Differential Diagnosis of Dyspnea Respiratory Airway disease (wheeze) Asthma* COPD exacerbation* ...
Differential Diagnosis of Dyspnea
Respiratory
Airway disease (wheeze)
Asthma*
COPD exacerbation*
Upper airway obstruction (anaphylaxis, foreign body, etc)*
Mucus plugging*
Parenchymal lung disease (crackles)
ARDS*
Pneumonia*
Interstitial lung disease
Pulmonary vascular disease
PE*
Pulmonary HTN
Pulmonary vasculitis
Pleural disease (pleuritic chest pain)
Pneumothorax* tension pneumothorax*
Pleural effusion
Neuromuscular and chest wall disorders (decreased chest expansion)
Polymyositis, myasthenia gravis, Guillain-Bare syndrome, Kyphoscoliosis, C-spine injury*, ALS, diaphragmatic paresis
Cardiovascular (worse with dependancy/exertion)
Elevated pulmonary venous pressure
LVF with pulmonary edema*
Mitral stenosis
Decreased cardiac output
Hematologic
Severe anemia (pallor)
Psychiatric
Anxiety/psychosomatic*
* denotes causes that should be considered for acute dyspnea
Differential Diagnosis of Chest Pain
Nonpleuritic
|
Pleuritic
|
| Pulmonary Pneumonia PE Neoplastic | Pulmonary Pneumonia PE Pneumothorax Hemothorax Bronchiectasis Neoplasm TB Empyema |
| Cardiac MI Myocarditis/pericarditis | Cardiac Pericarditis Dressler’s syndrome |
| Esophageal GORD Spasm Esophagitis Ulceration Achalasia Neoplasm | GI Pancreatitis Subphrenic abscess |
| Mediastinal Lymphoma Thymoma | MSK Costochondritis Fractured rib Myositis Herpes zoster |
| Subdiaphragmatic PUD Gastritis Biliary colic Pancreatic | |
| Vascular Dissecting aortic aneurysm | |
| MSK Costochondritis Skin Breast Ribs |
