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Dyspnea – when you are on call
• Evaluate possible reason of dyspnoea.
Sudden onset and evolution?
• Symptoms presents at rest? Positional?
• Tachypnea? Cyanosis? Hemoptysis? Cough?
• Lung examination – sounds? Signs of pleural
effusion? X-ray, CT, angiogram (embolisation!)
• Cardiac examination: tamponade? Jugular
Venous Pressure?
• Bronchoscopy?
• Malignacy in abdomen (pressure on
diaphragm)?
Visible external jugular vein,
JVP raised, no pulsation = SVCS
JK 7/49