Respiratory
Acute respiratory failure and infiltrates -> ARDS Allergy suspected -> allergic thinitis Asthma exacerbation -> unfavourable outcome Asthma suspected -> asthma B. pertussis suspected -> Bordetella pertussis Chest pain (all) -> coronary artery spasm Chronic rhinosinusitis suspected -> chronic rhinosinusitis COPD -> alpha-1 antitrypsin deficiency DVT or PE -> low risk for recurrent DVT/PE DVT or PE suspected -> DVT or PE Fever (< 3 months old) -> pneumonia HF suspected ((asthma/COPD pt)) -> heart failure HIV infected patient -> pneumocystis carinii pneumonia Influenza -> bacterial pneumonia Influenza suspected (adult) -> influenza Influenza suspected (all ages) -> influenza Influenza suspected (child) -> influenza IPF suspected -> idiopathic pulmonary fibrosis Lower RTI (children) -> bacterial or atypical cause Lung CA (non-small cell) -> hilar or mediastinal nodal spread Lung CA -> bony metastases Lung CA -> hilar adenopathy Lung CA -> liver metastasis Lung CA -> mediastinal adenopathy Lung CA suspected (any lesion) -> lung CA Lung CA suspected (central lesion) -> lung CA Lung CA suspected (peripheral lesion) -> lung CA Lung symptoms -> lung consolidation Lung symptoms -> pleural effusion Malignant pleural exudate -> death within 3 months Malignant pleural exudate -> successful pleurodesis Mediastinal adenopathy suspected -> mediastinal adenopathy Mononucleosis suspected -> infectious mononucleosis PE suspected (adolescent) -> pulmonary embolism PE suspected -> pulmonary embolism Pleural effusion -> complicated effusion (parapneumonic) Pleural effusion -> definite or probable malignancy Pleural effusion -> exudate Pleural effusion -> lung CA Pleural effusion -> tuberculosis Pleural or peritoneal effusion -> mesothelioma Pneumonia -> pneumococcal pneumonia Pneumonia suspected (children) -> bacterial pneumonia Pneumonia suspected (ventilator associated) -> pneumonia Pneumonia suspected -> pneumonia Pneumothorax suspected -> pneumothorax Pneumothorax suspected -> pneumothorax Previous venous thromboembolism -> pulmonary embolism Pulmonary embolism -> benign course Pulmonary nodule -> lung cancer Respiratory illness -> Legionnaire's disease Sarcoidosis suspected -> sarcoidosis Screening -> congenital CV malformation Sinusitis suspected -> acute sinusitis Sleep apnea suspected -> sleep apnea Sore throat (high risk for strep) -> GABHS pharyngitis Sore throat -> GABHS pharyngitis Systemic inflammatory response syndrome -> infectious cause (sepsis) Tuberculosis suspected -> tuberculosis