Dyspnea/Shortness of Breath
Differential Diagnosis of Dyspnea
Cardiovascular | Congestive cardiac failure |
Acute myocardial infarction | |
Cardiomyopathy | |
Pericarditis | |
Pulmonary | Upper airway obstruction |
Asthma | |
Chronic obstructive pulmonary disease | |
Pleuritis | |
Pneumonia | |
Pulmonary embolism | |
Pneumothorax | |
Pleural effusion | |
Acute respiratory distress syndrome | |
Pulmonary fibrosis | |
Neurologic | Neuromuscular illness due to paralysis of respiratory muscles (e.g., myasthenia gravis, end-stage amyotrophic lateral sclerosis) |
Metabolic | Metabolic acidosis |
Obesity-hypoventilation syndrome | |
Psychiatric | Dystonia |
Panic disorder | |
Psychogenic dyspneaa | |
a Typically female patients between 20 and 40 years old, with attacks at rest and usually produced by stressful situations. |

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