Dyspnea differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Dyspnea}} | {{Dyspnea}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{EG}} | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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* [[Paroxysmal nocturnal dyspnea]] - sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing and wheezing. | * [[Paroxysmal nocturnal dyspnea]] - sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing and wheezing. | ||
== | == Differentiating Shortness of Breath or Dyspnea from other Diseases== | ||
{| | * The underlying causes of dyspnea are classified as [[acute]] causes and [[chronic]] causes based on the disease course. Different causes of dyspnea include [[pulmonary]] ([[Upper airway|upper]] and [[Lower respiratory|lower airway]]), [[cardiovascular]], [[central nervous system]], [[toxic]] and [[metabolic]], and [[systemic]] diseases. | ||
'''Diseases that cause shortness of breath have to be differentiated upon the following table'''<ref name="GagginJanuzzi20132">{{cite journal|last1=Gaggin|first1=Hanna K.|last2=Januzzi|first2=James L.|title=Biomarkers and diagnostics in heart failure|journal=Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease|volume=1832|issue=12|year=2013|pages=2442–2450|issn=09254439|doi=10.1016/j.bbadis.2012.12.014}}</ref><ref name="pmid12481882">{{cite journal |vauthors=van Steijn JH, Sleijfer DT, van der Graaf WT, van der Sluis A, Nieboer P |title=How to diagnose cardiac tamponade |journal=Neth J Med |volume=60 |issue=8 |pages=334–8 |year=2002 |pmid=12481882 |doi= |url=}}</ref><ref name="MartindaleNoble2013">{{cite journal|last1=Martindale|first1=Jennifer L.|last2=Noble|first2=Vicki E.|last3=Liteplo|first3=Andrew|title=Diagnosing pulmonary edema|journal=European Journal of Emergency Medicine|volume=20|issue=5|year=2013|pages=356–360|issn=0969-9546|doi=10.1097/MEJ.0b013e32835c2b88}}</ref><ref name="pmid15489354">{{cite journal| author=Debiasi RL, Tyler KL| title=Molecular methods for diagnosis of viral encephalitis. | journal=Clin Microbiol Rev | year= 2004 | volume= 17 | issue= 4 | pages= 903-25, table of contents | pmid=15489354 | doi=10.1128/CMR.17.4.903-925.2004 | pmc=523566 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15489354 }}</ref><ref name="pmid18710551">{{cite journal| author=Lane TR, Williamson WJ, Brostoff JM| title=Carbon monoxide poisoning in a patient with carbon dioxide retention: a therapeutic challenge. | journal=Cases J | year= 2008 | volume= 1 | issue= 1 | pages= 102 | pmid=18710551 | doi=10.1186/1757-1626-1-102 | pmc=2533003 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18710551 }}</ref><ref name="CantinBankier2009">{{cite journal|last1=Cantin|first1=Luce|last2=Bankier|first2=Alexander A.|last3=Eisenberg|first3=Ronald L.|title=Bronchiectasis|journal=American Journal of Roentgenology|volume=193|issue=3|year=2009|pages=W158–W171|issn=0361-803X|doi=10.2214/AJR.09.3053}}</ref><ref name="pmid2060395">{{cite journal |vauthors=Baughman RP, Shipley RT, Loudon RG, Lower EE |title=Crackles in interstitial lung disease. Comparison of sarcoidosis and fibrosing alveolitis |journal=Chest |volume=100 |issue=1 |pages=96–101 |year=1991 |pmid=2060395 |doi= |url=}}</ref><ref name="pmid23562737">{{cite journal |vauthors=Holbro A, Lehmann T, Girsberger S, Stern M, Gambazzi F, Lardinois D, Heim D, Passweg JR, Tichelli A, Bubendorf L, Savic S, Hostettler K, Grendelmeier P, Halter JP, Tamm M |title=Lung histology predicts outcome of bronchiolitis obliterans syndrome after hematopoietic stem cell transplantation |journal=Biol. Blood Marrow Transplant. |volume=19 |issue=6 |pages=973–80 |year=2013 |pmid=23562737 |doi=10.1016/j.bbmt.2013.03.017 |url=}}</ref><ref name="ZieglerRovedder2009">{{cite journal|last1=Ziegler|first1=Bruna|last2=Rovedder|first2=Paula Maria Eidt|last3=Dalcin|first3=Paulo de Tarso Roth|last4=Menna-Barreto|first4=Sérgio Saldanha|title=Padrões ventilatórios na espirometria em pacientes adolescentes e adultos com fibrose cística|journal=Jornal Brasileiro de Pneumologia|volume=35|issue=9|year=2009|pages=854–859|issn=1806-3713|doi=10.1590/S1806-37132009000900006}}</ref><ref name="BalDas2014">{{cite journal|last1=Bal|first1=Amanjit|last2=Das|first2=Ashim|last3=Gupta|first3=Dheeraj|last4=Garg|first4=Mandeep|title=Goodpasture’s Syndrome and p-ANCA Associated Vasculitis in a Patient of Silicosiderosis: An Unusual Association|journal=Case Reports in Pulmonology|volume=2014|year=2014|pages=1–7|issn=2090-6846|doi=10.1155/2014/398238}}</ref><ref name="pmid23236323">{{cite journal| author=Jung HO| title=Pericardial effusion and pericardiocentesis: role of echocardiography. | journal=Korean Circ J | year= 2012 | volume= 42 | issue= 11 | pages= 725-34 | pmid=23236323 | doi=10.4070/kcj.2012.42.11.725 | pmc=3518705 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23236323 }}</ref><ref name="pmid28098068">{{cite journal| author=Berliner D, Schneider N, Welte T, Bauersachs J| title=The Differential Diagnosis of Dyspnea. | journal=Dtsch Arztebl Int | year= 2016 | volume= 113 | issue= 49 | pages= 834-845 | pmid=28098068 | doi=10.3238/arztebl.2016.0834 | pmc=5247680 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28098068 }} </ref> | |||
<small>'''''Abbreviations:''''' '''ABG ('''[[arterial blood gas]]'''); ACE ('''[[Angiotensin-converting enzyme|angiotensin converting enzyme]]'''); BMI ('''[[body mass index]]'''); CBC ('''[[Complete blood counts|complete blood count]]'''); CSF ('''[[cerebrospinal fluid]]'''); CXR ('''[[chest X-ray]]'''); ECG ('''[[electrocardiogram]]'''); FEF ('''[[Spirometry|forced expiratory flow rate]]'''); FEV1 ('''[[forced expiratory volume]]'''); FVC ('''[[forced vital capacity]]'''); JVD ('''[[jugular vein distention]]''');''' '''MCV ('''[[mean corpuscular volume]]'''); Plt ('''[[platelet]]'''); RV ('''[[residual volume]]'''); SIADH ('''[[syndrome of inappropriate antidiuretic hormone]]'''); TSH ('''[[thyroid stimulating hormone]]'''); Vt ('''[[tidal volume]]''');''' '''WBC ('''[[White blood cells|white blood cell]]''');'''</small> | |||
<small><small><small> | |||
{| | |||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |||
! colspan="3" rowspan="3" |Organ system | ! colspan="3" rowspan="3" |Organ system | ||
! rowspan="3" |Diseases | ! rowspan="3" |Diseases | ||
! colspan=" | ! colspan="11" |Clinical manifestations | ||
! colspan=" | ! colspan="5" rowspan="2" |Diagnosis | ||
! rowspan="3" |Other features | ! rowspan="3" |Other features | ||
|- | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! colspan="6" |Symptoms | ! colspan="6" |Symptoms | ||
! colspan=" | ! colspan="5" |Physical exam | ||
|- | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
!Loss of consciousness | !Loss of consciousness | ||
!Agitation | !Agitation | ||
Line 33: | Line 39: | ||
!JVD | !JVD | ||
!Peripheral edema | !Peripheral edema | ||
!Auscultation | !Auscultation | ||
!CBC | !CBC | ||
!ABG | !ABG | ||
!Imaging | !Imaging | ||
! | !Spirometry | ||
!Gold standard | !Gold standard | ||
|- | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! rowspan="32" |Acute Dyspnea | ! rowspan="32" |Acute Dyspnea | ||
! rowspan="17" |Respiratory system | ! rowspan="17" |[[Respiratory system]] | ||
! rowspan="7" |Head and Neck, | ! rowspan="7" |[[Head]] and [[Neck]], | ||
Upper [[airway]] | |||
Upper airway | ![[Angioedema]] | ||
!Angioedema | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |++ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Generalized edema]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
![[Anaphylaxis]] | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
!Anaphylaxis | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Scattered [[wheezing]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Vital sign]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Type 1 hypersensitivity]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Aspiration]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Aspiration | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Diminished [[breath sounds]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Atelectasis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Bronchoscopy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Choking]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Croup]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
!Croup | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Stridor]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Steeple sign]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Barking cough]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Epiglottitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Epiglottitis | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Stridor]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Thumbprint sign|Thumb sign]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Laryngoscopy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Drooling]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Rhinosinusitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Rhinosinusitis | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Sinus]] [[inflammation]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Headache]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Vocal cord paralysis|Vocal cord dysfunction]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Stridor]] | ||
| | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Laryngoscopy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Choking]] sensation | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! rowspan="10" |[[Chest]] and [[Pleurae|Pleura]], | ||
! | Lower [[airway]] | ||
! | ![[Asthma attack]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |↑ [[Eosinophil]] | ||
! rowspan="10" |Chest and Pleura, | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]] | ||
Lower airway | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
!Asthma attack | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] and | ||
! | [[Spirometry]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Chest pain]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bronchitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]] | ||
! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
!Bronchitis | ! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]] relieved by [[Dextromethorphan|cough]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bronchospasm]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Allergic reaction]] | ||
!Bronchospasm | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bronchiolitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] and [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Bronchovascular markings | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Clinical]] assessment | ||
! style="background: #F5F5F5; padding: 5px;" |[[Respiratory syncytial virus|Respiratory syncytial virus (RSV)]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
|- | ![[COPD exacerbation resident survival guide|COPD exacerbation]] | ||
!Bronchiolitis | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]], [[Rhonchi]], and [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], ↑[[RBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Hyperexpansion | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Clinical]] assessment | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Chronic bronchitis|Acute '''exacerbations''' of chronic bronchitis (AECB)]] | ||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Lung carcinoma]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!COPD exacerbation | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] and [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Mass lesion, [[hilar lymphadenopathy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Bronchoscopy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Syndrome of inappropriate antidiuretic hormone|SIADH]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pneumonia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
| | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
!Lung carcinoma | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]], [[Rhonchi]], and [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[neutrophilia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Consolidation (medicine)|Lobar consolidation]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Chest X-ray]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[productive cough]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pneumothorax]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Pneumonia | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Diminished [[breath sounds]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Radiolucency without [[lung]] marking | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|Chest CT scan]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Tracheal deviation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pulmonary embolism]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Pneumothorax | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Lung|Pulmonary]] [[CT angiography]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Pleuritic chest pain]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Rib fractures]] ([[flail chest]]) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
!Pulmonary embolism | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Broken [[rib]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Chest X-ray]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Pneumothorax]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="5" |[[Cardiovascular system]] | ||
! | ![[Acute myocardial ischemia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
!Rib fractures (flail chest) | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Cardiac troponin I (cTnI) and T (cTnT)|Cardiac troponin I]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Nausea and vomiting]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Acute heart failure]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |[[S4|S]]3 | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
| | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[Cardiothoracic ratio]] | ||
!Acute myocardial ischemia | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[B-type natriuretic peptide|B-type natriuretic peptide (BNP)]] and [[N-terminal pro b-type natriuretic peptide|N-terminal proBNP (NT-proBNP)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Excessive sweating]], [[high blood pressure]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pericardial tamponade]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muffled heart sounds]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Water bottle appearance [[Cardiomegaly|enlarged heart]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Echocardiography]] | ||
!Acute heart failure | ! style="background: #F5F5F5; padding: 5px;" |Fluid accumulation in [[pericardium]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Tachyarrhythmia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |High [[pulse rate]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[ECG]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Palpitation]] | |||
|- | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pulmonary edema]] | ||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Basal [[Crackles|crackle]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Bat wing pattern, air bronchograms | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Lung]] [[ultrasound]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Tachypnea]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="3" |[[Central nervous system]] | ||
| | ![[Stroke]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Intracranial hemorrhage|Intracranial infarct or hemorrhage]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Brain]] [[MRI]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Paralysis]] or [[Paresthesias|paresthesia]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Encephalitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
| | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[neutrophilia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[CSF]] [[PCR]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Confusion]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Traumatic brain injury]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
| | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Intracerebral hemorrhage]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Ct scan|Brain CT scan]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Lucid interval]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="4" |[[Toxic]]/[[Metabolic]] | ||
! | ![[Organophosphate poisoning]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Blood test]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Salivation]], [[Lacrimation]], [[Emesis]], [[Miosis]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Salicylate poisoning]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Metabolic acidosis]], [[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Blood test]] | ||
! style="background: #F5F5F5; padding: 5px;" |[[Vomiting]], [[Tinnitus]], [[Confusion]], [[Hyperthermia]] | |||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Carbon monoxide poisoning]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Carboxyhemoglobin]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Carboxyhemoglobin|Carboxyhemoglobin (HbCO)]] level | ||
! style="background: #F5F5F5; padding: 5px;" |[[Headache]], [[Dizziness]], [[Weakness]], [[Vomiting]], [[Confusion]] | |||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Diabetic ketoacidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Scattered [[wheeze]] | ||
! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | |||
| | ! style="background: #F5F5F5; padding: 5px;" |[[Metabolic acidosis]] | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Blood test]] ([[acidosis]], [[hyperglycemia]], [[ketonemia]]) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Vomiting]], [[Abdominal pain]], [[Weakness]], [[Confusion]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="3" |[[Systemic]] | ||
! | ![[Panic attack]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Clinical]] assessment | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Anxiety|Severe anxiety]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pregnancy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[RBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Human chorionic gonadotropin|βhCG]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hyperemesis gravidarum|Hyperemesis]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Sepsis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[neutrophilia]] | |||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[SIRS|SIRS criteria]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Chills]], [[Confusion]] | |||
|- | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
| | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! colspan="3" rowspan="3" |Organ system | ! colspan="3" rowspan="3" |Organ system | ||
! rowspan="3" |Diseases | ! rowspan="3" |Diseases | ||
! colspan=" | ! colspan="11" |Clinical manifestations | ||
! colspan=" | ! colspan="5" rowspan="2" |Diagnosis | ||
! rowspan="3" |Other features | ! rowspan="3" |Other features | ||
|- | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! colspan="6" |Symptoms | ! colspan="6" |Symptoms | ||
! colspan=" | ! colspan="5" |Physical exam | ||
|- | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
!Loss of consciousness | !Loss of consciousness | ||
!Agitation | !Agitation | ||
Line 744: | Line 684: | ||
!JVD | !JVD | ||
!Peripheral edema | !Peripheral edema | ||
!Auscultation | !Auscultation | ||
!CBC | !CBC | ||
!ABG | !ABG | ||
!Imaging | !Imaging | ||
! | !Spirometry | ||
!Gold standard | !Gold standard | ||
|- | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! rowspan="41" |Chronic Dyspnea | ! rowspan="41" |Chronic Dyspnea | ||
! rowspan="18" |Respiratory system | ! rowspan="18" |[[Respiratory system]] | ||
! rowspan="4" |Head and Neck, | ! rowspan="4" |[[Head]] and [[Neck]], | ||
Upper [[airway]] | |||
![[Goiter]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Blood test]] ([[TSH]], [[T4]]) | |||
! style="background: #F5F5F5; padding: 5px;" |[[Weight gain]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Laryngeal cancer|Laryngeal adenocarcinoma]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Stridor]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Retropharyngeal space|Retropharyngeal tissue]] thickness | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Laryngoscopy]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Choking]] sensation | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Vocal cord paralysis]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Stridor]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Pharyngeal constrictor|Pharyngeal constrictor muscles]] thinning, [[uvular]] deviation | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Laryngoscopy]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Choking]] sensation | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Tracheal stenosis]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Stridor]], [[Stertorous]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Soft tissue]] thickening internal to normal-appearing [[Trachea|tracheal cartilage]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Bronchoscopy]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Respiratory distress]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
! rowspan="14" |[[Chest]] and [[Pleura]], | |||
Lower [[airway]] | |||
![[Bronchial asthma]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | |||
! style="background: #F5F5F5; padding: 5px;" |↑ [[Eosinophil]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]], [[Metabolic acidosis]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Pulmonary]] hyperinflation, | |||
[[Bronchial]] wall thickening | |||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Spirometry]] before and after [[bronchodilator]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Paroxysmal [[respiratory distress]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bronchiectasis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]], [[Wheezing]], [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[neutrophilia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Bronchiectasis chest x ray|Tram-track opacities]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[FEV1]]/[[FVC]] | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|High resolution computed tomography (HRCT)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Productive cough|Chronic productive cough]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[COPD]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Expiratory wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[RBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]], [[Metabolic acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ Bronchovascular markings, [[Cardiomegaly]] | ||
! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] and | |||
! | [[Spirometry]] | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Heavy smoking]] history | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Emphysema]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Expiratory wheeze]], Hyperinflation | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory alkalosis]], [[Metabolic acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Flattening of [[diaphragm]], vertical [[heart]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | ||
! style="background: #F5F5F5; padding: 5px;" |[[Physical examination|Physical exam]] and | |||
[[Spirometry]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Barrel chest]] | ||
|- | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pulmonary hypertension]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Accentuated [[S2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hypoxia]] and [[acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Enlarged [[Pulmonary arteries|'''pulmonary''' arteries]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[Physiologic]] [[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Cardiac catheterization]] | ||
! style="background: #F5F5F5; padding: 5px;" |[[Syncope]], | |||
| | |||
! | |||
[[Ascites]], [[Pleural effusion]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Interstitial lung disease]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]], [[Wheezing]], [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Peripheral [[pulmonary]] infiltrative opacification | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|High resolution computed tomography (HRCT)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Pneumoconiosis]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
|- | ![[Sarcoidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hilar lymphadenopathy|Hilar adenopathy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|High resolution computed tomography (HRCT)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hypercalcemia]], high [[Angiotensin-converting enzyme|ACE]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Alveolitis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Basal [[Crackles|crackle]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]], [[neutrophilia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" | Basal reticulonodular opacification | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|High resolution computed tomography (HRCT)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Dry cough]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bronchiolitis obliterans]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze|Expiratory wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Hyperinflation, Reticulonodular opacities | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Biopsy|Lung biopsy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Complication of [[Hematopoietic stem cell transplantation|allogeneic hematopoietic stem cell transplantation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Cystic fibrosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]], [[Wheezing]], [[Crackles]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Metabolic alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Thick-walled [[bronchiectasis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[Forced expiratory volume|FEF<sub>75%</sub>]]/[[FVC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Sweat test]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Congenital absence of the vas deferens|Absent vas deferens]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pleural effusion]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |[[Egophony|Egophony ("E-to-A" change)]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Blunting of the [[Costophrenic angle|costophrenic]] and cardiophrenic angle | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Pleural effusion causes|Light's criteria]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tactile fremitus]], Asymmetrical [[chest expansion]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pulmonary shunt|Pulmonary right-to-left shunt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Diminished [[breath sounds]] | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]], [[Respiratory acidosis]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ([[physiological]]) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[CT angiography|Pulmonary CT angiography]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Chronic [[hypoxemia]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Phrenic nerve paralysis|Phrenic nerve palsy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
| | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Unilateral or bilateral [[Diaphragmatic dysfunction|diaphragmatic flattening]] | ||
! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | |||
([[anatomical]]) | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[CXR]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Respiratory insufficiency]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Tuberculosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhonchi]], [[Wheezing]], [[Crackles]] | ||
| | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! style="background: #F5F5F5; padding: 5px;" |Patchy [[Consolidation (medicine)|consolidation]] or poorly defined linear and nodular [[Opacity|opacities]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Restrictive Lung Disease|Restrictive]], [[Obstructive lung disease|obstructive]], or mixed | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Interferon-γ release assays|IFN-γ release assay (IGRA)]] | ||
! | [[Acid fast|Acid-fast staining]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Night sweat]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="7" |[[Cardiovascular system]] | ||
! | ![[Constrictive pericarditis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |+ | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Muffled heart sounds]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Calcification|Calcifications]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Computed tomography|Chest CT scan]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Syncope]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
![[Restrictive cardiomyopathy]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Dilatation of the [[inferior vena cava]] and [[right atrium]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Right ventricular]] [[biopsy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Weight gain]], | ||
! | |||
! | [[Nausea]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Valvular heart disease]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Cardiac murmur]] | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Dilatation of [[Heart chamber|heart chambers]] | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Echocardiography]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Syncope]], [[Palpitation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Bradyarrhythmia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[ECG]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Syncope]], [[Palpitation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Pericardial effusion]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muffled heart sounds]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Fluid density around the [[heart]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[M-mode echo: principles and classic findings|M-mode]] and [[Doppler echocardiography|2-dimensional Doppler echocardiography]] | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Hoarseness]], [[Palpitation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
![[Coronary heart disease]] | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Cardiac troponin I (cTnI) and T (cTnT)|Cardiac troponin I]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Nausea]], [[Lightheadedness]], [[Sweating]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
| | ![[Ventricular septal defect|Intracardiac shunt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Cardiac murmur|Cardiac continuous murmur]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Dilatation of [[Heart chamber|heart chambers]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Echocardiography]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Syncope]], [[Palpitation]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="4" |[[Neuromuscular disease]] | ||
! | ![[Amyotrophic lateral sclerosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Revised El Escorial criteria (clinical) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muscle weakness]], [[Dysphagia]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Polymyositis]]/[[dermatomyositis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muscle biopsy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muscle weakness]], [[Dermatomyositis physical examination|Heliotrope]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Mitochondrial disease|Mitochondrial diseases]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[WBC]], [[Platelet|Plt]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muscle biopsy]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Myalgia|Muscle pain]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[McArdle disease|Glycolytic enzyme defects (e.g., McArdle)]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |+/- | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Muscle biopsy]] (ragged red fibers) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Myoglobinuria]], | ||
! | |||
! | [[Muscle weakness]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="2" |[[Toxic]]/[[Metabolic]] | ||
! | ![[Metabolic acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Metabolic acidosis]], [[Respiratory alkalosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Arterial blood gas|ABG]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Confusion]], [[Vomiting]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Renal failure]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[RBC]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Metabolic acidosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Creatinine|Cr]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Nausea]], [[Vomiting]], [[Oliguria]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ! colspan="2" rowspan="6" |[[Systemic]] | ||
! | ![[Anemia]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
| | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[RBC]] | ||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]] | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hemoglobin|HGB]], [[MCV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Weakness]], [[Fatigue]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Anxiety]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
| | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Psychological|Psychological interview]] | ||
! style="background: #F5F5F5; padding: 5px;" |[[Sweating]], [[Palpitation]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
! | ![[Ascites]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Peritoneal fluid accumulation | ||
| | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! style="background: #F5F5F5; padding: 5px;" |[[Medical ultrasonography|Abdominal ultrasound]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Abdominal distention]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Depression]] | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |Normal | |||
! style="background: #F5F5F5; padding: 5px;" |[[Psychological|Psychological interview]] | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |[[Depressed mood]], [[Fatigue]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Kyphoscoliosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheeze]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Deviated [[vertebral column]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ([[anatomical]]) | ||
! style="background: #F5F5F5; padding: 5px;" |[[X ray|Standing lateral spine radiograph]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Low back pain]] | |||
|- | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Obesity]] | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ([[anatomical]]) | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Body mass index|BMI]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Low [[stamina]], | ||
! | [[Sweating]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
|- | ! colspan="2" rowspan="4" |[[Autoimmune]] | ||
! | ![[Churg-Strauss syndrome]] | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Scattered [[wheezing]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Areas of [[parenchymal]] opacification | ||
! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Biopsy]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Fatigue]],[[Numbness]] | |||
|- style="background: #DCDCDC; padding: 5px; text-align: center;" | | |||
![[Microscopic polyangiitis]] | |||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Scattered [[wheezing]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↑[[WBC]] | ||
! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Tidal volume|Vt]], ↑[[Residual volume|RV]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Histological]] confirmation | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Skin lesions]], [[Nerve damage]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Wegener's granulomatosis]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+/- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Wheezing]], [[Crackles]] | ||
! style="background: #F5F5F5; padding: 5px;" |↓ [[RBC]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Cavitate [[nodules]], ground-glass opacity | ||
! style="background: #F5F5F5; padding: 5px;" |↓ [[FEV1]]/[[FVC]] | |||
! style="background: #F5F5F5; padding: 5px;" |[[Biopsy]] demonstrating a [[granulomatous]] [[vasculitis]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Rhinosinusitis|Chronic rhinosinusitis]] | ||
! | |- style="background: #DCDCDC; padding: 5px; text-align: center;" | | ||
! | ![[Goodpasture disease|Goodpasture's disease]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
|- | ! style="background: #F5F5F5; padding: 5px;" |+ | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! style="background: #F5F5F5; padding: 5px;" |- | |||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" |- | ||
! | ! style="background: #F5F5F5; padding: 5px;" | Bilateral coarse [[crepitations]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |↓ [[RBC]], [[Hemoglobin|HGB]], [[Hematocrit|HCT]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! | ! style="background: #F5F5F5; padding: 5px;" | Like [[Pulmonary edema chest x ray|pulmonary edema]] | ||
! | ! style="background: #F5F5F5; padding: 5px;" |Normal | ||
! style="background: #F5F5F5; padding: 5px;" |[[Kidney]] [[biopsy]] | |||
! | ! style="background: #F5F5F5; padding: 5px;" |[[Hematuria]], | ||
! | [[Hemoptysis]] | ||
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==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
Latest revision as of 21:31, 29 July 2020
Dyspnea Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Differential Diagnosis
- Air hunger - the sensation of an urgent need to breathe, sensation that you cannot take in a full breath
- Tachypnea - breathing rapidly
- Bradypnea - breathing slowly
- Eupnea - normal unlabored breathing
- Orthopnea - dyspnea that occurs with lying flat
- Trepopnea - an abnormal awareness of one's own breathing that is seen in one lateral position but not in the other
- Paroxysmal nocturnal dyspnea - sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing and wheezing.
Differentiating Shortness of Breath or Dyspnea from other Diseases
- The underlying causes of dyspnea are classified as acute causes and chronic causes based on the disease course. Different causes of dyspnea include pulmonary (upper and lower airway), cardiovascular, central nervous system, toxic and metabolic, and systemic diseases.
Diseases that cause shortness of breath have to be differentiated upon the following table[1][2][3][4][5][6][7][8][9][10][11][12]
Abbreviations: ABG (arterial blood gas); ACE (angiotensin converting enzyme); BMI (body mass index); CBC (complete blood count); CSF (cerebrospinal fluid); CXR (chest X-ray); ECG (electrocardiogram); FEF (forced expiratory flow rate); FEV1 (forced expiratory volume); FVC (forced vital capacity); JVD (jugular vein distention); MCV (mean corpuscular volume); Plt (platelet); RV (residual volume); SIADH (syndrome of inappropriate antidiuretic hormone); TSH (thyroid stimulating hormone); Vt (tidal volume); WBC (white blood cell);
References
- ↑ Gaggin, Hanna K.; Januzzi, James L. (2013). "Biomarkers and diagnostics in heart failure". Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease. 1832 (12): 2442–2450. doi:10.1016/j.bbadis.2012.12.014. ISSN 0925-4439.
- ↑ van Steijn JH, Sleijfer DT, van der Graaf WT, van der Sluis A, Nieboer P (2002). "How to diagnose cardiac tamponade". Neth J Med. 60 (8): 334–8. PMID 12481882.
- ↑ Martindale, Jennifer L.; Noble, Vicki E.; Liteplo, Andrew (2013). "Diagnosing pulmonary edema". European Journal of Emergency Medicine. 20 (5): 356–360. doi:10.1097/MEJ.0b013e32835c2b88. ISSN 0969-9546.
- ↑ Debiasi RL, Tyler KL (2004). "Molecular methods for diagnosis of viral encephalitis". Clin Microbiol Rev. 17 (4): 903–25, table of contents. doi:10.1128/CMR.17.4.903-925.2004. PMC 523566. PMID 15489354.
- ↑ Lane TR, Williamson WJ, Brostoff JM (2008). "Carbon monoxide poisoning in a patient with carbon dioxide retention: a therapeutic challenge". Cases J. 1 (1): 102. doi:10.1186/1757-1626-1-102. PMC 2533003. PMID 18710551.
- ↑ Cantin, Luce; Bankier, Alexander A.; Eisenberg, Ronald L. (2009). "Bronchiectasis". American Journal of Roentgenology. 193 (3): W158–W171. doi:10.2214/AJR.09.3053. ISSN 0361-803X.
- ↑ Baughman RP, Shipley RT, Loudon RG, Lower EE (1991). "Crackles in interstitial lung disease. Comparison of sarcoidosis and fibrosing alveolitis". Chest. 100 (1): 96–101. PMID 2060395.
- ↑ Holbro A, Lehmann T, Girsberger S, Stern M, Gambazzi F, Lardinois D, Heim D, Passweg JR, Tichelli A, Bubendorf L, Savic S, Hostettler K, Grendelmeier P, Halter JP, Tamm M (2013). "Lung histology predicts outcome of bronchiolitis obliterans syndrome after hematopoietic stem cell transplantation". Biol. Blood Marrow Transplant. 19 (6): 973–80. doi:10.1016/j.bbmt.2013.03.017. PMID 23562737.
- ↑ Ziegler, Bruna; Rovedder, Paula Maria Eidt; Dalcin, Paulo de Tarso Roth; Menna-Barreto, Sérgio Saldanha (2009). "Padrões ventilatórios na espirometria em pacientes adolescentes e adultos com fibrose cística". Jornal Brasileiro de Pneumologia. 35 (9): 854–859. doi:10.1590/S1806-37132009000900006. ISSN 1806-3713.
- ↑ Bal, Amanjit; Das, Ashim; Gupta, Dheeraj; Garg, Mandeep (2014). "Goodpasture's Syndrome and p-ANCA Associated Vasculitis in a Patient of Silicosiderosis: An Unusual Association". Case Reports in Pulmonology. 2014: 1–7. doi:10.1155/2014/398238. ISSN 2090-6846.
- ↑ Jung HO (2012). "Pericardial effusion and pericardiocentesis: role of echocardiography". Korean Circ J. 42 (11): 725–34. doi:10.4070/kcj.2012.42.11.725. PMC 3518705. PMID 23236323.
- ↑ Berliner D, Schneider N, Welte T, Bauersachs J (2016). "The Differential Diagnosis of Dyspnea". Dtsch Arztebl Int. 113 (49): 834–845. doi:10.3238/arztebl.2016.0834. PMC 5247680. PMID 28098068.