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An Approach to Chronic Dyspnea - Diagnostic Framework

Pulmonary, Cardiovascular and Miscellaneous Cause

Dr. Eric Strong https://twitter.com/DrEricStrong 

#Dyspnea
Dyspnea - Diagnostic ... Framework Pulmonary ... Miscellaneous Cause ... #Chronic #Differential ... #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Dyspnea - Differential ... Diagnosis Algorithm ... Stable Angina • Acute ... Differential #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential ... Diagnosis Algorithm ... Bronchitis • Chronic ... edema • Atelectasis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... Causes of Dyspnea ... - Differential ... Diagnosis Pulmonary ... #Causes #Differential
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Dyspnea - Differential ... Diagnosis Algorithm ... Vascular • Pulmonary ... Differential #Diagnosis
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... , to differentiate ... patients, who have an acute ... heart due to a chronic ... #Diagnosis #Radiology
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
- Nodular - Acute ... Glass Opacity - Chronic ... Pulmonary Edema ... XRay #ChestCT #Differential ... #Diagnosis
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
manifestations of COVID ... Stroke • Renal: Acute ... cor pulmonale ... Extrapulmonary #Diagnosis ... Signs #Symptoms #SARSCOV2
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes ... : - Acute myocardial ... infarction - Pulmonary ... edema EMERGENT
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Diagnosis Framework ... Causes include: ... #edema #NCPE #differential ... #diagnosis #cardiology