Managing Complications in Pregnancy and Childbirth: - IAWG

S-126 Difficulty in breathingDIAGNOSISTABLE S-18Diagnosis of difficulty in breathingPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Difficulty in breathing• Pallor of conjunctiva, tongue,nail beds and/or palms• Haemoglobin 7g per dL orless• Haematocrit 20% or less• Lethargy and fatigue• Flat or concave nailsSevere anaemia,page S-127• Symptoms and signs ofsevere anaemia• Oedema• Cough• Rales• Swelling of legs• Enlarged liver• Prominent neck veinsHeart failure dueto anaemia, pageS-127• Difficulty in breathing• Diastolic murmur and/or• Harsh systolic murmur withpalpable thrill• Irregular heart beat• Enlarged heart• Rales• Cyanosis (blueness)• Cough• Swelling of legs• Enlarged liver• Prominent neck veinsHeart failure dueto heart disease,page S-128• Difficulty in breathing• Fever• Cough with expectoration• Chest pain• Difficulty in breathing• Wheezing• Consolidation• Congested throat• Rapid breathing• Rhonchi/rales• Cough with expectoration• Rhonchi/ralesPneumonia, pageS-129Bronchial asthma,page S-129• Difficulty in breathing• Hypertension• Proteinuria• Rales• Frothy coughaWithhold fluids and give frusemide 40 mg IV once (page S-44).Pulmonary oedemaassociated with preeclampsiaa