Wheeze differential diagnosis: Difference between revisions

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{| class="wikitable"
{| class="wikitable"
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! rowspan="3" |Etiology on the basis of anatomy
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! rowspan="3" |Diseases
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! colspan="8" |Clinical manifestations
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! colspan="5" |Diagnosis
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! rowspan="3" |Other features
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! colspan="5" |Symptoms
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! colspan="3" |Physical exam
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! colspan="2" |
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! colspan="2" |Imaging
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!Onset
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!Cough
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!Dyspnea
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!Fever
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!Slurred speech
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!Cyanosis
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!Clubbing
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!Auscultation
!Labs
!Pulmonary function testing
!Chest imaging
!Other
!Gold standard
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| rowspan="13" |Extrathoracic upper airway diseases
| rowspan="13" |Extrathoracic upper airway diseases
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(Anaphylaxis)
(Anaphylaxis)
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|Cricoarytenoid arthritis
|Cricoarytenoid arthritis
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|Vocal fold edema/Hematoma/Paralysis
|Vocal fold edema/Hematoma/Paralysis
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|Paradoxical vocal fold motion
|Paradoxical vocal fold motion
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|Laryngeal stenosis
|Laryngeal stenosis
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|Laryngocele
|Laryngocele
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|Epiglottitis (supraglottitis)
|Epiglottitis (supraglottitis)
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|Goiter
|Goiter
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|Postnasal drip syndrome
|Postnasal drip syndrome
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|Relapsing polychondritis  
|Relapsing polychondritis  
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|Retropharyngeal abscess
|Retropharyngeal abscess
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|Tonsillar hypertrophy
|Tonsillar hypertrophy
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|Tumor of pharynx/larynx/upper trachea
|Tumor of pharynx/larynx/upper trachea
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(Intrathoracic upper airway obstruction)
(Intrathoracic upper airway obstruction)
|Mediastinal mass/lymphadenopathy
|Mediastinal mass/lymphadenopathy
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|Respiratory papillomatosis
|Respiratory papillomatosis
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|Tracheobronchomalacia
|Tracheobronchomalacia
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|Tracheal stenosis
|Tracheal stenosis
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|Tracheal and bronchial tumors
|Tracheal and bronchial tumors
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|Vascular ring or aneurysm
|Vascular ring or aneurysm
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| rowspan="10" |Lower airway obstruction
| rowspan="10" |Lower airway obstruction
|Bronchiectasis
|Bronchiectasis
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|Bronchiolitis
|Bronchiolitis
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|Carcinoid syndrome
|Carcinoid syndrome
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|Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH)
|Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH)
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|Heart failure
|Heart failure
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|Noncardiogenic pulmonary edema
|Noncardiogenic pulmonary edema
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|Parasitic infection with VLM (eg, Ascaris Strongyloides, filaria)
|Parasitic infection with VLM (eg, Ascaris Strongyloides, filaria)
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|Pulmonary thromboembolism 
|Pulmonary thromboembolism 
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|Reactive airways dysfunction syndrome
|Reactive airways dysfunction syndrome
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|Tracheobronchomalacia
|Tracheobronchomalacia
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Revision as of 16:01, 20 February 2018

Etiology on the basis of anatomy Diseases Clinical manifestations Diagnosis Other features
Symptoms Physical exam Imaging
Onset Cough Dyspnea Fever Slurred speech Cyanosis Clubbing Auscultation Labs Pulmonary function testing Chest imaging Other Gold standard
Extrathoracic upper airway diseases Laryngeal edema

(Anaphylaxis)

Cricoarytenoid arthritis
Vocal fold edema/Hematoma/Paralysis
Paradoxical vocal fold motion
Laryngeal stenosis
Laryngocele
Epiglottitis (supraglottitis)
Goiter
Postnasal drip syndrome
Relapsing polychondritis
Retropharyngeal abscess
Tonsillar hypertrophy
Tumor of pharynx/larynx/upper trachea
Central airway diseases

(Intrathoracic upper airway obstruction)

Mediastinal mass/lymphadenopathy
Respiratory papillomatosis
Tracheobronchomalacia
Tracheal stenosis
Tracheal and bronchial tumors
Vascular ring or aneurysm
Lower airway obstruction Bronchiectasis
Bronchiolitis
Carcinoid syndrome
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH)
Heart failure
Noncardiogenic pulmonary edema
Parasitic infection with VLM (eg, Ascaris Strongyloides, filaria)
Pulmonary thromboembolism 
Reactive airways dysfunction syndrome
Tracheobronchomalacia

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