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diagnosis differential causes algorithm chest cxr lateral management patterns sob xray abnormal abnormalities acute apdiameter bluebloater bpap breathing bronchiectasis chestpain
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea ... /Chest Wall: • ... Acute: Trauma, COPD ... : Asthma, COPD, ... : Tumor, Vocal cord
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
• Airways: - Asthma ... - COPD - Bronchiectasis ... : • Chest Wall ... Obesity - Flail chest ... Myasthenia - Guillain Barre
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison ... #Diagnosis #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Obstruction • Asthma ... • COPD • Bronchiectasis ... Thickening/Masses Chest ... Pneumonia • ARDS • COPD
Barrel Chest Appearance on Lateral Chest Xray Typically seen in the setting of chronic air-trapping in COPD -
Barrel Chest Appearance ... the setting of chronic ... air-trapping in COPD ... #Lateral #Radiology ... #pulmonary
Increased Anterior Posterior Diameter: Barrel chested appearance resulting from air trapping that sometimes occurs with advanced COPD.
Increased Anterior ... Posterior Diameter: Barrel ... with advanced COPD ... Clinical Images #Barrel ... UCSDH #Clinical #Radiology
Patterns of disease in advanced COPD Type A: Pink Puffer (Emphysema Predominant) Major complaint is dyspnea, often
disease in advanced COPD ... Major complaint is chronic ... Dyspnea usually ... #COPD #Patterns ... #BlueBloater #Pulmonary
Pulmonary Hypertension Groups - WHO Classification Group I - Vascular remodeling of pulmonary arteries • Idiopathic, HIV,
hypoxemia • COPD ... activity worsens dyspnea ... , fatigue, or chest ... markedly limited by dyspnea ... , fatigue, chest
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... edema) • COPD ... patients (ie., CHF or COPD ... failure (ie.. asthma ... increased WOB, dyspnea
Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... Limb ischemia Pulmonary ... pleuritic CP, Dyspnea ... factors - PEX: Dyspnea ... , H/O COPD, asthma
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