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A woman with breathlessness: a practical approach to diagnosis and management
Worsening breathless in a patient with severe chronic obstructive pulmonary disease (COPD) is a common diagnostic and management challenge in primary care. A systematic approach to history-taking and examination combined with targeted investigation of pulmonary, cardiovascular, thromboembolic and sy...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442845/ https://www.ncbi.nlm.nih.gov/pubmed/24270362 http://dx.doi.org/10.4104/pcrj.2013.00100 |
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author | Kaplan, Alan Gruffydd-Jones, Kevin van Gemert, Frederik Kirenga, Bruce J Medford, Andrew RL |
author_facet | Kaplan, Alan Gruffydd-Jones, Kevin van Gemert, Frederik Kirenga, Bruce J Medford, Andrew RL |
author_sort | Kaplan, Alan |
collection | PubMed |
description | Worsening breathless in a patient with severe chronic obstructive pulmonary disease (COPD) is a common diagnostic and management challenge in primary care. A systematic approach to history-taking and examination combined with targeted investigation of pulmonary, cardiovascular, thromboembolic and systemic causes is essential if co-morbidities are to be identified and managed. Distinguishing between heart failure and COPD is a particular challenge as symptoms and signs overlap. In low and middle income countries additional priorities are the detection of infections such as tuberculosis and human immunodeficiency virus (HIV). Clinicians need to be alert to the possibility of atypical presentations (such as pain-free variants of angina) and less common conditions (including chronic thromboembolic pulmonary hypertension) in order not to overlook important potentially treatable conditions. |
format | Online Article Text |
id | pubmed-6442845 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-64428452019-07-01 A woman with breathlessness: a practical approach to diagnosis and management Kaplan, Alan Gruffydd-Jones, Kevin van Gemert, Frederik Kirenga, Bruce J Medford, Andrew RL Prim Care Respir J Case-based Learning Worsening breathless in a patient with severe chronic obstructive pulmonary disease (COPD) is a common diagnostic and management challenge in primary care. A systematic approach to history-taking and examination combined with targeted investigation of pulmonary, cardiovascular, thromboembolic and systemic causes is essential if co-morbidities are to be identified and managed. Distinguishing between heart failure and COPD is a particular challenge as symptoms and signs overlap. In low and middle income countries additional priorities are the detection of infections such as tuberculosis and human immunodeficiency virus (HIV). Clinicians need to be alert to the possibility of atypical presentations (such as pain-free variants of angina) and less common conditions (including chronic thromboembolic pulmonary hypertension) in order not to overlook important potentially treatable conditions. Nature Publishing Group 2013-12 2013-11-23 /pmc/articles/PMC6442845/ /pubmed/24270362 http://dx.doi.org/10.4104/pcrj.2013.00100 Text en Copyright © 2013 Primary Care Respiratory Society UK |
spellingShingle | Case-based Learning Kaplan, Alan Gruffydd-Jones, Kevin van Gemert, Frederik Kirenga, Bruce J Medford, Andrew RL A woman with breathlessness: a practical approach to diagnosis and management |
title | A woman with breathlessness: a practical approach to diagnosis and management |
title_full | A woman with breathlessness: a practical approach to diagnosis and management |
title_fullStr | A woman with breathlessness: a practical approach to diagnosis and management |
title_full_unstemmed | A woman with breathlessness: a practical approach to diagnosis and management |
title_short | A woman with breathlessness: a practical approach to diagnosis and management |
title_sort | woman with breathlessness: a practical approach to diagnosis and management |
topic | Case-based Learning |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442845/ https://www.ncbi.nlm.nih.gov/pubmed/24270362 http://dx.doi.org/10.4104/pcrj.2013.00100 |
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