Respiratory Symptom Differentials Flashcards
Wheeze
Indicates lower airway obstruction, can be:
Luminal - secretions
Intramural - bronchospasm, bronchogenic tumour
Extramural - compressing mass
Common wheeze differentials
Acute Asthma Asthma Acute COPD COPD Acute bronchitis Bronchiolitis
BBs (side effects)
Infrequent wheeze differentials
Chronic HF
Anaphylaxis
Bronchiecstasis
Unilateral wheeze causes
Anything which obstructs main bronchus:
Foreign body Blood clot Sputum Tumour Retrosternal goitre Aortic aneurysm Lymph nodes Enlarged LHS of heart Bronchiectasis
Breathlessness - Respiratory differentials
Asthma COPD ILD Pneumonia Heart Failure
Anxiety
Breathlessness - Cardiac differentials
Pericarditis Aortic Stenosis Atrial Fibrillation Heart Failure MI Angina HOCM
Breathlessness - Emergency differentials
PE
Pneumothorax
ARDs
SVT
SVC obstruction
Pulmonary HTN
Breathlessness - Cancer differentials
Hodgkin’s lymphoma
Thyroid cancer
Dry cough differentials
Idiopathic Pulmonary Fibrosis
Sarcoidosis
Whooping cough
EAA
P. Joverecii pneumonia
Enteric Fever
Sputum differentials
COPD
Bronchiectasis
Pneumonia
Bronchitis
Haemoptysis differentials
PE
Pneumonia
Bronchiectasis
Acute heart failure
TB
Lung Cancer
Haemoptysis rare differentials
Wegener’s
Goodpasture’s (Anti-GBM disease)
Legionella pneumonia
Hoarseness differentials
URTIs
Lung, thyroid, oesophagus, head/neck cancer
Hypothyroidism
Acute epiglottitis
Stridor differentials
Croup Inhaled foreign body Laryngomalacia Acute epiglottitis Thyroid cancer
Pleuritic chest pain differentials
PE
Pneumothorax
Pericarditis
Pneumonia
Rib fracture
