Eval of Dyspnea In PC Flashcards
1/3 of patients with dyspnea do not have a cardiopulmonary cause.
List some non-cardiopulmonary causes of dypsnea.
Metabolic causes
Deconditioning
Anemia
Psychogenic
What symptoms accompanied by dyspnea would make you send a patient to the ER immediately?
Acute respiratory distress (Labored breathing, cyanosis, word dyspnea)
Chest pain
Hypoxia
What symptoms accompanied by dyspnea would make you send a patient to the ER immediately?
Acute respiratory distress (Labored breathing, cyanosis, word dyspnea)
Chest pain
Hypoxia
What symptoms accompanied by dyspnea would make you send a patient to the ER immediately?
Acute respiratory distress (Labored breathing, cyanosis, word dyspnea)
Chest pain
Hypoxia
What symptoms accompanied by dyspnea would make you send a patient to the ER immediately?
Acute respiratory distress (Labored breathing, cyanosis, word dyspnea)
Chest pain
Hypoxia
What is the highest likelihood ratio associated with COPD?
Wheezing (+15 LR)
What would you expect to find on percussion of the chest in a COPD patient?
Hyperresonance
Forced expiratory time > ____ seconds is a positive likelihood ratio for COPD.
9 seconds (+4.8 LR)
What is the test of choice to diagnose COPD?
PFT’s
What physical exam findings are the highest likelihood ratios for CHF?
S3 gallop (+24 LR) Displaced PMI (+16.5 LR) JVD (+8.5 LR)
Difficulty expiring air is a ____ lung disease.
Obstructive
Difficulty inspiring air is a ____ lung disease.
Restrictive
Name 3 types of obstructive lung disease.
COPD
Asthma
Bronchiectasis
Name 5 causes of restrictive lung disease.
Interstitial lung disease Pulmonary fibrosis Obesity Autoimmune diseases Pleural effusion and heart failure
What imaging modality is useful to diagnose chest wall abnormalities, hyperinflation, cardiomegaly, pleural effusions, mass, or pneumonia?
CXR
