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Version October 2024
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Differential diagnosis of acute dyspnea
Differential diagnosis of acute dyspnea
HEENT
Angioedema
Anaphylaxis
Pharyngeal infections
Deep neck infections
Foreign body
Neck trauma
Chest wall
Rib fractures
Flail chest
Pulmonary
COPD exacerbation
Asthma exacerbation
Pulmonary embolism
Pneumothorax
Pulmonary infection
ARDS
Pulmonary contusion or other lung injury
Hemorrhage
Cardiac
ACS
ADHF
Flash pulmonary edema
High output failure
Cardiomyopathy
Arrhythmia
Valvular dysfunction
Cardiac tamponade
Neurologic
Stroke
Neuromuscular disease
Toxic/metabolic
Organophosphate poisoning
Salicylate poisoning
CO poisoning
Toxic ingestion
Diabetic ketoacidosis
Sepsis
Anemia
Acute chest syndrome
Miscellaneous
Hyperventilation
Anxiety
Pneumomediastinum
Lung tumor
Pleural effusion
Intra-abdominal process
Ascites
Pregnancy*
Massive obesity*
HEENT: head, eyes, ears, nose, and throat; COPD: chronic obstructive pulmonary disease; ARDS: acute respiratory distress syndrome; ACS: acute coronary syndrome; ADHF: acute decompensated heart failure; CO: carbon monoxide.
*While these conditions do not cause acute dyspnea directly, they can exacerbate symptoms or contribute to other underlying causes.
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