Nov 01, 2021 Issue
Vocal Cord Dysfunction: Rapid Evidence Review [Article]

Vocal cord dysfunction (i.e., vocal cords closing when they should be opening, particularly during inspiration) should be suspected in patients presenting with inspiratory stridor or wheezing; sudden, severe dyspnea (without hypoxia, tachypnea, or increased work of breathing); throat or chest tightn...

May 1, 2020 Issue
Chronic Dyspnea: Diagnosis and Evaluation [Article]

Dyspnea is a symptom commonly seen in primary care. A detailed history and physical examination should be conducted, and the findings should drive further testing. Approach testing in stages. Need for more invasive tests should be in collaboration with specialists. Treatment and managements goals are to correctly identify the underlying disease and treat appropriately, to optimize recovery, and to improve the dyspnea symptoms.

Feb 1, 2019 Issue
Dyspnea Due to Acute Heart Failure Syndrome [Medicine by the Numbers]

This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the emergency department.

Jul 15, 2012 Issue
Causes and Evaluation of Chronic Dyspnea [Article]

Chronic dyspnea is shortness of breath that lasts more than one month. The perception of dyspnea varies based on behavioral and physiologic responses. 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 an...

Oct 15, 2010 Issue
ACCP Releases Statement on Dyspnea Treatment in Patients with Advanced Lung or Heart Disease [Practice Guidelines]

The American College of Chest Physicians (ACCP) wrote a consensus statement to influence clinical practice and provide suggestions regarding the management of dyspnea in patients with advanced lung or heart disease.

Dec 1, 2006 Issue
A Patient with Dyspnea and Swollen, Painful Wrists [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Apr 15, 2005 Issue
Evaluation of Chronic Dyspnea [Article]

Chronic dyspnea is defined as dyspnea lasting more than one month. In approximately two thirds of patients presenting with dyspnea, the underlying cause is cardiopulmonary disease. Establishing an accurate diagnosis is essential because treatment differs depending on the underlying condition. Asthma...

Nov 1, 2003 Issue
Acute Dyspnea in the Office [Article]

Respiratory difficulty is a common presenting complaint in the outpatient primary care setting. Because patients may first seek care by calling their physician's office, telephone triage plays a role in the early management of dyspnea. Once the patient is in the office, the initial goal of assessmen...

Feb 15, 1998 Issue
Diagnostic Evaluation of Dyspnea [Article]

Dyspnea is a common symptom and, in most cases, can be effectively managed in the office by the family physician. The differential diagnosis is composed of four general categories: cardiac, pulmonary, mixed cardiac or pulmonary, and noncardiac or nonpulmonary. Most cases of dyspnea are due to cardia...

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