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Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
• Sub-Valvular Disease ... Arrhythmia • Atrial ... Thickening/Masses Chest ... Interstitium ... • ILDCHF
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
HRCT as seen in fibrosis ... lung disease (i.e ... . fibrosis). ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... combinations of fibrosis ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
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 #RadiologyAssistant
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 ... - Reticular interstitial ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
CHD, congenital ... heart disease; CPET ... hypertension; CXR, chest ... arterial hypertension ... bronchopulmonary dysplasia; CLD
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF) ... Treatment #management #cardiology
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
and progressive fibrosis ... : ILD (interstitial ... lung disease), ... PAH (pulmonary arterial ... Scleroderma #SSc #rheumatology
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries
Takayasu's arteritis:
 - Onset < 40 yrs
 -
sinusitis - pulmonary ... Retroperitoneal fibrosis ... osteosclerosis) - Right atrial ... - Perirenal fibrosis ... Differential #Diagnosis #Cardiology