Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma attack, ILD flare, Pleural effusion, Pneumonia, Aspiration, Hemorrhage • Chronic: Asthma, COPD, CTEPH, ILD, Sarcoid, Tumor, Pleural effusion, Pulmonary Hypertension Cardiovascular: • Acute: ACS, Acute decompensated CHF, Hypertensive emergency, Tachyarrhythmias, Valvular disease, Tamponade • Chronic: Anemia, Arrhythmia, Pericarditis, CAD, HFrEF/HFpEF, Intracardiac shunt, Cardiomyopathy, Valvular disease Head/Neck: • Acute: Angioedema, Anaphylaxis, Infection, Foreign body • Chronic: Tumor, Vocal cord paralysis/dysfunction, Goiter Abdominal: • Acute: Ascites, Intra-abdominal process • Chronic: Ascites, Pregnancy, Abdominal wall hernia, Obesity CNS/Neuromuscular • Acute: Stroke, Neuromuscular disease (eg myasthenia crisis), Encephalitis • Chronic: ALS, Glycogen storage disease, Mitochondrial disease Toxic/Metabolic: • Acute: Salicylate poisoning, Carbon monoxide poisoning, DKA, Fever, Sepsis • Chronic: Metabolic acidosis (eg, DM, renal failure), Thyroid disease Psychiatric: • Acute: Anxiety attack, Panic attack • Chronic: Anxiety, PTSD, Depression - VA Joint Chiefs @BostonChiefs #Dyspnea #Acute #Chronic #Causes #Differential #Diagnosis
