The respiratory session will examine contrasting clinical cases of dyspnoea that will illustrate the principles of diagnostic reasoning. lmportant physical findings that help discriminate different causes of dyspnoea will be discussed along with appropriate initial investigations.
- Be able to describe the differences and similarities in the medical history, physical examination and investigations of common or life threatening causes of dyspnoea.
- To manage asthma and pneumonia using best practice guidelines
- To be able to use the Wells score & PERC rule in diagnosis of PE
Recommended pre reading
- Hughes T & Cruickshank J. Adult Emergency Medicine at a Glance. Chichester, West Sussex, UK : John Wiley & Sons, 2011. Chapter 36 Shortness of breath. Chapter 7 Blood gas analysis.
- Pre-lecutre reading: Review this case and questions from LITFL "Not just a pulmonary embolism..."
- Pre-lecture quiz (to be completed prior to the lecture): Download here or complete online
Learning resources - presentations and cases.
- Respiratory dyspnea presentation - Part 1
- Respiratory/Patient with dysponea - Part 2
- Respiratory case series 2 - Part 3
- Dysponea presentation
- A classic respiratory case
Other learning resources
- Wells et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med. 2001 Jul 17;135(2):98-107. http://www.ncbi.nlm.nih.gov/pubmed/11453709
- National Asthma Council: Written asthma action plans
- MDCalc Mobile PSI/PORT Score: Pneumonia Severity Index for Adult CAP