20 results
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... - Differential Diagnosis ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Diagnosis Framework ... - Tamponade Pulmonary ... Parenchyma: ILD • Alveoli ... : • Chest Wall ... #differential #diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... #Differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Alveolar ... Weakness, Loss of Chest ... Left Shunt - Anatomic ... #AA #Gradient #alveolar ... #differential #diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse alveolar ... apart): Cough, Dyspnea ... Differential Diagnosis ... high resolution chest ... #differential #diagnosis
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
can "recruit" alveoli ... In CHF, decreases ... exacerbation (cardiogenic pulmonary ... increased WOB, dyspnea ... initiate breath, Anatomic
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Chronic Causes of Dyspnea ... - Differential Diagnosis ... Pulmonary/Chest ... Pleural effusion, Pulmonary ... decompensated CHF
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 ... COPD, asthma, CF ... PCP #ChestPain #Diagnosis
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
even within each lobe ... transudate like in CHF ... Clinical #Radiology #CTChest ... #CHF #Alveolar ... #Pulmonary #Edema
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms: dyspnea ... paroxysmal noctumal dyspnea ... un lymphatic Diagnostic ... Chest x-ray: signs ... Kerley B lines, alveolar