SAQ 686 – Respiratory – acute dyspnoea with poor response to bronchodilators

An 81-year-old woman with asthma, ischaemic heart disease, hypertension, and diabetes presents with acute dyspnoea after two weeks of dry cough. She has no calf swelling or oedema.

Apart from asthma exacerbation, complete the table with three (3) differential diagnoses and one examination finding supporting each.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Differential diagnosis</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Examination finding</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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After three salbutamol 5 mg/ipratropium 500 microgram nebulisers over one hour, she has not improved and now has fine crepitations at both bases. List your next six (6) management priorities.

(Marked out of 6.0)

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Total Score: 0 / 12

Percentage: 0%