Respiratory

Question 0

DDx chronic dyspnea (10)

Answer 0

COPD, pleural effusions, interstitial lung disease, pulmonary HTN, neuromuscular disease, severe kyphoscoliosis, heart failure, restrictive pericarditis, chronic anemia, severe obesity

Question 1

DDx acute dyspnea (15)

Answer 1

Asthma, bronchitis, pneumonia, pneumothorax, PE, foreign body, airway irritants, heart failure, tamponade, hemorrhage, hemolysis, CO poisoning, psychogenic, high altitude, exercise
LIFE THREATENING: PE, spontaneous pneumothorax,pneumonia

Question 2

Important questions to ask in Hx of dyspnea

Answer 2

Cough 
Sputum production
Pleuritic chest pain 
Visceral chest pain/angina
Hemoptysis
Smoking
Cardiac PMHx
Occupational/enviro exposures
Baseline fitness level

Question 3

Signs of pulmonary HTN

Answer 3

Fixed split S2
Loud pulmonic component of second heart sound
Right ventricular heave
Jugular venous distension