Level 2: Dyspnea – Chief Complaint: Expert Panel DDX

How does your differential compare with the experts?

What questions will comprise your initial history?

Experts’ DDX:

1. Cardiac
   1. Congestive heart failure (CHF)
   2. Acute Coronary Syndrome (ACS)
   3. Atrial fibrillation
   4. Coronary artery disease
2. Pulmonary
   1. Pulmonary embolus (PE) or other thromboembolic event
   2. Chronic obstructive pulmonary disease (COPD)
   3. COPD exacerbation
   4. Asthma
   5. Allergic response
3. Infectious
   1. Pneumonia
   2. Bronchitis
   3. Bronchiolitis
   4. Chronic gastroesophageal reflux disease (GERD) with aspiration
   5. Obstruction (foreign body) with aspiration
   6. Swallowing abnormality with aspiration
   7. Respiratory syncytial virus (RSV)
4. Heme/Onc
   1. Anemia
   2. Lung cancer
5. Renal/Metabolic
   1. Acid/base disturbance
   2. Fluid overload secondary to renal dysfunction
6. Psychosomatic
   1. Anxiety