Sandbox:Vindhya
_NO TOC_
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Hyperventilation
Organ system | Diseases | Clinical manifestations | Diagnosis | Other features | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical exam | ||||||||||||||||
Chest pain | Dyspnea | Fever | Palpitations | Cyanosis | Tachypnea | JVD | Peripheral edema | Auscultation | ABGs | Lab findings | Imaging | PFT | Gold standard | ||||
Pulmonary system | Pneumothorax | + | + | + | + | + | + | _ | _ | *Decreased breath sounds | X- ray -
|
CT-scan | *Hypoxia,
*Hypercapnia * Hyperesonance to percussion, * Vocal resonance *Tactile fremitus decreased | ||||
Pulmonary embolism | + | + | + | + | + | + | |||||||||||
Pneumonia | + | + | + | + | + | + | - | - | Bronchial breath sounds, crepitations, bronchophony, egophony, whispering pectoroloqy | CBC, Blood culture, Mantoux test, Serology (mycoplasma, viruses), Sputum: Gram stain and culture | CXR- Lobar consolidation, air bronchogram; Atypical pneumonia: Diffuse interstitial infiltrates | ||||||
Exacerbation of asthma/COPD | - | + | - | + | + | + | - | - | Decreased breath sounds, wheezing, coarse crackles | Increased PaCo2, Decreased PaO2 | CBC- Increased hematocrit from chronic hypoxia, Sputum evaluation, BNP( to rule out heart failure) | X- ray: Hyperinflated lungs, flattening of the diaphragm, narrow heart shadow, cardiomegaly | Increased TLC, Increased RV, Decreased Vital capacity, Decreased DLco ( Emphysema), and Normal DLco ( Chronic bronchitis) | HRCT ( High resolution computed tomography of the lung) | Productive cough, Exercise intolerance, Altered mental status, Cor-pulmonale, Hyperresonance on percussion | ||
Interstitial lung disease | |||||||||||||||||
Intrapulmonary shunt | |||||||||||||||||
Upper airway obstruction | |||||||||||||||||
High altitude sickness | |||||||||||||||||
Cardiovascular system | Acute coronary syndrome | ||||||||||||||||
Heart failure | |||||||||||||||||
Dysrhythmias | |||||||||||||||||
Shock | |||||||||||||||||
Metabolic/Systemic disorders | Diabetic ketoacidosis | ||||||||||||||||
Hypocalcemia | |||||||||||||||||
Hypoglycemia | |||||||||||||||||
Endocrine system | Hyperthyroidism | ||||||||||||||||
Pheochromocytoma | |||||||||||||||||
CNS | Central nervous system tumor | ||||||||||||||||
Anxiety/panic attacks | |||||||||||||||||
Others | Pregnancy | ||||||||||||||||
Hepatic failure | |||||||||||||||||
Sepsis |