What are life threatening differentials for SOB that need to be initially excluded?
- Asthma/COPD exacerbation
- Acute LVF
How would you explore SOB as a symptoms?
- When didi it start?
- Anything triggered it?
- Exercise tolerance (current vs normal)
What would you want to ask about on systems review in someone with SOB?
- How patient feels
- Chest pain
- Leg swelling
What would you sepcifically want to ask about in the PMH in someone with SOB?
- Other medical conditions
- Happened before
- Asthma/COPD - baseline, severity, exacerbation history, normal PEFR
- Recent surgery
What would you want to ask about in the drug history in someone with SOB?
- Medications they are on
- Inhaler compliance/usage
What is important to ask about in social history in someone with SOB?
- Long-haul travel - DVT
What would you specifically want ot examine in someone with SOB?
- Tracheal deviation and JVP
- Inspect chest
- Auscultate heart and lungs
- Leg swelling/tenderness/odema
What bloods would you consider doing in someone with SOB?
- Consider D-dimer
- BC if pyrexial
What imaging would you consider doing in someone with SOB?
What Bedside tests would you consider doing in someone with SOB?
What cultures would you consider doing in someone with SOB?
- Blood Cultures
- Sputum cultures
What structured approach would you take to determining what investigations wo consider doing for someone with SOB?
- Bloods/Bedside tests
- Orifices - cultures etc.
- Specific tests
What are respiratory causes of acute SOB?
- Asthma exacerbation
- COPD exacerbation
- Pleural effusion
What are cardiac causes of acute SOB?
- Acute LVF
- Acute valvular disease
- Pericardial effusion
- Pulmonary hypertension
What are non-cardiorespiratory causes of acute SOB?
- Hyperventilation in axiety
- Metabolic acidosis
- Foreign body