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Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (01)

imageDifferential Diagnosis of Dyspnea

Respiratory

    Airway disease (wheeze)
        Asthma*
        COPD exacerbation*
        Upper airway obstruction (anaphylaxis, foreign body, etc)*
        Mucus plugging*
    Parenchymal lung disease (crackles)
        ARDS*
        Pneumonia*
        Interstitial lung disease
    Pulmonary vascular disease
        PE*
        Pulmonary HTN
        Pulmonary vasculitis
    Pleural disease (pleuritic chest pain)
        Pneumothorax* tension pneumothorax*
        Pleural effusion


Neuromuscular and chest wall disorders (decreased chest expansion)
   
Polymyositis, myasthenia gravis, Guillain-Bare syndrome, Kyphoscoliosis, C-spine injury*, ALS, diaphragmatic paresis



Cardiovascular (worse with dependancy/exertion)
  
Elevated pulmonary venous pressure
        LVF with pulmonary edema*
        Mitral stenosis
        Decreased cardiac output



Hematologic
   
Severe anemia (pallor)



Psychiatric

    Anxiety/psychosomatic*

* denotes causes that should be considered for acute dyspnea

Differential Diagnosis of Chest Pain


Nonpleuritic
Pleuritic
Pulmonary
    Pneumonia       
    PE
    Neoplastic
Pulmonary
    Pneumonia
    PE
    Pneumothorax    
    Hemothorax
    Bronchiectasis
    Neoplasm
    TB
    Empyema
Cardiac
    MI       
    Myocarditis/pericarditis
Cardiac
    Pericarditis
    Dressler’s syndrome
Esophageal
    GORD
    Spasm   
    Esophagitis       
    Ulceration  
    Achalasia   
    Neoplasm 
GI
    Pancreatitis
    Subphrenic abscess
Mediastinal
    Lymphoma   
    Thymoma 
MSK
    Costochondritis
    Fractured rib
    Myositis
    Herpes zoster 
Subdiaphragmatic        
   
PUD 
    Gastritis              
    Biliary colic
    Pancreatic



Vascular
    Dissecting aortic aneurysm
MSK
    Costochondritis
    Skin
    Breast
    Ribs
Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (01) Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (01) Reviewed by Radiology Madeeasy on November 06, 2010 Rating: 5
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