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Dyspnea - general
This patient presents with dyspnea, most likely secondary to . Differential diagnosis includes . Presentation not consistent with acute cardiac etiologies to include ACS (HEART score ), CHF, pericardial effusion / tamponade . Presentation not consistent with acute respiratory etiologies to include acute PE (Wells low risk ), pneumothorax , asthma, COPD exacerbation, allergic etiologies, or infectious etiologies such as PNA. Presentation also not consistent with non-cardiopulmonary causes to include toxidromes, metabolic etiologies such as acidemia or electrolyte derangements, sepsis, neurologic causes (i.e. demyelinating diseases).
Plan: supplemental O2, NIPPV , CXR, labs, troponin, close hemodynamic monitoring, serial reassessment
from natedotphrase.com
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