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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... - Tamponade Pulmonary ... • Parenchyma: ILD ... Hematology: - Anemia ... #differential #diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Thickening/Masses Chest ... Interstitium • ILD ... - Other • Anemia ... #Differential #Diagnosis
Typical UIP with honeycombing and traction bronchiectasis in a patient with idiopathic pulmonary fibrosis (IPF) #Clinical
with idiopathic pulmonary ... fibrosis (IPF) #Clinical ... #Radiology #CTChest ... #UIP #IPF #ILD
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
hypoxemia • COPD, ILD ... chronic hemolytic anemia ... disorders, sickle cell anemia ... dyspnea, fatigue, chest ... Classification #diagnosis
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct pulmonary ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... doi.org/10.1016/j.chest ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Asthma attack, ILD ... , COPD, CTEPH, ILD ... Tamponade • Chronic: Anemia
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... The diagnosis based ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening