FindingsClinical conditions
Intermittent breathlessness; triggering factors; allergic rhinitis; nasal polyps; prolonged expiration; wheezingAsthma
Significant tobacco consumption; barrel chest; prolonged expiration; wheezingChronic obstructive pulmonary disease
History of hypertension, coronary artery disease, or diabetes mellitus; orthopnea; paroxysmal nocturnal dyspnea; pedal edema; jugular vein distention; S3 gallop; bibasilar rales; wheezingCongestive heart failure
History of generalized anxiety disorder, post-traumatic stress disorder, obsessive-compulsive disorder, panic disorder; intermittent symptoms; sighing breathingAnxiety disorder; hyperventilation
Postprandial dyspneaGastroesophageal reflux disease; aspiration; food allergy
HemoptysisLung neoplasm; pneumonia; bronchiectasis; mitral stenosis; arteriovenous malformation
Recurrent pneumoniaLung cancer; bronchiectasis; aspiration
Drug exposureBeta blockers aggravating obstructive airway disease
Amiodarone (Cordarone)/nitrofurantoin (Furadantin): pneumonitis
Methotrexate (Rheumatrex): lung fibrosis
Illicit drugs (e.g., heroin): talcosis
History of immunosuppressive disease or therapy; acquired immunodeficiency syndromeOpportunistic infections: protozoal (Pneumocystis carinii pneumonia); bacterial (tuberculosis; Legionella); viral (cytomegalovirus); or fungal (Aspergillus)
Exposure to inorganic dust, asbestos, or volatile chemicalsPneumoconiosis; silicosis; berylliosis; coal workers lung; asbestosis
Organic exposure to dust (birds, mushrooms)Hypersensitivity pneumonitis (bird fancier's lung)
Accentuated P2; right ventricular heave; murmursPulmonary hypertension
Abnormal inspiratory or expiratory sounds heard best over the tracheaCentral airway obstruction; vocal cord paralysis; laryngeal tumor; tracheal stenosis
Localized, decreased, or absent breath soundsPleural effusion; atelectasis; pneumothorax