Game 1: List all causes of dyspnea

[swpm]

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That's an impressive list - just remember to impose some kind of organization upon it when someone asks you for a differential. The classic approach to dyspnea is to consider pulmonary, cardiac, and metabolic causes.

Zebra hunting with a shotgun will get you scowled at on rounds, whereas a methodically presented list half that size will mark you a genius. 🙂

 

[mjl1717]

That's an impressive list - just remember to impose some kind of organization upon it when someone asks you for a differential. The classic approach to dyspnea is to consider pulmonary, cardiac, and metabolic causes.

Zebra hunting with a shotgun will get you scowled at on rounds, whereas a methodically presented list half that size will mark you a genius. 🙂

Thats a money comment..

 

[nimbusadjust120]

I cant believe nobody has said asthma yet!!

Asthma.

Yeah, i have suffered from a very bad asthma attack before. My friend told me my lips turned deep purple. I was sweating a lot, hyperventilating, my heartbeat was so fast and i have no breath to talk. I thought i might not be able to catch my next breath. The ambulance arrived in time and the paramedic gave me nebulizer (salbutamol) treatment and also more asthma treatments in the hospital. The intravenous drip is so painful.👎

**not enough oxygen in the body will cause dyspnea**

 

[had2piknowEM]

That's an impressive list - just remember to impose some kind of organization upon it when someone asks you for a differential. The classic approach to dyspnea is to consider pulmonary, cardiac, and metabolic causes.

Zebra hunting with a shotgun will get you scowled at on rounds, whereas a methodically presented list half that size will mark you a genius. 🙂

Exactly...using this approach can bring you to a reasonable differential for almost any collection of symptoms...and plus it shows your attending that you're able to methodically think through a problem, which is golden in clinics.

 

[dpmPOD]

-Neonatal Respiratory Distress Syndrome--> decreased surfactant --> increased alveolar surface tension--> low lung compliance--> dyspnea

-psittacosis

-cystic fibrosis

-asbestosis

-SARS

 

[chameleonknight]

Did it really take to post 50 to mention MI? after Selenium deficiency of all things?


And I'm too lazy to check: has anyone mentioned interstitial lung disease yet? Pneumoconiosis?

 

[dilatate]

IN-PATIENT (In no particular order):
Acidosis
Pulmonary Embolism (Air Emboli take a lot of air and are rare)
Pneumonia (Name a bug or influenza or aspiration or chemical)
ARDS (Sepsis, 100% O2, etc)
Pulmonary Edema (CHF, MI, HTN, etc)
Pulmonary Fibrosis (Iatrogenic, Primary, Silicosis, etc)
Neoplasm (SC, NSCLC, Met)
Bronchospasm/Asthma/COPD (Iatrogenic, Hypersensitivity, Smoking)
Neuromuscular/Deconditioning/Fatigue of Accessory Muscles
Pneumothorax

OUT-PATIENT
Pneumonia
Asthma
Croup (Peds)
Anxiety
COPD
Pulmonary Edema