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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
fast - Too slow ... Causes of Dyspnea ... • Parenchyma: ILD ... Chest Wall: - ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Dyspnea - Differential ... • Sub-Valvular Disease ... Coronary Artery Disease ... • Stable Angina ... Interstitium • ILD
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... Diagnosis Pulmonary ... /Chest Wall: • ... Asthma attack, ILD ... , COPD, CTEPH, ILD
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Infarction • Stable ... • Myocarditis Pulmonary ... • Biliary Disease ... • Peptic Ulcer Disease ... ChestPain #Noncardiac #Cardiology
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
back up of blood flow ... hypoxemia • COPD, ILD ... activity worsens dyspnea ... markedly limited by dyspnea ... , fatigue, chest
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
with airspace disease ... you think of the causes ... or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... non-perfused vessels and causes ... In daily clinical ... with old fims can ... #Clinical #Radiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Amyloidosis (AL Amyloid, Wild ... Cardiomyopathy #Diagnosis #Causes ... #differential #cardiology