Omar A. Othman
5% of all ED presentation Associated with critical diagnosis Chest Pain
Historical Points
Differential Diagnosis Critical Acute coronary syndromes (ACS), aortic dissection, pulmonary embolism (PE), pneumothorax, Pericarditis with tamponade esophageal rupture Others Valvular heart disease Pneumomediastinum Esophageal reflux Trauma Pneumonia
Now Back to History
Age>45 yrs Hypertension Cigarette use Oral contraceptives Prolonged immobilization Pregnancy Preceded by infection Drugs High Risk Association
Labs, assessment and radiology Treatment Management
Dyspnea
Dyspnea Tachypnea Hyperpnea Hyperventilation Orthopnea Paroxysmal nocturnal dyspnea Terms
Differential Diagnosis
Duration of Dyspnea. Onset of Dyspnea. Positional Changes. Grades History Points
Labs, Rad. And assessment ABG Complete blood count Chemistry ECG Chest radiograph Bronchoscopy Management