Ver el código de «Acute dyspnea»

{{Adult top}} [[acute dyspnea (peds)]].''
==Background==
[[File:Lung and diaphragm.jpg|thumb|Lobes of the lung with related anatomy.]]

==Clinical Features==
===Emergent Pattern Recognition===
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Diagnosis'''
| align="center" style="background:#f0f0f0;"|'''Lungs'''
| align="center" style="background:#f0f0f0;"|'''[[CXR]]'''
| align="center" style="background:#f0f0f0;"|'''[[ECG]]'''
| align="center" style="background:#f0f0f0;"|'''Treatment'''
| align="center" style="background:#f0f0f0;"|'''Contraindicated'''
|-
| [[Pulmonary Edema]]||Bilateral rales||Interstitial fluid||Normal/abnormal||R/O AMI, [[lasix]], nitrates, [[ACEi]], [[BiPAP]]||[[IVF]]; ?[[albuterol]]; ?[[Beta-blockers]]
|-
| [[Bronchoconstriction]]||Wheezes||Clear/hyperinflated||Normal/pulmonary strain||Albuterol, atrovent, steroids, consider anaphylaxis (epi)||Beta-blockers; ?aspirin
|-
| [[Pneumonia]]||Focal ronchi/decreased breath sounds||Infiltrate/effusion||Normal||[[IVF]], [[antibiotics]]||Rate control; diuresis
|-
| [[Pulmonary embolism]]||Clear||Clear (most) or Westrmark/Hampton hump||Normal/S1Q3T3||Anticoagulate/[[thrombolytics]]||Rate control
|-
| [[Pneumothorax]]/[[Hemothorax]]||Unequal||Pneumo/hemo||Normal||Needle [[thoracentesis]]/[[chest tube]]||Rate control
|-
| [[Dysrythmia]]||Clear/pulmonary edema||Clear/pulmonary edema||Abnormal||Type dependent||[[Albuterol]]; ?[[IVF]]
|-
| [[ACS]]||Clear/pulmonary edema||Clear/pulmonary edema||Normal/abnormal||[[Aspirin]]; nitrates, anticoagulation, ?[[beta-blockers]], +/- [[thrombolytics]]||[[Albuterol]]; ?[[IVF]]
|}

==Differential Diagnosis==
{{SOB DDX}}

==Evaluation==
[[File:PulmEdema.png|thumb|Pulmonary edema with small pleural effusions on both sides.]]
*[[CXR]]
*[[ECG]]
*CBC
*Chem-7
*[[BNP]]?
*[[D-dimer]]?
*[[Troponin]]?
*[[ABG]]?
*Bedside [[ultrasound]]?

{{BLUE Protocol}}

==Management==
*Oxygen
*Treat underlying cause

==Disposition==
*Depends on underlying diagnosis

==See Also==
*[[Hypoxemia]]
*[[Shortness of breath (peds)]]

==References==
<References/>

[[Category:Cardiology]]
[[Category:Pulmonary]]
[[Category:Symptoms]]