Dyspnea Flashcards
Dyspnea for three months or more in at least 2 consecutive years
Smoker
a1. Antitrypsin disorder
Chronic obstructive pulmonary dz
Cough, dyspnea, cyanosis with ankle edema
Fever
Chronic bronchitis
SOB with barrel shaped chest, pursed lip breathing
Flattened diaphragm, peripheral arterial deficiency
Emphysema
Dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, fatigue, weight gain, bilateral pitting edema
Elevated BNP, kerley b lines, oblit of costophrenic angle
CHF
Precordial chest pain, choking, feeling of dying, unreality
Normal tests
Panic attack
Stony dull percussion, dec breath sounds
Egophany, whispered pectoriloquy
Oblit of costophrenic angle, meniscus sign
Pleural effusion
Sudden onset of fever, chills, dyspnea, sticking chest pn
Refer if CURB65
Travel, immigrant
Pneumonia Strep: bact Viral: rsv Fungal: jiroveci Walking: mycoplasma Alcoholic: klebiseilla
Acute dyspnea
Tracheal shift to opp side
Lung outline
Pneumothorax
Prolonged immobilization, post opp, bc, recent travel >4h
Pleuritic chest pn with hemoptysis and tachycardia
Impending doom
Hamptons hump, rounded convex apex
Homans sign
D dimer sign to rule out
Pulmonary embolism
Non caseous granulomatous dz
Night sweats, lymphadenopathy, iritis, arthritis, erythema nodosum
Cbc leukopenia, elevated esr, hypercalcemia
Sarcoidosis
Autoimmune Calcinosis Raynauds Esophageal hypomobility Sclerodactyly Telangiectasia Pulmonary fibrosis
Scleroderma
Caseous granulomatous Diabetic, immigrant, immune suppressed Fever, night sweat, chronic cough, hemoptysis with fatigue and weight loss Apical cavitation, hilar lymphadenopathy Ziehl Nelson, lowenstein jenson Refer to DOH
Bt
Tightness in chest, cough and wheeze worse at night
Charcot Leyden crystals
Curschmanns spirals in sputum
Asthma
