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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
failure - CAD/ACS ... • Parenchyma: ILD ... Hepatopulmonary syndrome ... Pain #dyspnea #sob ... #causes #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... - Differential Diagnosis ... Artery Disease • Stable ... Acute Coronary Syndrome ... Interstitium • ILD
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... asbestosis), Silica (silicosis ... Churg Strauss syndrome ... pneumonia: Acute, Chronic ... #pulmonary #causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Acute spinal cord injury ... Guillain-Barré syndrome ... in spinal cord injury ... #differential #diagnosis ... #table #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
• CN Ill (Oculomotor ... One-and-a-half Syndrome ... Cavernous Sinus (CS ... Skew Deviation Casey ... #differential #diagnosis
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Motor Nerves: ALS ... nerve injury, Sarcoid ... #differential #diagnosis ... #neurology
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Chronic Eosinophilic ... Hypereosinophilic Syndrome ... Lung #Diseases #pulmonary ... #differential #diagnosis ... #comparison #table
Intraabdominal hypertension is defined as elevated pressure without overt organ failure (table below).  Among critically
organ failure (table ... Among critically ill ... organ injury particularly ... #Diagnosis #Intraabdominal ... Classification #ACS
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Hypertensive Disorders ... • Guidelines as ... evidence of organ injury ... doubling of Cr), pulmonary ... patients • HELLP: Syndrome
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
heterogenous group of disorders ... of the lung to injury ... indicates unknown cause ... listed in the table ... #Pulmonary #CTChest