{"id":1729,"date":"2017-08-17T07:36:15","date_gmt":"2017-08-17T07:36:15","guid":{"rendered":"http:\/\/papergp.com\/index.php\/respiratory\/shortness-of-breath\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"shortness-of-breath","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/respiratory\/shortness-of-breath\/","title":{"rendered":"Shortness of breath"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Differential diagnosis<\/strong><\/h4>\n<ul>\n<li>Cardiac\n<ul>\n<li>Heart failure &#8211; PND, orthopnoea, leg swelling<\/li>\n<li>Arrhythmia &#8211; palpitations, pre-syncope<\/li>\n<li>Valvular disease<\/li>\n<li>Pericardial disease<\/li>\n<\/ul>\n<\/li>\n<li>Respiratory\n<ul>\n<li>COPD &#8211; smoker, cough, progressive<\/li>\n<li>Asthma &#8211; atopy, wheeze<\/li>\n<li>PE<\/li>\n<li>Lung cancer<\/li>\n<li>Infection &#8211; Pneumonia, TB<\/li>\n<li>Bronchiectasis<\/li>\n<li>Asbestos lung disease<\/li>\n<li>Chest wall and diaphragm disease<\/li>\n<li>Lung fibrosis<\/li>\n<\/ul>\n<\/li>\n<li>Other\n<ul>\n<li>Obesity<\/li>\n<li>Anaemia<\/li>\n<li>Thyroid disease<\/li>\n<li>Physical deconditioning<\/li>\n<li>Anxiety<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; weight loss, haemoptysis, night sweats<\/li>\n<li>Others &#8211; triggers, impact, smoking, occupational risk factors, exercise<\/li>\n<li>Examine &#8211; Sats, Pulse, RR, BP, Chest, CVS, BMI, Peak flow<\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, ferritin, U+Es, LFTs, TFTs, BNP<\/li>\n<li>CXR<\/li>\n<li>ECG<\/li>\n<li>Lung function testing<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Treat underlying cause<\/li>\n<li>Lifestyle &#8211; smoking cessation, increase exercise, weight loss<\/li>\n<\/ul>\n<\/li>\n<li>Followup \/ Safety-net<\/li>\n<\/ul>\n<h4>Reference<\/h4>\n<p><a href=\"_wp_link_placeholder\" data-wplink-edit=\"true\">https:\/\/www.enhertsccg.nhs.uk\/sites\/default\/files\/pathways\/Breathlessness%20-%20Non-acute.pdf<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Cardiac Heart failure &#8211; PND, orthopnoea, leg swelling Arrhythmia &#8211; palpitations, pre-syncope Valvular disease Pericardial disease Respiratory COPD &#8211; smoker, cough, progressive Asthma &#8211; atopy, wheeze PE Lung cancer Infection &#8211; Pneumonia, TB Bronchiectasis Asbestos lung disease Chest wall and diaphragm disease Lung fibrosis Other Obesity Anaemia Thyroid disease Physical deconditioning Anxiety Data &hellip; <a href=\"https:\/\/papergp.com\/index.php\/respiratory\/shortness-of-breath\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Shortness of breath<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":300,"menu_order":55,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1729","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1729"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1729\/revisions"}],"predecessor-version":[{"id":2399,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1729\/revisions\/2399"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/300"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}