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The Dyspnea Pyramid - Differential Diagnosis for Shortness of Breath

by Hannah R Abrams, (Adapted from Jeff
The Dyspnea Pyramid ... Jeff Wiese MD) #Dyspnea ... #Pyramid #Diagnosis
The Dyspnea Pyramid - Differential Diagnosis for Shortness of Breath

Original Source (Jeff Wiese MD): https://www.acponline.org/system/files/documents/clinical_information/journals_publications/books/clinical-teaching-scripts-for-inpatient-medicine.pdf

#Diagnosis #Dyspnea
The Dyspnea Pyramid ... #Diagnosis #Dyspnea ... ShortnessOfBreath #SOB #Pyramid
Paroxysmal Nocturnal Dyspnea

#Paroxysmal #Nocturnal #Dyspnea #PND #Pathophysiology #Diagnosis #Cardiology
Paroxysmal Nocturnal Dyspnea ... Paroxysmal #Nocturnal #Dyspnea ... Pathophysiology #Diagnosis #Cardiology
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Hypoxemia and Dyspnea ... using hypoxemia pyramid ... #Hypoxemia #Dyspnea
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Cardiovascular Causes of Dyspnea ... Other Causes of Dyspnea ... : • Chest Wall ... Obesity - Flail chest
Aortic Stenosis - Diagnosis and Stages

Clinical Presentation
- Exertional dyspnea
- Chest pain
- Palpitations
- HF Symptoms (orthopnea, PND,
- Exertional dyspnea ... - Chest pain ... Signs #Symptoms #Cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
light-headedness, dizziness, dyspnea ... exercise intolerance, chest ... #Fibrillation #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
complaining of dyspnea ... and chest pain ... Triad #Diagnosis #Cardiology
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Approach to Acute Dyspnea ... exams), and the chest ... Strong Medicine #Dyspnea
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Hypertension on Chest ... PHTN #ChestCT #CTChest ... #Radiology #cardiology