Phaeochromocytoma [top]

  • Episodic
  • Anxiety
  • Sweating
  • Hypertension
  • Headache
  • Shortness of breath
  • Rare
  • Episodes of Sweating, Palpitations, Tachycardia
  • Nausea, vomiting
  • Headache
  • Hypertension

Pneumothorax [top]

  • Pleuritic chest pain
  • Sudden onset
  • Shortness of breath
  • Unequal chest expansion
  • Diminished breath sounds
  • Hyperresonant percussion

COPD [top]

  • Persistent productive cough
  • Shortness of breath
  • Smoker
  • Hyperinflated chest
  • Loss of lung markings on CXR

Atrial fibrillation [top]

  • Palpitations
  • Tachycardia
  • Sudden onset
  • Irregular rhythm
  • Chest pain
  • Shortness of breath

Asthma [top]

  • Shortness of breath
  • Wheeze
  • Previous similar episodes
  • Reduced peak expiratory flow rate
  • Wheeze
  • Persistent dry cough
  • Decreased PEFR
  • Shortness of breath

Pulmonary hypertension [top]

  • Peripheral oedema
  • Shortness of breath
  • Recurrent syncope
  • Chest pain

Pneumonia [top]

  • Pleuritic chest pain
  • Shortness of breath
  • Fever
  • Productive cough
  • Haemoptysis
  • Consolidation on CXR

Anaphylaxis [top]

  • Sudden onset (minutes)
  • Shortness of breath
  • Wheeze
  • Facial swelling, tongue swelling
  • Urticaria
  • Hypotension and tachycardia
  • Vomiting

Wegener's granulomatosis [top]

  • Haemoptysis
  • Shortness of breath
  • Renal impairment
  • Haematuria
  • Vasculitis
  • Rash
  • Nasal bridge collapse
  • Malaise
  • cANCA+

Myocardial infarction [top]

  • Central chest pain
  • Crushing
  • Radiation to jaw, left arm or neck
  • Continuous
  • Single episode
  • Duration greater than 30 minutes
  • Shortness of breath

Supraventricular tachycardia [top]

  • Palpitations
  • Sudden onset
  • Tachycardia
  • Shortness of breath
  • Central chest pain

Exacerbation of COPD [top]

  • Shortness of breath
  • Wheeze
  • Cough
  • Hyperinflated chest
  • History of smoking

Scleroderma [top]

  • Dysphagia, Reflux
  • Tight skin, Mask-like facies, Sclerodactyly
  • Raynaud's, Telangiectasia
  • Pulmonary hypertension causing shortness of breath

Bronchial carcinoma [top]

  • Haemoptysis
  • Weight loss
  • Smoker
  • Clubbing
  • Pleuritic chest pain
  • Shortness of breath
  • Opacity on CXR

Pulmonary embolism [top]

  • Central chest pain
  • Pleuritic chest pain
  • Shortness of breath
  • Haemoptysis
  • Sudden onset
  • Tachycardia
  • Associated deep vein thrombosis