Cause of BREATHLESSNESS 1.Acute a)Cardiovascular -Acute Pulmonary Oedema b)Respiratory -Acute Severe Asthma -acute exacerbation of COPD -Pneumothorax -Pulmonary Embolism -ARDS -Pneumonia -Inhaled foreign body -Lobar collapse -Laryngeal oedema( eg Anaphylaxis) C)Other -Metabolic Acidosis(DKA,Lactic acidosis,Salicylate poisoning,Renal failure- acute or chronic, ethylene glycol poisoning,Massive rhabdomyolysis,Toluene & paraldehyde toxicity)in all anion gap will be increased except AK failure . in CKD , it can be either increased or normal. -Psychogenic hyperventilation( anxiety or panic related) 2)CHRONIC DOE a)Cardiovascular -Chronic Heart Failure -Myocardial ischaemia( angina equivalent) B)Respiratory -COPD -Chronic asthma -Bronchial carcinoma -ILD(sarcoidosis, Fibrosing alveolitis,Extrinsic allergic alveolitis,Pneumoconiosis ) -Chronic Pulmonary Embolism -Lymphatic carcinomatosis -Large Pleural effusion C) other -Severe anaemia -Obesity
Thanks for sharing the wonderful post Dr Jairam patil. All causes of both acute and chronic breathlessness are well narrated. Very much useful to students .
Thanks again dear Jairam for a wonderful post. Causes of breathlessness nicely categorized and summarized. I should save and share the post too.
100/100. ..causes for breathlessness explained Dr. jairam patil sir. ..simply superb sir. ..
Left axis deviation lbbb stemi lateral wall ischemia confirm by tropi 2 decho
Good summary, thank u.
Thank u doctor.. Nice summary
tnx Dr. quite good,,helpful
sorry ECG attached by mistake
Thank you doctor
mast.. refreshing causes of doe... kundu was best in clinical medicine
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Dyspnea It is normal with all of us when we exert excessively.. But Dyspnea that is greater than expected with the degree of exertion... is a symptom of disease. Most cases of dyspnea result from asthma, heart failure and myocardial ischemia, chronic obstructive pulmonary disease, interstitial lung disease, pneumonia, or psychogenic disorders.. Below mentioned are the pathological causes of Dyspnea by Organ System…. CARDIO-VASCULAR… Pulmonary edema Acute valvular disease Myocardial infarction Cardiac tamponade Heart failure Angina Constrictive pericarditis RESPIRATORY… Acute exacerbations or persistent chronic asthma Acute exacerbation or persistent chronic obstructive lung disease Pulmonary embolism Pneumothorax Pneumonia ARDS Anaphylaxis COPD Asthma Interstitial lung diseases Pulmonary hypertension Malignancy (tumor related obstructive lesions and lymphangitic spread) Pleural effusions Sleep apnea Foreign body aspiration GASTROINTESTINAL/HEPATIC Acute liver failure and its consequences Abdominal distention of various causes Ascites Portopulmonary hypertension Hepatopulmonary syndrome RENAL CAUSE Acute or chronic renal failure and its consequences HEMATOLOGICAL… Hemorrhage Anemia NEUROMUSCULAR High cervical cord lesions Trauma to phrenic nerves Central apneas Myasthenia gravis Myopathies Amyotrophic lateral sclerosis ENT cause Vocal Cord Dysfunction Laryngeo-tracheal obstruction PSYCHOGENIC BREATHLESSNESS I hope this list of causes will be HELPFUL to diagnose the aetiology of DYSPNEA…
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