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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Causes of Dyspnea ... • Parenchyma: ILD ... Chest Wall: - ... Obesity - Flail chest ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Dyspnea - Differential ... Chest Wall Abnormalities ... Interstitium • ILD ... Diagnosis #Algorithm #Causes
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
hypoxemia • COPD, ILD ... activity worsens dyspnea ... , fatigue, or chest ... markedly limited by dyspnea ... , fatigue, chest
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Here we see an old ... chest film, which ... density on the chest ... On the CT we can ... PulmonaryEmbolism #RadiologyAssistant
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Hypoxia • Dyspnea ... Loss of weight • Chest ... : • Cystic fibrosis ... high-resolution chest ... CT) • Broncho-arterial
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 ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Consolidation #Patterns #RadiologyAssistant
Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
Chest is very quiet ... exacerbations due to chest ... comfortable at rest ... Chest is noisy, ... #BlueBloater #Pulmonary
COVID-19 Chest CT - Case 4 - Superimposed Fibrosis

Batch of COVID-19 cases from the past few
COVID-19 Chest CT ... Fibrosis Batch ... and some with fibrosis ... COVID19 #SARSCoV2 #CTChest ... #Clinical #CriticalCare
Usual Interstitial Pneumonia (UIP) pattern on Chest CT
75 M with progressive dyspnea. Typical usual interstitial pneumonia
UIP) pattern on Chest ... CT 75 M with progressive ... dyspnea. ... fibrosis = idiopathic ... #radiology #pulmonary
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... with old fims can ... Redistribution #RadiologyAssistant