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diagnosis differential causes algorithm chest chronic cxr lateral sob abnormal abnormalities acute apdiameter breathing chestpain clinical comparison contusion ctchest lung
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
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 ... Xray on the right ... UCSDH #Clinical #Radiology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Chronic Causes of Dyspnea ... /Chest Wall: • ... Acute: Trauma, COPD ... , COPD, CTEPH, ILD ... : Tumor, Vocal cord
Barrel Chest Appearance on Lateral Chest Xray Typically seen in the setting of chronic air-trapping in COPD -
Barrel Chest Appearance ... air-trapping in COPD ... #Chest #Xray #CXR ... #Lateral #Radiology ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic Dyspnea ... Obstruction • Asthma ... • COPD • Bronchiectasis ... Thickening/Masses Chest ... Pneumonia • ARDS • COPD
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
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
disease, pleuritic chest ... common cause of dyspnea ... Causes include asthma ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... His dyspnea continued ... over the left anterior ... wall, a chest x-ray ... #Radiology #CTChest
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