dyspnea

Question 1

What are the associated symptoms of dyspnea? (10)

Answer 1

CHF WACCIE W
Chest pain
Hemoptysis
Fever
Wheezing
Anxiety
Cough
Constitutional s/s
Itching
Edema
Weight loss

Question 2

If someone presents with dyspnea and chest pain, what’s on the differential?

Answer 2

MCPPP
MI
Cardiac Tamponade
PE
Pericarditis
Pneutmothroax

Question 3

Fever can go along with what two things?

Answer 3

Pneumonia, PE

Question 4

Nonproductive cough with dyspnea should bring up what differential?

Answer 4

Asthma, PE, GERD

Question 5

Productive cough

Answer 5

chronic bronchitis, flash pulmonary edema, acute pneumonia

Question 6

What are the constitutional symptoms?

Answer 6

fever, night sweats, weight loss, fatigue

Question 7

Edema in extremities that is unilateral

Answer 7

DVT with PE

Question 8

Bilateral edema in extremities

Answer 8

Cardiomyopathy, pericardial disease, pulmonary HTN

Question 9

Worse when lying flat

Answer 9

Orthopnea–> CHF

Question 10

Better when they lay on one particular side

Answer 10

Trepopnea (unilateral effusion)

Question 11

Someone says they have sharp, unilateral chest pain that increases with respiration. What is this called and what should you be worried about?

Answer 11

Pleuritic CP (an alarm symptom)
PE, PTX, pneumonia

Question 12

Someone comes in with lip swelling, hives, AND wheezing.

Answer 12

Alarm symptoms, anaphylaxis or angioedema

Question 13

Dyspnea with substernal CP

Answer 13

Alarm symptom.

Acute MI

Question 14

Pink frothy sputum

Answer 14

Alarm symptom for flash pulmonary edema

Question 15

Fever with sputum production

Answer 15

Alarm symptom for pneumonia or bronchitis

Question 16

Fever with worsening sore throat and hoarse voice

Answer 16

Alarm symptom for epiglotitis

Question 17

What are problems that can happen in the upper airway to produce dyspnea?

Answer 17

Foreign body, epiglotitis

Question 18

What are problems that can occur in the bronchi that produce dyspnea?

Answer 18

Asthma, acute bronchitis

Question 19

Problems in alveoli that produce dyspnea?

Answer 19

Emphysema, interstitial lung disease

Question 20

Example of external compression

Answer 20

Pneumothorax

Question 21

What are examples of lung circulation problems that would cause dyspnea?

Answer 21

PE, Pulmonary HTN, Left sided heart failure

Question 22

What are examples of hemoglobin disorders that would cause dyspnea?

Answer 22

Anemia, CO poisoning

Question 23

What are conditions that would increase respiratory drive?

Answer 23

Hypoxia, metabolic acidosis

Question 24

Physical signs of acute dyspnea

Answer 24

2-3 words before stopping
Nasal flaring
Cyanosis
Accessory muscle use

Question 25

Causes of acute dyspnea

Answer 25

``` POP PAMP Pulmonary Edema Obstructed Airway Pneumothorax PE Asthma/COPD MI/tamponade Pneumonia, bronchitis ```

Question 26

Chronic dyspnea with unclear etiology will end up being one of what?

Answer 26

``` COPD Asthma Interstitial lung disease Myocardial dysfunction Obesity/deconditioning ```

Question 27

Chronic dypsnea with cardiovascular etiology will be one of what?

Answer 27

``` Cardiomyopathy Ischemia Regurg, stenosis, infection Effusion Inflammation (pericardium) ```