Pleuritic chest pain could be caused by pericarditis, pneumonia, pulmonary embolism, pneumothorax, or pleuritis. Spontaneous pneumothorax. You need to go to your nearest emergency department.If you have had contact with a person who is sick with COVID-19 or you have been in an area with community spread of COVID-19, please let your medical providers know as soon as you arrive at the emergency department.You have some symptoms that may be related to COVID-19.If your symptoms get worse, seek care by an urgent care center or emergency department.If you have had contact with a person who is sick with COVID-19 or have been in an area with community spread of COVID-19, please let your provider know as soon as you speak with them.If you do not receive a call back within 24 hours, go in to see your medical provider.
Philadelphia: Saunders, 2000:15Reprinted with permission from Healey PM, Jacobson EJ.
Heffner JE. Strategies incorporating spiral CT for the diagnosis of acute pulmonary embolism: a cost-effectiveness analysis. Hussey M, A detailed evaluation of patients with acute pulmonary embolism and low- or very-low-probability lung scan interpretations. Reassess the patient's airways, mental status, ability to speak, and breathing effort. Oger E, Evaluation of a new, rapid, and quantitative d-Dimer test in patients with suspected pulmonary embolism. Michelson EA, Other causes may be upper airway obstruction, metabolic acidosis, a psychogenic disorder, or a neuromuscular condition. In: Davis GS, ed. : American Heart Association, 2000.Brenner B, Triage begins with determining the degree of urgency by assessing the duration of the condition, whether it is acute or chronic, and the severity of symptoms. If your symptoms get worse, seek care by an urgent care center or emergency department, but call ahead to let them know you are sick, work in a healthcare setting, and may have had exposure to COVID-19.In the meantime, you can follow some steps to prevent others in your household or community from getting sick. If your symptoms get worse, seek care at an urgent care center or emergency department.If you have had contact with a person who is sick with COVID-19 or you have been in an area with community spread of COVID-19, please let your medical providers know as soon as you speak with them.Contact an occupational health provider in your healthcare facility as soon as possible.If you have cared for a person who is sick with COVID-19 or have been in an area with community spread of COVID-19, please let your occupational health provider know as soon as you speak with themIf your facility does not have an occupational health provider, seek care with your usual provider.Be sure to mention that you have symptoms and work in a healthcare facility or with patients. In the evaluation of acute dyspnea, obtain chest radiographs to rule out conditions such as pneumothorax, pneumonia, COPD, pulmonary edema, or congestive heart failure.Acute asthma, chronic obstructive pulmonary disease exacerbationDecreased oxygen saturation, decreased peak expiratory flow rate and forced expiratory volume in 1 secondLeft ventricular hypertrophy, ischemia, or arrhythmia on ECG; low hemoglobinNormal, atelectasis, pleural effusion, wedge-shaped densitySubglottic narrowing by AP plain film or computed tomographyVisualized foreign body, air trapping, hyperinflationAcute asthma, chronic obstructive pulmonary disease exacerbationDecreased oxygen saturation, decreased peak expiratory flow rate and forced expiratory volume in 1 secondLeft ventricular hypertrophy, ischemia, or arrhythmia on ECG; low hemoglobinNormal, atelectasis, pleural effusion, wedge-shaped densitySubglottic narrowing by AP plain film or computed tomographyVisualized foreign body, air trapping, hyperinflationA diagnostic approach to dyspnea. While telephone triage nurses have access to electronic medical records, the difficulty lies in not being able to visualize the patient. Include a focused history of medication use, cough, fever, and chest pain. London: Chapman & Hall, 1995: 205–42.Kunitoh H, Gillespie ND, Cooper P, Grafton ST, Hazinski MF, Cummins RO, Field JM. Your veterinarian will identify the specific type of breathing difficulty your dog is having to help narrow down the potential causes. Are you sure?To see the full article, log in or purchase access.ECG = electrocardiography; AP = anteroposterior; RSV = respiratory syncytial virusECG = electrocardiography; AP = anteroposterior; RSV = respiratory syncytial virusReprinted with permission from Healey PM, Jacobson EJ. Kline JA, Do you have something to write with?
Talucci R, Philadelphia: Saunders, 2000:15Address correspondence to Roger J. Zoorob, M.D., M.P.H., Department of Family Medicine, LSU–HSC School of Medicine, 200 W. Esplanade, Ste. Dyspnea is most commonly caused by respiratory and cardiac disorders.
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