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Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (02)

imageDifferential Diagnosis of Hemoptysis

Airway Disease
    Acute or chronic bronchitis
    Bronchiectasis
    Bronchogenic CA
    Bronchial carcinoid tumour
Parenchymal Disease
    Pneumonia
    TB
    Lung abscess
    Miscellaneous:
        Goodpasture’s syndrome
        Idiopathic pulmonary hemosiderosis
Vascular Disease
   PE
   Elevated pulmonary venous pressure:
        LVF
        Mitral stenosis
   Vascular malformation

Miscellaneous
   Impaired coagulation
   Pulmonary endometriosis

Differential Diagnosis of Cough

Airway Irritants               
    Inhaled smoke, dusts, fumes   
    Aspiration                   
        Gastric contents (GERD)
        Oral secretions
        Foreign body
    Postnasal drip

Airway Disease
    URTI including postnasal drip and sinusitis
    Acute or chronic bronchitis
    Bronchiectasis
    Neoplasm
    External compression by node or mass lesion
    Asthma
    COPD

Parenchymal Disease
    Pneumonia
    Lung abscess
    Interstitial lung disease

CHF

Drug-induced (e.g. ACE inhibitor)

 

Differential Diagnosis of Clubbing

Pulmonary

  1. CF
  2. Pulmonary fibrosis
  3. Chronic pus in the lung  (bronchiectasis, abscess, infections, etc.)
  4. Lung CA (primary or mets)
  5. Mesothelioma
  6. A-V fistula

Gastrointestinal

  1. IBD (UC, CD)
  2. Chronic infections
  3. Laxative abuse
  4. Polyposis
  5. Malignant tumours
  6. Cirrhosis
  7. HCC

Cardiac

  1. Cyanotic congenital heart disease
  2. Infective endocarditis

Mediastinal

  1. Esophageal CA
  2. Thymoma

Other

  1. Graves Disease
  2. Thalassemia
  3. Other malignancies
  4. Primary hypertrophic osteoarthropathy

 

Three Signs of Clubbing

image
1. Profile Angle (ABC >176o)
2. Hyponychial Angle (ABD >192o)
3. Phalangeal Depth Ratio (DPD:IPD >1)

Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (02) Approach to the Respiratory Patient: Differential Diagnoses of Common Presentations (02) Reviewed by Radiology Madeeasy on November 06, 2010 Rating: 5
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