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Pulmonology > Dyspnea > Flashcards

Dyspnea Flashcards

1
Q

Dyspnea is considered to be chronic after it has persisted for how long?

A

> 4 to 8 wks

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2
Q

Issues getting oxygen into the body can be caused by what?

A

High Altitude

Obstructive disorders

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3
Q

Uptake issues can cause dyspnea such as…

A

P.E.
CHF (Left sided)
Pulmonary HTN

Anemia
CO poisoning
Methemoglobinemia (life-long cyanosis)

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4
Q

What are some neuromuscular origin causes of dyspnea?

A

Increased ICP

hyperventilation

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5
Q

A secondary spontaneous pneumothorax could be caused by….

A

COPD (emphysema)

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6
Q

What medication can cause angioedema and dyspnea?

A

ACE - I (Lisinopril)

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7
Q

Infectious causes of dyspnea include?

A

Epiglottitis
Croup
Epstein-Barr Virus
Acute Bronchitis

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8
Q

Musculoskeletal causes of dyspnea might include? What about one endocrine cause?

A

Myasthenia gravis
ALS

Metabolic Acidosis

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9
Q

What are the most common ACUTE Dyspnea causes in adults?

A 
PPOPPA
PE
Pulm Edema (i.e. HAPE)
Obstructed airway
Pneumothorax
Penumonia
Asthma/COPD
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10
Q

What are the most common ACUTE causes of Dyspnea in children?

A 
FACE-BMP
FB aspiration
Asthma
Croup
Epiglottitis
Bronchiolitis
Myocarditis
Pneumonia
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11
Q

Dyspnea at rest with pleuritic Px should be screaming at you what Dx?

A

PE

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12
Q

What are some common causes of CHRONIC DYSPNEA?

A 
Obstructive and Restrictive Dz
CHF / MI
Pneumonia
Anemia
Obesity
HYPOthyroidism
Upper airway conditions
Myasthenia gravis or Anxieties
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13
Q

Paroxysmal nocturnal dyspnea is described to you in a PT interview.. What condition do you suspect?

A

CHF

could also be emphysema

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14
Q

What are some possible causes of Post-prandial dyspnea?

A

GERD
Aspiration
Food Allergy

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15
Q

Persistent tobacco abuse might lead to which 3 conditions with Dyspnea?

A

Asthma
Chronic bronchitis
Emphysema

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16
Q

Organic dust exposure might lead to the development of what clinical condition with dyspnea?

A

HYPERSENSITIVITY PNEUMONITIS

17
Q

What other medications could cause dyspnea?

A

Non-selective beta-blockers
NSAIDs
Platelet aggregation inhibitor (Ticagrelor) Brilinta?

18
Q

An IVDA is present in your clinic with dyspnea and shortness of breath. What must remain at the top of your differential until ruled out?

A

SBE Subacute Bacterial Endocarditis (valvular heart Dz)

Cocaine induced MI or asthma

19
Q

For a full work up on dyspnea what might you order for studies?

A

CXR (epiglottitis will have thumb print sign) (croup will have a steeple sign)

CBC  -->  r/o anemia or infectious causes
BMP  --> Metabolic origins
BNP  -->  r/o CHF
DDimer --> r/o PE
Tox Panel for drugs
ABG
V/Q scan or Spiral CT -->  PE
Echo -->  Mitral stenosis, pericardial effusion, cardiomyopathy
Spirometry or PFTs
Peak Flows for ASTHMA

Pulmonology (17 decks)

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