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Clinical Two > Pulmonary Disease Ddx > Flashcards

Pulmonary Disease Ddx Flashcards

1
Q

Main Cheif Complaints of Pulmonary Disease

A

Dyspnea
Hemoptysis
Chest Pain
Cough

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2
Q

What are the “categories” of dyspnea?

A
  1. Air hunger or Suffocation
  2. Increased effort or work of breathing
  3. Chest Tightness
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3
Q

Clinical Considerations for Dyspnea

A

When dyspnea is stimulated versus the normal for that same activity
Patient limitation by activity
Acute versus Chronic
Noted Tachypnea
Noted Hyper/Hypo-capnia
Noted Exertional Fatigue

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4
Q

What is Orthopnea?

A

Shortness of breath while assuming the recumbent position

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5
Q

What is the cause of Orthopnea?

A

Increased venous return results in pulmonary edema

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6
Q

What is Paroxysmal Nocturnal Dyspnea?

A

Waking up from sleep with dyspnea

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7
Q

What is the cause of PND?

A

OSA and because of Increased intravascular volume due to slow monbilization of fluid while asleep

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8
Q

What is Platypnea?

A

Dypnea while upright

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9
Q

What is Trepopnea?

A

Dyspnea while lying on one side

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10
Q

Ddx for Dyspnea (Respiratory: Airway)

A

Asthma
COPD
Upper Airway Obsstruction

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11
Q

Ddx for Dyspnea (Respiratory: Parenchymal)

A

ARDS
PNA
Interstitial Lung Disease

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12
Q

Ddx for Dyspnea (Respiratory: Pulmonary Vascular)

A

PE
PH

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13
Q

Ddx for Dyspnea (Respiratory: Pleural

A

Pneumothorax
Pleural Effusion

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14
Q

Ddx for Dyspnea (Respiratory: Other)

A

Bellows Disease
Polymyositis
Myasthenia Gravis
Guillain-Barre Syndrome
Kyphoscoliosis

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15
Q

Ddx for Dyspnea (Cardiovascular)

A

Elevated pulmonary venous pressure
Decreased CO
Severe AnemiaD

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16
Q

DDx for Dyspnea (Increased Respiratory Drive)

A

Hyperthyroidism
Pregnancy

17
Q

Ddx for Dyspnea (Disorders of Oxidative Metabolism)

A

Mitochondrial Myopathies
Metabolic Myopathies

18
Q

Ddx for Dyspnea (Other)

A

Deconditioning
Obesity
Anxiety

19
Q

Symptoms due to Dyspnea

A

Tingling
Light-Headedness

20
Q

Why do we cough?

A

To help protect the airway from foreign invaders

21
Q

Ddx for Cough (Airway Irritants)

A

Inhaled smoke, dust, fumes
Gastric Contrents
Oral Secretions
Foreign Bodies
Postnasal Drip

22
Q

Ddx for Coguh (Airway Disease)

A

URI
Postinfectious Cough
Bronchitis
Bronchiectasis
Neoplasm
Asthma

23
Q

DDx for Cough (Parenchymal Disease)

A

PNA
Lung Abscess
Interstitial Lung Disease

24
Q

DDx for Cough (Miscellaneous)

A

CHF
ACEi

25
Q

Ddx for Hemoptysis (Airway Disease)

A

Bronchitis
Bronchiectasis
Bronchogenic Carcinoma
Bronchial Adenoma
Kaposi Sarcoma
Metastatic Carcinoma

26
Q

Ddx for Hemoptysis (Parenchymal Disease)

A

TB
Lung Abcess
PNA
Mycetoma
GPS
Wegener Granulomatosis

27
Q

Ddx for Hemoptysis (Vascular Disease)

A

PE
Left ventricular failure
Mitral Stenosis
Vascular Malformation

28
Q

DDx for Hemoptysis (Miscellaneous)

A

Impaired Coag
Pulmonary Endometriosis

Clinical Two (3 decks)

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