillary refill (>5 s), dec urine output, restlessness, lightheadedness, poor skin turgor. Noncompensated (progressive): altered mental status, pale and cool skin, hypotension, tachycardia, |
