Sandbox:Vindhya

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_NO TOC_ Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Hyperventilation

Organ system Diseases Clinical manifestations Diagnosis Other features
Symptoms Physical exam
Chest pain Dyspnea Fever Palpitations Cyanosis Tachypnea JVD Peripheral edema Auscultation ABGs Lab findings Imaging PFT Gold standard
Pulmonary system Pneumothorax + + + + + + _ _
  • Decreased breath sounds
X- ray -
  • Mediastinal shift,
  • Deep sulcus sign,
  • Hydropneumothorax
  • CT-scan- Bullae
CT-scan
  • Hypoxia,
  • Hypercapnia
  • Hyperesonance to percussion,
  • Vocal resonance
  • Tactile fremitus decreased
Pulmonary embolism + + + + + +
Pneumonia + + + + + + - -
  • Bronchial breath sounds
  • Crepitations
  • Bronchophony
  • Egophony
  • Whispering pectoroloqy
CBC, Blood culture, Mantoux test, Serology (mycoplasma, viruses), Sputum: Gram stain and culture CXR- Lobar consolidation, air bronchogram; Atypical pneumonia: Diffuse interstitial infiltrates
Exacerbation of asthma/COPD - + - + + + - - Decreased breath sounds, wheezing, coarse crackles Increased PaCo2, Decreased PaO2 CBC- Increased hematocrit from chronic hypoxia, Sputum evaluation, BNP( to rule out heart failure) X- ray: Hyperinflated lungs, flattening of the diaphragm, narrow heart shadow, cardiomegaly Increased TLC, Increased RV, Decreased Vital capacity, Decreased DLco ( Emphysema), and Normal DLco ( Chronic bronchitis) HRCT ( High resolution computed tomography of the lung) Productive cough, Exercise intolerance, Altered mental status, Cor-pulmonale, Hyperresonance on percussion
Interstitial lung disease
Intrapulmonary shunt
Upper airway obstruction
High altitude sickness
Cardiovascular system Acute coronary syndrome
Heart failure
Dysrhythmias
Shock
Metabolic/Systemic disorders Diabetic ketoacidosis
Hypocalcemia
Hypoglycemia
Endocrine system Hyperthyroidism
Pheochromocytoma
CNS Central nervous system tumor
Anxiety/panic attacks
Others Pregnancy
Hepatic failure
Sepsis