Cyanosis differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[High Resolution CT|HRCT]] | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[High Resolution CT|HRCT]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Tachycardia]], [[Bradycardia]] ([[Legionella]]) | ||
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| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Asthma]] | | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Asthma]] | ||
(Late) | (Late) | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |End expiratory [[wheeze]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Eosinophilia]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓[[Oxygen|O2]], ↑[[CO2]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Normal | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↑ [[IgE]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Atelectasis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Allergic bronchopulmonary aspergillosis]], [[Bronchiectasis]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | - | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Spirometry]] before and after [[bronchodilator]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align=" | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Triad of [[asthma]], [[nasal polyps]], and [[rash]] is indicative of [[Aspirin desensitization|aspirin sensitivity]]. | ||
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| style="padding: 5px 5px; background: #F5F5F5;" align=" | |||
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| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Cystic fibrosis]] | | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[Cystic fibrosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | + | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Wheeze]] | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Wheeze]], [[Crackles]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |Normal | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="center" |↓[[Oxygen|O2]], ↑[[CO2]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |Increased [[sweat]] [[chloride]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Sweat test|Sweat chloride test]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |Hyperinflation, [[Nodules]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" |[[Peribronchial cuffing|Peribronchial thickening]], | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | [[Bronchiectasis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="center" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | - | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" |[[Sweat test|Sweat chloride test]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |Absent [[vas deferens]] | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | |||
|- | |- | ||
| colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[COPD]] | | colspan="1" rowspan="1" style="padding: 5px 5px; background: #DCDCDC;" align="center" |[[COPD]] |
Revision as of 21:30, 7 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differential Diagnosis of Central Cyanosis
- Abnormal hemoglobin
- Acute respiratory distress syndrome
- Alveolitis
- Atelectasis
- Atrial septal defect
- Bronchiectasis
- Central or peripheral respiratory paralysis
- Chronic bronchitis
- Congenital heart disease
- Decreased respiration with oversedation
- Double outlet right ventricle
- Emphysema
- Foreign-body aspiration
- High altitude exposure
- Hypersensitivity pneumonitis
- Intoxication
- Intrapulmonary arteriovenous aneurysms
- Lung cancer
- Mediastinitis
- Patent ductus arteriosus
- Pickwickian syndrome
- Pleural Effusions
- Pneumoconiosis
- Poliomyelitis
- Polyneuropathy
- Primary alveolar hypoventilation
- Pulmonary arteriovenous fistulas
- Pulmonary edema
- Pulmonary embolism
- Pulmonary fibrosis
- Pulmonary hypertension
- Severe chronic obstructive pulmonary disease (COPD) or asthma
- Severe pneumonia
- Single ventricle
- Sleep apnea
- Tension pneumothorax
- Tetralogy of Fallot
- Toxins/poisons
- Transposition of the great vessels
- Tuberculosis
- Ventricular septal defect
Differential Diagnosis of Peripheral Cyanosis
- Acrocyanosis
- Arterial embolism
- Arrhythmia
- Cardiomyopathy
- Cold exposure
- Congenital Heart Disease
- Congestive Heart Failure
- Endomyocardial fibrosis
- Heart tumors
- Hypertensive heart disease
- Mitral Stenosis
- Pericardial effusion
- Polycythemia vera
- Raynaud's Phenomenon
- Shock
- Superior vena cava obstruction
- Valvular disease
- Venous hypertension
- Venous stasis
Differential diagnosis
Abbreviations: AP= Anteroposterior, CXR= Chest X-ray, CT= Computed tomography, ABG= Arterial blood gas, V/Q= Ventilation/perfusion scan , EKG= Electrocardiogram, COPD= Chronic obstructive pulmonary disease, BNP= Brain natriuretic peptide, DVT= Deep vein thrombosis, HRCT= High Resolution CT, IgE= Immunoglobulin E
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References
- ↑ Cherry, James D. (2008). "Croup". New England Journal of Medicine. 358 (4): 384–391. doi:10.1056/NEJMcp072022. ISSN 0028-4793.
- ↑ Khurshid I, Downie GH (2002). "Pulmonary arteriovenous malformation". Postgrad Med J. 78 (918): 191–7. PMC 1742331. PMID 11930021.
- ↑ Doshi HM, Robinson S, Chalhoub T, Jack S, Denison A, Gibson G (2009). "Massive spontaneous hemothorax during the immediate postpartum period". Tex Heart Inst J. 36 (3): 247–9. PMC 2696501. PMID 19568398.
- ↑ Chanatry BJ (1992). "Acute hemothorax owing to pulmonary arteriovenous malformation in pregnancy". Anesth. Analg. 74 (4): 613–5. PMID 1554132.
- ↑ Cherry, James D. (2008). "Croup". New England Journal of Medicine. 358 (4): 384–391. doi:10.1056/NEJMcp072022. ISSN 0028-4793.