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Clinical Presentation and Organ Systems Implicated in Dyspnea

Analyzing pertinent data such as palpebral conjunctiva color, chest wall deformities, mental health history, and respiratory symptoms to identify potential organ systems involved in dyspnea. Includes respiratory, cardiovascular, gastrointestinal, neuromusculoskeletal, hematologic, and neuropsychiatric systems.

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Clinical Presentation and Organ Systems Implicated in Dyspnea

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  1. Organ systems that could be involved

  2. Organ systems that could be involved

  3. Pertinent Data • Pink palpebral conjunctiva • (-) melena • (-) hematochezia • (-) Pallor (pale skin, mucosal linings and nail beds) • (-) pica

  4. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  5. Organ systems that could be involved

  6. Pertinent Data • (-) weakness of the eye muscles • (-) difficulty in swallowing, slurred speech • (-) asymmetrical ptosis • (-) twitching, cramping, or stiffness of muscles • (-) Chest wall deformities (kyphoscoliosis)

  7. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  8. Organ systems that could be involved

  9. Pertinent Data • Conscious and coherent • No illicit drug use • (-) History of generalized anxiety, • Anxiety disorder, • post-traumatic stress, • hyperventilation disorder, • obsessive-compulsive disorder, • panic disorder • (-) restlessness

  10. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  11. Organ systems that could be involved

  12. Pertinent Data • (+) substernal chest heaviness • non-alcoholic beverage drinker • Anicteric sclera • Normoactive bowel sounds • Abdomen tympanitic, nontender • Liver and spleen not palpable • (-) Fluid wave • (-) Heartburn after intake of food • (-) Anorexia • (-) Epigastric pain

  13. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  14. Organ systems that could be involved

  15. Pertinent Data • Significant weight gain • Body Mass Index - 31 (obese) • Flabby abdomen • Supple neck • (-) heat or cold tolerance • (-) constipation

  16. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

  17. Organ systems that could be involved

  18. Pertinent Data • 30 pack years of smoking • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions ? COPD - Emphysema - Chronic Bronchitis ? Pulmonary Edema

  19. Pertinent Data • 30 pack yeas of smoking • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions • (-) nasal or aural discharge • Symmetrical chest expansion • resonant • unimpaired tactile and vocal fremiti • (-) cyanosis • (-) supraclavicular retractions • (-) use of accessory muscles of ventilation • (-) tripod position COPD (Emphysema, Chronic Bronchitis)

  20. Pertinent Data • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions Pulmonary Edema • Non-Cardiogenic • Direct Injury to the lung • (Chest trauma, Pneumonia, Aspiration) • Cardiogenic • Increased intracardiac pressure • (S3 gallop, elevated JVP, peripheral edema)

  21. Pertinent Data • RR- 26/min • (+) bibasilar crackles • Cough productive of pink frothy secretions • S3 grade 3/6 • JVP 6 cm at 45 degrees angle • Grade 2 pitting bipedal edema Pulmonary Edema Cardiogenic

  22. DYSPNEA Hematologic Neuromusculoskeletal Neuropsychiatric Gastrointestinal Endocrine Respiratory Cardiovascular

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