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==Overview==
==Overview==
{{Family tree/start}}
{| class="wikitable"
{{Family tree | | | | A01 | | | |A01= Pathophysiology}}
! rowspan="3" |Etiology on the basis of anatomy
{{Family tree | | | | |!| | | | | }}
! rowspan="3" |Diseases
{{Family tree | | | | B01 | | | |B01= Gross Pathophysiology}}
! colspan="8" |Clinical manifestations
{{Family tree | |,|-|-|^|-|-|.| | }}
! colspan="5" |Diagnosis
{{Family tree | C01 | | | | C02 |C01= Macroscopic Pathology| C02= Microscopic Pathology}}
! rowspan="3" |Other features
{{Family tree/end}}
|-
! colspan="5" |Symptoms
! colspan="3" |Physical exam
! colspan="2" |
! colspan="2" |Imaging
!
|-
!Onset
!Coughfam
!Dyspnea
!Fever
!Slurred speech
!Cyanosis
!Clubbing
!Auscultation
!Labs
!Pulmonary function testing
!Chest imaging
!Other
!Gold standard
|-
| rowspan="13" |'''Extrathoracic upper airway diseases'''
|'''Laryngeal edema'''
 
('''[[Anaphylaxis]]''')
|Acute
| -
|✔
|<nowiki>-</nowiki>
|✔
|✔
|<nowiki>-</nowiki>
|
* [[Hoarseness]]
* [[Stridor]]
|
* High levels of [[serum]] [[tryptase]] <ref />
* Increased levels of [[Blood plasma|plasma]] [[histamine]] <ref />
* [[Skin allergy testing|Sking test]]
|
* Not specific
|
* Not required
|
* Not required
|
Acute onset with one of them:
* Respiratory compromised
* Reduced [[blood pressure]]  ([[Blood pressure|BP]])
Two or more after the exposure to a likely allergern
* Respiratory compromised
* Reduced [[Blood pressure|BP]]
* [[Gastrointestinal tract|Gastrointestinal]] symptoms
* [[Skin and soft-tissue infections|Skin-mucosa]]<nowiki/>l involment
[[Blood pressure|BP]] reduced after exposure of a known [[allergen]]
* Adult [[Blood pressure|BP]] [[Systole (medicine)|systolic]] <90 mmHg
* Children: Low [[Systolic blood pressure|systolic BP]]  <ref name="pmid16461139" />
|
* [[Nasal discharge]], [[altered mental status]], redness and hives of the [[skin]]
* Common [[Allergen|allergens]]: food, insect stings, biologic materials, natural rubber latex, etc
|-
|'''Cricoarytenoid arthritis'''
|Acute
|✔
|✔
| -
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Hoarseness]]
* [[Stridor]]
|
* Test for [[Rheumatoid arthritis]]
|
* [[Lung volumes|Forced inspiratory flow]] decreased
* [[Lung volumes|Forced expiratory flow]] decreased
|
* Clear chest
|
* Hyperdense intra-articular sclerotic [[Cricoid cartilage|cricoid]] and [[arytenoid cartilage]]<nowiki/>s in [[Computed tomography|CT]] <ref name="pmid22884484" />
|
* [[Laryngoscopy|Direct laryngoscopy]]
|
* [[Cartilage]] erosion can lead on joint luxation and inmovilization of the [[cord]]<ref name="pmid22884484">{{cite journal |vauthors=Greco A, Fusconi M, Macri GF, Marinelli C, Polettini E, Benincasa AT, de Vincentiis M |title=Cricoarytenoid joint involvement in rheumatoid arthritis: radiologic evaluation |journal=Am J Otolaryngol |volume=33 |issue=6 |pages=753–5 |date= 2012 |pmid=22884484 |doi=10.1016/j.amjoto.2012.06.004 |url= |author=}}</ref>
|-
|'''Vocal fold edema/Hematoma/Paralysis'''<ref name="pmid170114232">{{cite journal |vauthors=Ishman SL, Halum SL, Patel NJ, Kerschner JE, Merati AL |title=Management of vocal paralysis: a comparison of adult and pediatric practices |journal=Otolaryngol Head Neck Surg |volume=135 |issue=4 |pages=590–4 |date=October 2006 |pmid=17011423 |doi=10.1016/j.otohns.2006.04.014 |url= |author=}}</ref>
|Acute
|✔
|✔
| -
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Hoarseness]]
* Short breathing
|
* Not specific
|
* Variable
|
* Clear chest
|
* Not required
|
* [[Laryngoscopy]]
|
* Associated to [[Archives of Otolaryngology - Head & Neck Surgery|neck surgery]]
|-
|'''Paradoxical vocal fold motion'''
|Acute
|✔
|✔
| -
|✔
| -
| -
|
* Inspiratory [[stridor]]
|
* Hypercapnia in [[Arterial blood gas|Arterial blood gases]] when [[distress]] is severe
|
* [[Lung function tests|Forced insiparatory flow]] decrease but normal between episodes <ref name="pmid22434681">{{cite journal |vauthors=Forrest LA, Husein T, Husein O |title=Paradoxical vocal cord motion: classification and treatment |journal=Laryngoscope |volume=122 |issue=4 |pages=844–53 |date=April 2012 |pmid=22434681 |doi=10.1002/lary.23176 |url= |author=}}</ref>
|
* Clear chest
|
* [[Computed tomography|CT]] and Color flow [[Doppler]] to rule out other diseases <ref name="pmid9207723">{{cite journal |vauthors=Nastasi KJ, Howard DA, Raby RB, Lew DB, Blaiss MS |title=Airway fluoroscopic diagnosis of vocal cord dysfunction syndrome |journal=Ann. Allergy Asthma Immunol. |volume=78 |issue=6 |pages=586–8 |date=June 1997 |pmid=9207723 |doi=10.1016/S1081-1206(10)63220-6 |url= |author=}}</ref>
|
* Abnormal [[adduction]] of [[vocal fold]][[Laryngoscopy]]
|
* [[Throat]] tightness, choking sensation
* Associated to [[exercise]], [[asthma]], postextubation, etc <ref name="pmid23097011">{{cite journal |vauthors=Chiang T, Marcinow AM, deSilva BW, Ence BN, Lindsey SE, Forrest LA |title=Exercise-induced paradoxical vocal fold motion disorder: diagnosis and management |journal=Laryngoscope |volume=123 |issue=3 |pages=727–31 |date=March 2013 |pmid=23097011 |doi=10.1002/lary.23654 |url= |author=}}</ref>
|-
|'''Laryngeal stenosis'''<ref name="pmid27508129">{{cite journal |vauthors=Nair S, Nilakantan A, Sood A, Gupta A, Gupta A |title=Challenges in the Management of Laryngeal Stenosis |journal=Indian J Otolaryngol Head Neck Surg |volume=68 |issue=3 |pages=294–9 |date=September 2016 |pmid=27508129 |pmc=4961642 |doi=10.1007/s12070-015-0936-2 |url= |author=}}</ref>
|Acute, chronic
|✔
|✔
| -
|
|✔
|<nowiki>-</nowiki>
|
* [[Glottic]] or [[Glottis|supraglottic]]: Inspiratory [[stridor]]
* [[Glottis]] through [[trachea]]: Biphasic [[stridor]]
|
* Not specific
|
* [[Vital capacity|FV]] loop variable
|
* Clear chest
|
* Stenosis visualized in [[neck]] [[x-ray]]
|
* Palpation of [[Arytenoid cartilage|arytenoid]] for passive mobility and [[Laryngoscope|laryngoscopy]] <ref name="pmid7208045">{{cite journal |vauthors=Bogdasarian RS, Olson NR |title=Posterior glottic laryngeal stenosis |journal=Otolaryngol. Head Neck Surg. |volume=88 |issue=6 |pages=765–72 |date= 1980 |pmid=7208045 |doi= |url= |author=}}</ref>
|
* History of neck trauma or [[intubation]]
|-
|'''Laryngocele'''
|Chronic
|✔
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| -
|<nowiki>-</nowiki>
|
* Inspiratory [[stridor]]
* [[Hoarseness]]
|
* Not specific
|
* Normal function
|
* Clear chest
|
* Cyst wiht Liquid or air content in [[ultrasound]], [[radiography]] or [[Computed tomography|CT]]
|
* Smooth swelling visualized in [[laryngoscopy]] <ref name="pmid8166980">{{cite journal |vauthors=Chu L, Gussack GS, Orr JB, Hood D |title=Neonatal laryngoceles. A cause for airway obstruction |journal=Arch. Otolaryngol. Head Neck Surg. |volume=120 |issue=4 |pages=454–8 |date=April 1994 |pmid=8166980 |doi= |url= |author=}}</ref>
|
* Dysphagia, laryngeal discomfort
* Usually asymptomatic
|-
|Epiglottitis (supraglottitis)
|Acute
|
|
|
|
|
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|
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|-
|Goiter
|
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|Postnasal drip syndrome
|
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|-
|Relapsing polychondritis
|
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|Retropharyngeal abscess
|
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|Tonsillar hypertrophy
|
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|Tumor of pharynx/larynx/upper trachea
|
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|-
| rowspan="6" |Central airway diseases
(Intrathoracic upper airway obstruction)
|Mediastinal mass/lymphadenopathy
|
|
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|-
|Respiratory papillomatosis
|
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|Tracheobronchomalacia
|
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|-
|Tracheal stenosis
|
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|-
|Tracheal and bronchial tumors
|
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|-
|Vascular ring or aneurysm
|
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|-
| rowspan="10" |Lower airway obstruction
|Bronchiectasis
|
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|-
|Bronchiolitis
|
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|Carcinoid syndrome
|
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|Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH)
|
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|-
|Heart failure
|
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|Noncardiogenic pulmonary edema
|
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|Parasitic infection with VLM (eg, Ascaris Strongyloides, filaria)
|
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|Pulmonary thromboembolism 
|
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|Reactive airways dysfunction syndrome
|
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|Tracheobronchomalacia
|
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|}
 
 
{| class="wikitable"
{| class="wikitable"
|-
|-
Line 83: Line 638:
|
|
* Occurrs over 2500 m
* Occurrs over 2500 m
* Descent is mandatory in >4000 m
* Descent is mandatory in >4000 m <ref name="urlJournal of Medical Laboratory and Diagnosis - Article Cited by" />
|-
|-
|'''Neurogenic pulmonary edema'''
|'''Neurogenic pulmonary edema'''
Line 126: Line 681:
* [[Tachycardia]] and abnormalities in [[ST-segment]] and [[T wave|T waves]] are observed in [[The electrocardiogram|ECG]]
* [[Tachycardia]] and abnormalities in [[ST-segment]] and [[T wave|T waves]] are observed in [[The electrocardiogram|ECG]]
|
|
* Computed tomography pulmonary angiography [[CT pulmonary angiogram|(CTPA)]] or catheter based [[pulmonary angiography]] <ref name="pmid17848685">{{cite journal |vauthors=Remy-Jardin M, Pistolesi M, Goodman LR, Gefter WB, Gottschalk A, Mayo JR, Sostman HD |title=Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society |journal=Radiology |volume=245 |issue=2 |pages=315–29 |year=2007 |pmid=17848685 |doi=10.1148/radiol.2452070397 |url=}}</ref>  
* Computed tomography pulmonary angiogram [[CT pulmonary angiogram|(CTPA)]] or catheter based [[pulmonary angiography]] <ref name="pmid17848685">{{cite journal |vauthors=Remy-Jardin M, Pistolesi M, Goodman LR, Gefter WB, Gottschalk A, Mayo JR, Sostman HD |title=Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society |journal=Radiology |volume=245 |issue=2 |pages=315–29 |year=2007 |pmid=17848685 |doi=10.1148/radiol.2452070397 |url=}}</ref>  
|
|
* [[Venous thromboembolism]]([[VTE]])
* [[Venous thromboembolism]]([[VTE]])
Line 292: Line 847:
* [[Hypovolemic shock]]
* [[Hypovolemic shock]]
|}
|}
==Pathophysiology==
 
==Cough==


{| class="wikitable"
{| class="wikitable"
! colspan="2" rowspan="3" |Organ system
! colspan="2" rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" + |Organ system
! rowspan="3" |Diseases
! rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" + |Diseases
! colspan="8" |Clinical manifestations
! colspan="8" style="background:#4479BA; color: #FFFFFF;" align="center" + |Clinical manifestations
! colspan="4" rowspan="2" |Diagnosis
! colspan="4" rowspan="2" style="background:#4479BA; color: #FFFFFF;" align="center" + |Diagnosis
! rowspan="3" |Other features
! rowspan="3" style="background:#4479BA; color: #FFFFFF;" align="center" + |Other features
|-
|-
! colspan="7" |Symptoms
! colspan="7" style="background:#4479BA; color: #FFFFFF;" align="center" + |Symptoms
!Physical exam
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Physical exam
|-
|-
!Onset
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Onset
!Duration
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Duration
!Productive cough
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Productive cough
!Hemoptysis
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Hemoptysis
!Weight lost
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Weight lost
!Fever
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Fever
!Dyspnea
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Dyspnea
!Ascultation
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Ascultation
!Lab findings
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Lab findings
!Imaging
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Imaging
!PFT
! style="background:#4479BA; color: #FFFFFF;" align="center" + |PFT
!Gold standard
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Gold standard
|-
|-
| rowspan="21" |[[Respiratory system|'''Respiratory''']]
| rowspan="21" style="background:#DCDCDC;" align="center" + |[[Respiratory system|'''Respiratory''']]
| rowspan="7" |[[Upper respiratory tract|'''Upper airway''']]
| rowspan="7" style="background:#DCDCDC;" align="center" + |[[Upper respiratory tract|'''Upper airway diseases''']]
|[[Epiglottitis|'''Epiglottitis''']]<ref name="pmid11464324">{{cite journal |vauthors=Stroud RH, Friedman NR |title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis |journal=Am J Otolaryngol |volume=22 |issue=4 |pages=268–75 |year=2001 |pmid=11464324 |doi=10.1053/ajot.2001.24825 |url=}}</ref><ref name="pmid9857318">{{cite journal |vauthors=Solomon P, Weisbrod M, Irish JC, Gullane PJ |title=Adult epiglottitis: the Toronto Hospital experience |journal=J Otolaryngol |volume=27 |issue=6 |pages=332–6 |year=1998 |pmid=9857318 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Epiglottitis|'''Epiglottitis''']]<ref name="pmid11464324">{{cite journal |vauthors=Stroud RH, Friedman NR |title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis |journal=Am J Otolaryngol |volume=22 |issue=4 |pages=268–75 |year=2001 |pmid=11464324 |doi=10.1053/ajot.2001.24825 |url=}}</ref><ref name="pmid9857318">{{cite journal |vauthors=Solomon P, Weisbrod M, Irish JC, Gullane PJ |title=Adult epiglottitis: the Toronto Hospital experience |journal=J Otolaryngol |volume=27 |issue=6 |pages=332–6 |year=1998 |pmid=9857318 |doi= |url=}}</ref>
|Abrupt or acute
| style="background:#F5F5F5;" align="center" + |Abrupt or acute
|
| style="background:#F5F5F5;" + |
* 12-24 hours
* 12-24 hours
| -
| style="background:#F5F5F5;" align="center" + | -
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Stridor]]
* [[Stridor]]
* [[Hoarseness]]  
* [[Hoarseness]]  
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[Complete blood count|CBC]])
* Elevated white blood count in CBC
* [[Blood culture]]
* [[Blood culture]] may show bacterial growth
* Epiglottal culture in intubated patients
* Epiglottal culture in intubated patients may show bacterial growth
|
| style="background:#F5F5F5;" + |
* Enlarge [[epiglottis]] (>8 mm) , loss of vallecular air space and distended [[hypopharynx]] in neck [[X-rays|X-ray]]  
* Enlarge [[epiglottis]] (>8 mm), loss of vallecular air space and distended [[hypopharynx]] in neck [[X-rays|X-ray]]  
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Direct visualization of [[Erythema|erythematous]] and edematous [[epiglottis]]  
* Direct visualization of [[Erythema|erythematous]] and edematous [[epiglottis]]  
|
| style="background:#F5F5F5;" + |
* Tripod posture  
* Tripod posture  
* [[Drooling]]  
* [[Drooling]]  
* Tenderness of the anterior part of the neck
* [[Tenderness]] of the anterior part of the neck
* Etiology: ''[[Haemophilus influenzae]]''
* Etiology: ''[[Haemophilus influenzae]]''
|-
|-
|[[Croup|'''Croup''']]<ref name="urlCroup: MedlinePlus Medical Encyclopedia">{{cite web |url=https://medlineplus.gov/ency/article/000959.htm |title=Croup: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Croup|'''Croup''']]<ref name="Cherry2008">{{cite journal|last1=Cherry|first1=James D.|title=Croup|journal=New England Journal of Medicine|volume=358|issue=4|year=2008|pages=384–391|issn=0028-4793|doi=10.1056/NEJMcp072022}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* 3-5 days
* 3-5 days
|✔  
| style="background:#F5F5F5;" align="center" + |✔  
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Stridor]]
* [[Stridor]]
* [[Rales|Crackles]]
* [[Rales|Crackles]]
|
| style="background:#F5F5F5;" + |
* Low [[White blood cell count|White blood cell coun]]<nowiki/>t ([[White blood cells|WBC]]) in [[Blood test]]  
* Low [[White blood cell count|White blood cell coun]]<nowiki/>t ([[White blood cells|WBC]]) in CBC  
|
| style="background:#F5F5F5;" + |
* [[Respiratory system|Subglottic]] narrowing (Steeple sign) in Postero-anterior [[Radiography|radiograph]] chest
* [[Respiratory system|Subglottic]] narrowing ([[steeple sign]]) in postero-anterior [[Radiography|radiograph]] chest
|
| style="background:#F5F5F5;" + |
* Decresed [[Lung volumes|tidal volume]]
* Decresed [[Lung volumes|tidal volume]]
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis. Laboratory findings and imaging are not necessary for diagnosis
* Clinical diagnosis.
|
* Laboratory findings and imaging are not necessary for diagnosis
| style="background:#F5F5F5;" + |
* [[Barking cough]]
* [[Barking cough]]
* Etiology: [[Human parainfluenza viruses|''Parainfluenza virus type 1'']] (most common)
* Etiology: [[Human parainfluenza viruses|''Parainfluenza'' virus type 1]] (most common)
|-
|-
|[[Pertussis|'''Pertussis''']]<ref name="pmid3816065">{{cite journal |vauthors=Bellamy EA, Johnston ID, Wilson AG |title=The chest radiograph in whooping cough |journal=Clin Radiol |volume=38 |issue=1 |pages=39–43 |year=1987 |pmid=3816065 |doi= |url=}}</ref><ref name="urlPertussis | Whooping Cough | Clinical | Information | CDC">{{cite web |url=https://www.cdc.gov/pertussis/clinical/index.html |title=Pertussis &#124; Whooping Cough &#124; Clinical &#124; Information &#124; CDC |format= |work= |accessdate=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Pertussis|'''Pertussis''']]<ref name="pmid3816065">{{cite journal |vauthors=Bellamy EA, Johnston ID, Wilson AG |title=The chest radiograph in whooping cough |journal=Clin Radiol |volume=38 |issue=1 |pages=39–43 |year=1987 |pmid=3816065 |doi= |url=}}</ref><ref name="urlPertussis | Whooping Cough | Clinical | Information | CDC">{{cite web |url=https://www.cdc.gov/pertussis/clinical/index.html |title=Pertussis &#124; Whooping Cough &#124; Clinical &#124; Information &#124; CDC |format= |work= |accessdate=}}</ref>
|Acute  
| style="background:#F5F5F5;" align="center" + |Acute  
|
| style="background:#F5F5F5;" + |
* Two weeks
* Two weeks
|✔ whooping sound
| style="background:#F5F5F5;" align="center" + |✔ Whooping sound
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
Clean lungs
Clear chest
|
| style="background:#F5F5F5;" + |
* [[Polymerase chain reaction|Polymerase chain reactio]]<nowiki/>n ([[Polymerase chain reaction|PCR]])
* [[Polymerase chain reaction|Polymerase chain reactio]]<nowiki/>n ([[Polymerase chain reaction|PCR]]) shows ''[[Bordetella pertussis]]''
* Serologic testing  
* Serologic testing  
|
| style="background:#F5F5F5;" + |
* [[Atelectasis]]
* [[Atelectasis]]
* [[Lymphadenopathy]]
* [[Lymphadenopathy]]
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Culture
* Culture
|
| style="background:#F5F5F5;" + |
* Etiology: ''[[Bordetella pertussis]]''
* Etiology: ''[[Bordetella pertussis]]''
* Phases: Catarrhal, paroxysmal and convalescent
* Phases: Catarrhal, paroxysmal and convalescent
|-
|-
|'''[[Laryngopharyngeal reflux disease|Laryngopharyngeal reflux]]'''<ref name="urlWhat is LPR? | American Academy of Otolaryngology-Head and Neck Surgery">{{cite web |url=http://www.entnet.org/content/what-lpr |title=What is LPR? &#124; American Academy of Otolaryngology-Head and Neck Surgery |format= |work= |accessdate=}}</ref><ref name="pmid12461340">{{cite journal |vauthors=Noordzij JP, Khidr A, Desper E, Meek RB, Reibel JF, Levine PA |title=Correlation of pH probe-measured laryngopharyngeal reflux with symptoms and signs of reflux laryngitis |journal=Laryngoscope |volume=112 |issue=12 |pages=2192–5 |year=2002 |pmid=12461340 |doi=10.1097/00005537-200212000-00013 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Laryngopharyngeal reflux disease|Laryngopharyngeal reflux]]'''<ref name="urlWhat is LPR? | American Academy of Otolaryngology-Head and Neck Surgery">{{cite web |url=http://www.entnet.org/content/what-lpr |title=What is LPR? &#124; American Academy of Otolaryngology-Head and Neck Surgery |format= |work= |accessdate=}}</ref><ref name="pmid12461340">{{cite journal |vauthors=Noordzij JP, Khidr A, Desper E, Meek RB, Reibel JF, Levine PA |title=Correlation of pH probe-measured laryngopharyngeal reflux with symptoms and signs of reflux laryngitis |journal=Laryngoscope |volume=112 |issue=12 |pages=2192–5 |year=2002 |pmid=12461340 |doi=10.1097/00005537-200212000-00013 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Hoarseness]]
* [[Hoarseness]]
* [[Stridor]]
* [[Stridor]]
|
| style="background:#F5F5F5;" + |
* Decreased levels of Salivary epidermal growth factor ([[EGF module-containing mucin-like hormone receptor|EGF]])
* Decreased levels of salivary [[epidermal growth factor]] ([[EGF module-containing mucin-like hormone receptor|EGF]])
* Increased levels of [[NKTR|NKT]]
* Increased levels of [[NKTR]]
* [[Biopsy]]
* [[Biopsy]]
|
| style="background:#F5F5F5;" + |
* [[X-rays|X-Ray]]
* [[X-rays|X-Ray]]
* [[Endoscopy]] examination
* [[Endoscopy]] examination
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* 24 hour-dual sensor [[PH]] probe
* 24 hour-dual sensor [[pH]] probe
|
| style="background:#F5F5F5;" + |
* Throat clearing
* Throat clearing
* [[Globus pharyngis|Globus sensation]]
* [[Globus pharyngis|Globus sensation]]
|-
|-
|'''[[Common Cold Unit|Common Cold]]'''<ref name="pmid16253889">{{cite journal |vauthors=Eccles R |title=Understanding the symptoms of the common cold and influenza |journal=Lancet Infect Dis |volume=5 |issue=11 |pages=718–25 |year=2005 |pmid=16253889 |doi=10.1016/S1473-3099(05)70270-X |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Common Cold Unit|Common Cold]]'''<ref name="pmid16253889">{{cite journal |vauthors=Eccles R |title=Understanding the symptoms of the common cold and influenza |journal=Lancet Infect Dis |volume=5 |issue=11 |pages=718–25 |year=2005 |pmid=16253889 |doi=10.1016/S1473-3099(05)70270-X |url=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* 3-10 days
* 3-10 days
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|
| style="background:#F5F5F5;" + |
* [[Rales]]
* [[Rales]]
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
|
| style="background:#F5F5F5;" + |
* Bacterial cultures are not indicated
* Bacterial culture is not indicated
|
| style="background:#F5F5F5;" + |
* [[Chest X-ray|Chest X-Ray]] in patients with signs of consolidation
* [[Chest X-ray|Chest X-Ray]] in patients with signs of [[consolidation]]
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis
* Clinical diagnosis
|
| style="background:#F5F5F5;" + |
* Conjunctival injection
* [[Conjunctival injection]]
* Nasal congestion
* [[Nasal congestion]]
|-
|-
|'''Seasonal [[Influenza (flu)|Influenza]]''' <ref name="pmid12376607">{{cite journal |vauthors=Kim EA, Lee KS, Primack SL, Yoon HK, Byun HS, Kim TS, Suh GY, Kwon OJ, Han J |title=Viral pneumonias in adults: radiologic and pathologic findings |journal=Radiographics |volume=22 Spec No |issue= |pages=S137–49 |year=2002 |pmid=12376607 |doi=10.1148/radiographics.22.suppl_1.g02oc15s137 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''Seasonal [[Influenza (flu)|Influenza]]''' <ref name="pmid12376607">{{cite journal |vauthors=Kim EA, Lee KS, Primack SL, Yoon HK, Byun HS, Kim TS, Suh GY, Kwon OJ, Han J |title=Viral pneumonias in adults: radiologic and pathologic findings |journal=Radiographics |volume=22 Spec No |issue= |pages=S137–49 |year=2002 |pmid=12376607 |doi=10.1148/radiographics.22.suppl_1.g02oc15s137 |url=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" align="center" + |
* 5-10 days
* 5-10 days
|
| style="background:#F5F5F5;" align="center" + | -
|
| style="background:#F5F5F5;" align="center" + | -
|
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Breath|Shorteness of breath]]
* [[Breath|Shorteness of breath]]
|
| style="background:#F5F5F5;" + |
* [[Reverse transcription polymerase chain reaction|RT-PCR]]
* [[Reverse transcription polymerase chain reaction|RT-PCR]]
* [[Antigen detection test]]
* [[Antigen detection test]]
|
| style="background:#F5F5F5;" + |
* [[Reticular]] or reticulonodular opacities in [[Chest X-ray|chest X-Ray]]  
* [[Reticular]] or reticulonodular opacities in [[Chest X-ray|chest X-Ray]]  
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis
* Clinical diagnosis
|
| style="background:#F5F5F5;" + |
* Etiology: A or B [[Influenza virus]]
* Etiology: A or B [[Influenza virus|''Influenza'' virus]]
|-
|-
|[[Rhinosinusitis|'''Rhinosinusitis''']]<ref name="pmid3084646">{{cite journal |vauthors=James SL |title=Induction of protective immunity against Schistosoma mansoni by a nonliving vaccine. III. Correlation of resistance with induction of activated larvacidal macrophages |journal=J. Immunol. |volume=136 |issue=10 |pages=3872–7 |year=1986 |pmid=3084646 |doi= |url=}}</ref><ref name="pmid25832968">{{cite journal |vauthors=Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, Orlandi RR, Palmer JN, Patel ZM, Peters A, Walsh SA, Corrigan MD |title=Clinical practice guideline (update): adult sinusitis |journal=Otolaryngol Head Neck Surg |volume=152 |issue=2 Suppl |pages=S1–S39 |year=2015 |pmid=25832968 |doi=10.1177/0194599815572097 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Rhinosinusitis|'''Rhinosinusitis''']]<ref name="pmid21490181">{{cite journal| author=Meltzer EO, Hamilos DL| title=Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines. | journal=Mayo Clin Proc | year= 2011 | volume= 86 | issue= 5 | pages= 427-43 | pmid=21490181 | doi=10.4065/mcp.2010.0392 | pmc=3084646 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21490181  }}</ref><ref name="pmid25832968">{{cite journal |vauthors=Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, Orlandi RR, Palmer JN, Patel ZM, Peters A, Walsh SA, Corrigan MD |title=Clinical practice guideline (update): adult sinusitis |journal=Otolaryngol Head Neck Surg |volume=152 |issue=2 Suppl |pages=S1–S39 |year=2015 |pmid=25832968 |doi=10.1177/0194599815572097 |url=}}</ref>
|[[Acute (medicine)|Acute]], [[Subacute]], [[Chronic (medical)|Chronic]], Recurrent
| style="background:#F5F5F5;" align="center" + |[[Acute (medicine)|Acute]], [[subacute]], [[chronic]], recurrent
|
| style="background:#F5F5F5;" + |
* [[Acute (medicine)|Acute]]: Less than 4 weeks
* [[Acute (medicine)|Acute]]: Less than 4 weeks
* [[Subacute]]: 4-12 weeks
* [[Subacute]]: 4-12 weeks
* [[Chronic (medical)|Chronic]]: More than 12 weeks
* [[Chronic (medical)|Chronic]]: More than 12 weeks
* Recurrent: 4 or more episodes or ARS per year
* Recurrent: 4 or more episodes or acute rhinosinusitis per year
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* Clear chest  
* Clear chest  
|
| style="background:#F5F5F5;" + |
* In complicated acute [[Rhinosinusitis|bacterial rhinosinusitis]] Endoscopic cultures or [[sinus]] aspirate  
* In complicated acute [[Rhinosinusitis|bacterial rhinosinusitis]], endoscopic cultures or [[sinus]] aspirate is indicated
* Nasal culture
* Nasal culture
|
| style="background:#F5F5F5;" + |
* Air-fluid level, mucosal [[edema]] and bony erosion in sinus [[Computed tomography|CT]]  
* Air-fluid level, mucosal [[edema]] and bony erosion of sinus on [[Computed tomography|CT]]  
* [[Magnetic resonance imaging|MRI]] for distinguish the [[etiology]]
* [[Magnetic resonance imaging|MRI]] for distinguish the [[etiology]]
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis: Nasal [[congestion]], [[obstruction]], purulent [[rhinorrhea]]
* Clinical diagnosis: [[Nasal congestion]], [[obstruction]], and purulent [[rhinorrhea]]
|
| style="background:#F5F5F5;" + |
* [[Erythema]] in [[Periorbital edema|periorbital]] area
* [[Erythema]] in [[Periorbital edema|periorbital]] area
|-
|-
| rowspan="8" |[[Lower respiratory tract|'''Lower airway''']]
| rowspan="8" style="background:#DCDCDC;" align="center" + |[[Lower respiratory tract|'''Lower airway''']]
|[[Asthma|'''Asthma''']]<ref name="pmid2696883">{{cite journal |vauthors=Wegiel J, Medyńska E, Dziedziak W, Szirkowiec-Gmurczyk W, Dymecki J |title=[Effect of histological technics on the volume and weight of various brain structures of rats at the early stages of life] |language=Polish |journal=Neuropatol Pol |volume=27 |issue=2 |pages=279–94 |year=1989 |pmid=2696883 |doi= |url=}}</ref><ref name="pmid2831297">{{cite journal |vauthors=Santi MR, Cox DH, Guidotti A |title=Heterogeneity of gamma-aminobutyric acid/benzodiazepine/beta-carboline receptor complex in rat spinal cord |journal=J. Neurochem. |volume=50 |issue=4 |pages=1080–6 |year=1988 |pmid=2831297 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Asthma|'''Asthma''']]<ref name="pmid19626179">{{cite journal| author=Ukena D, Fishman L, Niebling WB| title=Bronchial asthma: diagnosis and long-term treatment in adults. | journal=Dtsch Arztebl Int | year= 2008 | volume= 105 | issue= 21 | pages= 385-94 | pmid=19626179 | doi=10.3238/arztebl.2008.0385 | pmc=2696883 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19626179  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Years
* Years
|✔  Clear [[Mucoid plaque|mucoid]] or yellow [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔  Clear [[Mucoid plaque|mucoid]] or yellow [[sputum]]
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]] (expiratory)
* [[Rales]]
* [[Rales]]
* [[Rhonchi]]
* [[Rhonchi]]
* Expiratory noises
| style="background:#F5F5F5;" + |
|
* [[Eosinophilia]] is observed in [[complete blood count]] ([[Complete blood count|CBC]])  
* [[Eosinophilia]] is observed in [[complete blood count]] ([[Complete blood count|CBC]])  
* Total [[serum]] [[Immunoglobulin E|IgE]] in test for [[allergy]]  
* Total [[serum]] [[Immunoglobulin E|IgE]] in test for [[allergy]]  
|
| style="background:#F5F5F5;" + |
* Normal [[Airway|airways]] in chest X-Ray
* Normal [[Airway|airways]] in [[chest X-ray]]
* [[Computed tomography|CT]] as long as is there any abnormality in [[X-rays|X-Ray]]
* [[Computed tomography|CT]] if there any abnormality in [[chest  X-Ray]]
|
| style="background:#F5F5F5;" + |
* [[FEV1/FVC ratio]] (force vital capacity) <70%  and [[FEV1]] >15% measure after 15 minutes of puffs of beta 2 [[Sympathomimetic drug|sympathomimetic]] drug
* [[FEV1/FVC ratio]] <70%  and [[FEV1]] >15% increase after 15 minutes of 2 puffs of [[Beta-2-adrenoreceptor agonists|beta 2 sympathomimetic drug]]
* After physical active [[FEV1]] worse than >15%  
* After physical active [[FEV1]] decreases by >15%  
* After Inhaled [[corticosteroid]] (ICS)[[FEV1]] better than >15%
* After inhaled [[corticosteroid]] (ICS)[[FEV1]] increased by >15%
|
| style="background:#F5F5F5;" + |
* Airflow limitation in [[Spirometry]]
* Airflow limitation on [[spirometry]]
|
| style="background:#F5F5F5;" + |
* Family history
* Family history
* Seasonal variation
* Seasonal variation
|-
|-
|'''[[Chronic obstructive pulmonary disease|Acute Bronchitis]]'''<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Chronic obstructive pulmonary disease|Acute Bronchitis]]'''<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* From 5 days to 1 or 3 weeks
* From 5 days to 1 or 3 weeks
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheezing]]
* [[Wheezing]]
* [[Rhonchi]]
* [[Rhonchi]]
|
| style="background:#F5F5F5;" + |
* [[Sputum culture]] is not indicated
* [[Sputum culture]] is not indicated
* [[Polymerase chain reaction|PCR]] in bacterial infection
* [[Polymerase chain reaction|PCR]] in bacterial infection
|
| style="background:#F5F5F5;" + |
* Chest radiograph to exclude other diseases
* [[Chest X-ray]] to exclude other diseases
|
| style="background:#F5F5F5;" + |
* FEV1 < 80%
* FEV1 < 80%
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis
* Clinical diagnosis
|
| style="background:#F5F5F5;" + |
* Majority is caused by respiratory viruses
* Majority of cases are caused by [[respiratory]] [[viruses]]
|-
|-
|[[Chronic bronchitis|'''Chronic Bronchitis''']]<ref name="pmid24692133">{{cite journal |vauthors=Brusasco V, Martinez F |title=Chronic obstructive pulmonary disease |journal=Compr Physiol |volume=4 |issue=1 |pages=1–31 |year=2014 |pmid=24692133 |doi=10.1002/cphy.c110037 |url=}}</ref><ref name="pmid17975186">{{cite journal |vauthors=Qaseem A, Snow V, Shekelle P, Sherif K, Wilt TJ, Weinberger S, Owens DK |title=Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline from the American College of Physicians |journal=Ann. Intern. Med. |volume=147 |issue=9 |pages=633–8 |year=2007 |pmid=17975186 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Chronic bronchitis|'''Chronic Bronchitis''']]<ref name="pmid24692133">{{cite journal |vauthors=Brusasco V, Martinez F |title=Chronic obstructive pulmonary disease |journal=Compr Physiol |volume=4 |issue=1 |pages=1–31 |year=2014 |pmid=24692133 |doi=10.1002/cphy.c110037 |url=}}</ref><ref name="pmid17975186">{{cite journal |vauthors=Qaseem A, Snow V, Shekelle P, Sherif K, Wilt TJ, Weinberger S, Owens DK |title=Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline from the American College of Physicians |journal=Ann. Intern. Med. |volume=147 |issue=9 |pages=633–8 |year=2007 |pmid=17975186 |doi= |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Most of the days for three months in the las two years.
* Most of the days for three months in the las two years.
|✔ Clear [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔ Clear [[sputum]]
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Rhonchi]]
* [[Rhonchi]]
|
| style="background:#F5F5F5;" + |
* [[Blood test]]  
* [[Blood test]]  
* [[Arterial blood gas]] ([[Arterial blood gas|ABG]])  
* [[Arterial blood gas]] ([[Arterial blood gas|ABG]])  
* Test Oxigen levels in blood
| style="background:#F5F5F5;" + |
|
* [[Chest X-ray|Chest X-Ray]] to exclude other diseases
* [[Chest X-ray|Chest X-Ray]] to exclude othe diseases
* [[Computed tomography|CT]]
* [[Computed tomography|CT]]
|
| style="background:#F5F5F5;" + |
* [[FEV1/FVC ratio]] < 70%  
* [[FEV1/FVC ratio]] < 70%  
* Post bronchodilatador [[FEV1]] > 80%
* Post bronchodilatador [[FEV1]] > 80%
Line 577: Line 1,132:
* Decread [[vital capacity]]
* Decread [[vital capacity]]
* Increased [[total lung capacity]]
* Increased [[total lung capacity]]
|
| style="background:#F5F5F5;" + |
* Demostration of airflow limitation in [[Spirometry]]
* Demostration of airflow limitation on [[spirometry]]
|
| style="background:#F5F5F5;" + |
* [[Smoker's cough]]
* [[Smoker's cough]]
* Cigarette smoking
* Cigarette smoking
* Pollution
* Pollution
|-
|-
|'''Nonasthmatic eosinophilic bronchitis'''<ref name="pmid16428700">{{cite journal |vauthors=Brightling CE |title=Chronic cough due to nonasthmatic eosinophilic bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=116S–121S |year=2006 |pmid=16428700 |doi=10.1378/chest.129.1_suppl.116S |url=}}</ref><ref name="pmid5760521">{{cite journal |vauthors=Lesher S, Sacher GA |title=Effects of age on cell proliferation in mouse duodenal crypts |journal=Exp. Gerontol. |volume=3 |issue=3 |pages=211–7 |year=1968 |pmid=5760521 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''Non-asthmatic eosinophilic bronchitis'''<ref name="pmid16428700">{{cite journal |vauthors=Brightling CE |title=Chronic cough due to nonasthmatic eosinophilic bronchitis: ACCP evidence-based clinical practice guidelines |journal=Chest |volume=129 |issue=1 Suppl |pages=116S–121S |year=2006 |pmid=16428700 |doi=10.1378/chest.129.1_suppl.116S |url=}}</ref><ref name="pmid29317659">{{cite journal| author=Cho J, Choi SM, Lee J, Park YS, Lee SM, Yoo CG et al.| title=Clinical Outcome of Eosinophilic Airway Inflammation in Chronic Airway Diseases Including Nonasthmatic Eosinophilic Bronchitis. | journal=Sci Rep | year= 2018 | volume= 8 | issue= 1 | pages= 146 | pmid=29317659 | doi=10.1038/s41598-017-18265-2 | pmc=5760521 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29317659  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* More than 8 weeks
* More than 8 weeks
|✔ [[Eosinophilic]] [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔ [[Eosinophilic]] [[sputum]]
|
| style="background:#F5F5F5;" align="center" + |
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* Shortness of [[Breathing|breath]]
* [[Shortness of breath]]
|
| style="background:#F5F5F5;" + |
* High levels of [[Immunoglobulin E|IgE]]
* High levels of [[Immunoglobulin E|IgE]]
* Airway [[eosinophilia]] in [[Sputum]] induction or [[Bronchial]] wash fluid from broncoscopy
* Airway [[eosinophilia]] in [[sputum]] induction or bronchial wash fluid from [[bronchoscopy]] ([[bronchoalveolar lavage]])
|
| style="background:#F5F5F5;" + |
* Normal chest [[X-rays|X-Ray]]
* Normal [[chest X-Ray]]
|
| style="background:#F5F5F5;" + |
* [[FEV1/FVC ratio|FEV1/FVC]] >70%
* [[FEV1/FVC ratio|FEV1/FVC]] >70%
* No response of short acting bronchodilatador
* No response of short acting [[bronchodilator]]
|
| style="background:#F5F5F5;" + |
* [[Bronchial]] [[biopsy]] [[eosinophilia]]
* [[Bronchial]] [[biopsy]] [[eosinophilia]]
|
| style="background:#F5F5F5;" + |
* Exposure to an occupational cause
* Exposure to an occupational cause
|-
|-
|[[Bronchiectasis|'''Bronchiectasis''']]<ref name="pmid166509702">{{cite journal |vauthors=King PT, Holdsworth SR, Freezer NJ, Villanueva E, Holmes PW |title=Characterisation of the onset and presenting clinical features of adult bronchiectasis |journal=Respir Med |volume=100 |issue=12 |pages=2183–9 |year=2006 |pmid=16650970 |doi=10.1016/j.rmed.2006.03.012 |url=}}</ref><ref name="pmid16650970">{{cite journal |vauthors=King PT, Holdsworth SR, Freezer NJ, Villanueva E, Holmes PW |title=Characterisation of the onset and presenting clinical features of adult bronchiectasis |journal=Respir Med |volume=100 |issue=12 |pages=2183–9 |year=2006 |pmid=16650970 |doi=10.1016/j.rmed.2006.03.012 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Bronchiectasis|'''Bronchiectasis''']]<ref name="pmid166509702">{{cite journal |vauthors=King PT, Holdsworth SR, Freezer NJ, Villanueva E, Holmes PW |title=Characterisation of the onset and presenting clinical features of adult bronchiectasis |journal=Respir Med |volume=100 |issue=12 |pages=2183–9 |year=2006 |pmid=16650970 |doi=10.1016/j.rmed.2006.03.012 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Months to years
* Months to years
|✔ Mucopurulent [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔ Mucopurulent [[sputum]]
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" align="center" + |
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Rales|Crackles]]
* [[Rales|Crackles]]
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* Shortness of [[Breathing|breath]]
* [[Shortness of breath]]
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Immunoglobulin G|IgG]], [[Immunoglobulin M|IgM]] and [[Immunoglobulin A|IgA]]
* [[Immunoglobulin G|IgG]], [[Immunoglobulin M|IgM]] and [[Immunoglobulin A|IgA]]
* [[Sputum]] culture for [[Fungus|fungi]], [[bacteria]] and [[Mycobacterium|mycobacteria]]
* [[Sputum]] culture for [[Fungus|fungi]], [[bacteria]] and [[Mycobacterium|mycobacteria]]
|
| style="background:#F5F5F5;" + |
* Linear [[atelectasis]] and dilated [[Airway|airways]] in chest X.Ray  
* Linear [[atelectasis]] and dilated [[Airway|airways]] in [[chest X-Ray]]
 
| style="background:#F5F5F5;" + |
|
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* Normal [[Vital capacity|FVC]]
* Normal [[Vital capacity|FVC]]
* Low levels of [[Spirometry|FEV1]]
* Low levels of [[Spirometry|FEV1]]
|
| style="background:#F5F5F5;" a+ |
* [[Computed tomography|CT]] of chest
* [[Computed tomography|CT]] of chest
|
| style="background:#F5F5F5;" + |
* [[Digital clubbing]]
* [[Digital clubbing]]
* Recurrente [[pleurisy]]
* Recurrent [[pleurisy]]
|-
|-
|'''[[Emphysema]]''' <ref name="pmid5587130">{{cite journal |vauthors=Queneau P, Le Guyader J, Detry, Pont M |title=[Clinical study of heptaminol acefyllinate] |language=French |journal=Lyon Med |volume=218 |issue=50 |pages=1561–6 |year=1967 |pmid=5587130 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Emphysema]]''' <ref name="pmid28919728">{{cite journal| author=Rossi A, Butorac-Petanjek B, Chilosi M, Cosío BG, Flezar M, Koulouris N et al.| title=Chronic obstructive pulmonary disease with mild airflow limitation: current knowledge and proposal for future research - a consensus document from six scientific societies. | journal=Int J Chron Obstruct Pulmon Dis | year= 2017 | volume= 12 | issue= | pages= 2593-2610 | pmid=28919728 | doi=10.2147/COPD.S132236 | pmc=5587130 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28919728  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Months to years
* Months to years
|✔ Mocuid or purulent [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔ Mucoid or purulent [[sputum]]
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* Shortness of [[Breathing|breath]]
* Shortness of [[Breathing|breath]]
* [[Wheeze|Wheezing]]  
* [[Wheeze|Wheezing]]  
* Prolonged [[Exhalation|expiration]]
* Prolonged [[Exhalation|expiration]]
* [[Rales|Crackles]]
* [[Rales|Crackles]]
|
| style="background:#F5F5F5;" + |
* [[Blood test]]
* [[Blood test]]
* Testing for [[alpha 1-antitrypsin]]
* Testing for [[alpha 1-antitrypsin]]
|
| style="background:#F5F5F5;" + |
* [[Chest X-ray|Chest X-Ray]] to exclude other diseases
* [[Chest X-ray|Chest X-Ray]] to exclude other diseases
* [[Computed tomography|CT]]  
* [[Computed tomography|CT]]  
|
| style="background:#F5F5F5;" + |
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* Post bronchodilatador [[FEV1]] >80  
* Post [[bronchodilator]] [[FEV1]] >80  
|
| style="background:#F5F5F5;" + |
* Detection of early [[emphysema]] in [[Computed tomography|CT]] of chest
* Detection of early [[emphysema]] in [[Computed tomography|CT]] of chest
|
| style="background:#F5F5F5;" + |
* Exposure of tabacco and air pollution
* Exposure of tobacco and air pollution
|-
|-
|'''Foreing body [[Aspiration of foreign body|aspiration]]'''<ref name="pmid5708401">{{cite journal |vauthors=Harasawa M, Fukuchi Y |title=[Acute severe diseases in geriatrics and first aid] |language=Japanese |journal=Naika |volume=22 |issue=1 |pages=297–302 |year=1968 |pmid=5708401 |doi= |url=}}</ref><ref name="pmid11444115">{{cite journal |vauthors=Rafanan AL, Mehta AC |title=Adult airway foreign body removal. What's new? |journal=Clin. Chest Med. |volume=22 |issue=2 |pages=319–30 |year=2001 |pmid=11444115 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''Foreing body [[Aspiration of foreign body|aspiration]]'''<ref name="pmid29221325">{{cite journal| author=Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F| title=Foreign body aspiration in adult airways: therapeutic approach. | journal=J Thorac Dis | year= 2017 | volume= 9 | issue= 9 | pages= 3398-3409 | pmid=29221325 | doi=10.21037/jtd.2017.06.137 | pmc=5708401 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29221325  }}</ref><ref name="pmid11444115">{{cite journal |vauthors=Rafanan AL, Mehta AC |title=Adult airway foreign body removal. What's new? |journal=Clin. Chest Med. |volume=22 |issue=2 |pages=319–30 |year=2001 |pmid=11444115 |doi= |url=}}</ref><ref name="pmid26568942">{{cite journal| author=Haddadi S, Marzban S, Nemati S, Ranjbar Kiakelayeh S, Parvizi A, Heidarzadeh A| title=Tracheobronchial Foreign-Bodies in Children; A 7 Year Retrospective Study. | journal=Iran J Otorhinolaryngol | year= 2015 | volume= 27 | issue= 82 | pages= 377-85 | pmid=26568942 | doi= | pmc=4639691 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26568942  }}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|Variable
| style="background:#F5F5F5;" align="center" + |
|✔
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" align="center" + |✔
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* Decreased of [[breath sounds]]  
* Decreased [[breath sounds]]  
|
| style="background:#F5F5F5;" + |
* No specific
* No specific
|
| style="background:#F5F5F5;" + |
* Hyperinflated lungs, [[atelectasis]] and [[mediastinitis]] shift in [[Chest X-ray|chest radiograph]] when the object is [[radio-opaque]]
* Hyperinflated lungs, [[atelectasis]], and [[mediastinitis]]
* Shift in [[Chest X-ray|chest radiograph]] when the object is [[radio-opaque]]
* [[Computed tomography|CT]]
* [[Computed tomography|CT]]
|
| style="background:#F5F5F5;" + |
* Not specific  
* Not specific  
|
| style="background:#F5F5F5;" + |
* [[Bronchoscopy]]  
* [[Bronchoscopy]]  
|
| style="background:#F5F5F5;" + |
* In childrens <1 year and adults >75 years
* In children <1 year and adults >75 years
* Organic materials in childrens
* Organic materials in children
* Inorganic materials in adults
* Inorganic materials in adults
|-
|-
|[[Bronchiolitis|'''Bronchiolitis''']]<ref name="pmid14757603">{{cite journal |vauthors=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L, Lohr KN |title=Diagnosis and testing in bronchiolitis: a systematic review |journal=Arch Pediatr Adolesc Med |volume=158 |issue=2 |pages=119–26 |year=2004 |pmid=14757603 |doi=10.1001/archpedi.158.2.119 |url=}}</ref><ref name="urlwww.nice.org.uk">{{cite web |url=https://www.nice.org.uk/guidance/ng9/resources/bronchiolitis-in-children-diagnosis-and-management-pdf-51048523717 |title=www.nice.org.uk |format= |work= |accessdate=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Bronchiolitis|'''Bronchiolitis''']]<ref name="pmid14757603">{{cite journal |vauthors=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L, Lohr KN |title=Diagnosis and testing in bronchiolitis: a systematic review |journal=Arch Pediatr Adolesc Med |volume=158 |issue=2 |pages=119–26 |year=2004 |pmid=14757603 |doi=10.1001/archpedi.158.2.119 |url=}}</ref><ref name="urlwww.nice.org.uk">{{cite web |url=https://www.nice.org.uk/guidance/ng9/resources/bronchiolitis-in-children-diagnosis-and-management-pdf-51048523717 |title=www.nice.org.uk |format= |work= |accessdate=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* 8-15 days
* 8-15 days
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|
| style="background:#F5F5F5;" align="center" + |
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Rales|Crackles]]
* [[Rales|Crackles]]
* Increased [[respiratory rate]]
* Increased [[respiratory rate]]
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[CBC]])
* [[Complete blood count]] ([[CBC]])
* [[Urinalysis]] (in infants)
* [[Urinalysis]] (in infants)
* [[Urine culture]] ( in infants)
* [[Urine culture]] ( in infants)
|
| style="background:#F5F5F5;" + |
* Chest X-Ray
* [[Chest X-Ray]]
|
| style="background:#F5F5F5;" + |
* Normal function or obstructive changes ([[FEV1/FVC ratio|FEV1/FVC]] <70%)  
* Normal function or obstructive changes ([[FEV1/FVC ratio|FEV1/FVC]] <70%)  
* Air trapping in [[Lung volumes]]
* Air trapping in [[Lung volumes]]
* Reduced [[DLCO|Diffusing capacity of carbon monoxide]] ( [[DLCO]])
* Reduced [[DLCO|Diffusing capacity of carbon monoxide]] ( [[DLCO]])
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis
* Clinical diagnosis
|
| style="background:#F5F5F5;" + |
* Etiology: ''Respiratory [[Human respiratory syncytial virus|syncytial virus]], [[Rhinovirus]]''
* Etiology: Respiratory ''[[Human respiratory syncytial virus|syncytial virus]], [[Rhinovirus]]''
* Childrens <2 years
* Children <2 years
|-
|-
| rowspan="6" |[[Parenchyma|'''Parenchyma''']]
| rowspan="6" style="background:#DCDCDC;" align="center" + |[[Parenchyma|'''Parenchyma''']]
|[[Pneumonia|'''Pneumonia''']]<ref name="pmid10987697">{{cite journal |vauthors=Bartlett JG, Dowell SF, Mandell LA, File Jr TM, Musher DM, Fine MJ |title=Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America |journal=Clin. Infect. Dis. |volume=31 |issue=2 |pages=347–82 |year=2000 |pmid=10987697 |doi=10.1086/313954 |url=}}</ref><ref name="pmid17278083">{{cite journal |vauthors=Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, Dowell SF, File TM, Musher DM, Niederman MS, Torres A, Whitney CG |title=Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults |journal=Clin. Infect. Dis. |volume=44 Suppl 2 |issue= |pages=S27–72 |year=2007 |pmid=17278083 |doi=10.1086/511159 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Pneumonia|'''Pneumonia''']]<ref name="pmid10987697">{{cite journal |vauthors=Bartlett JG, Dowell SF, Mandell LA, File Jr TM, Musher DM, Fine MJ |title=Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America |journal=Clin. Infect. Dis. |volume=31 |issue=2 |pages=347–82 |year=2000 |pmid=10987697 |doi=10.1086/313954 |url=}}</ref><ref name="pmid17278083">{{cite journal |vauthors=Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, Dowell SF, File TM, Musher DM, Niederman MS, Torres A, Whitney CG |title=Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults |journal=Clin. Infect. Dis. |volume=44 Suppl 2 |issue= |pages=S27–72 |year=2007 |pmid=17278083 |doi=10.1086/511159 |url=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔ Mucopurulent [[sputum]]
| style="background:#F5F5F5;" align="center" + |✔ Mucopurulent [[sputum]]
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Rales|Crackles]]
* [[Rales|Crackles]]
* [[Egophony]]
* [[Egophony]]
* Decreased bronquial sounds
* Decreased bronchial sounds
|
| style="background:#F5F5F5;" + |
* Leftward shift [[leukocytosis]]
* Leftward shift [[leukocytosis]]
* [[Blood culture]] in hospitalized patients
* [[Blood culture]] in hospitalized patients
* [[Sputum culture]] in hospitalized patients
* [[Sputum culture]] in hospitalized patients
|
| style="background:#F5F5F5;" + |
* [[Consolidation (medicine)|Consolidation]], [[cavitation]] and infiltrated [[interstitial]] in Chest [[X-Ray]]
* [[Consolidation (medicine)|Consolidation]], [[cavitation]], and infiltrated [[interstitial]] in [[chest X-ray]]
* Anatomical changes observed in chest [[Computed tomography|CT]]
* Anatomical changes observed in chest [[Computed tomography|CT]]
|
| style="background:#F5F5F5;" + |
* Not specific
* Not specific
|
| style="background:#F5F5F5;" + |
* Infiltration observed in [[Chest X-ray|chest radiograph]]  
* Infiltration observed in [[chest X-ray]]  
|
| style="background:#F5F5F5;" + |
* [[Community-acquired pneumonia]]
* [[Community-acquired pneumonia]]
* [[Hospital-acquired pneumonia]] 
* [[Healthcare-associated pneumonia]]
* [[Healthcare-associated pneumonia]]
* [[Ventilator-associated pneumonia]]
* [[Aspiration pneumonia]]
|-
|-
|[[Pneumoconiosis|'''Pneumoconioses''']]<ref name="pmid27980247">{{cite journal |vauthors=Jp NA, Imanaka M, Suganuma N |title=Japanese workplace health management in pneumoconiosis prevention |journal=J Occup Health |volume=59 |issue=2 |pages=91–103 |year=2017 |pmid=27980247 |pmc=5478517 |doi=10.1539/joh.16-0031-RA |url=}}</ref><ref name="pmid12668748">{{cite journal |vauthors=Weiland DA, Lynch DA, Jensen SP, Newell JD, Miller DE, Crausman RS, Kuhn C, Kern DG |title=Thin-section CT findings in flock worker's lung, a work-related interstitial lung disease |journal=Radiology |volume=227 |issue=1 |pages=222–31 |year=2003 |pmid=12668748 |doi=10.1148/radiol.2271011063 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Pneumoconiosis|'''Pneumoconioses''']]<ref name="pmid27980247">{{cite journal |vauthors=Jp NA, Imanaka M, Suganuma N |title=Japanese workplace health management in pneumoconiosis prevention |journal=J Occup Health |volume=59 |issue=2 |pages=91–103 |year=2017 |pmid=27980247 |pmc=5478517 |doi=10.1539/joh.16-0031-RA |url=}}</ref><ref name="pmid12668748">{{cite journal |vauthors=Weiland DA, Lynch DA, Jensen SP, Newell JD, Miller DE, Crausman RS, Kuhn C, Kern DG |title=Thin-section CT findings in flock worker's lung, a work-related interstitial lung disease |journal=Radiology |volume=227 |issue=1 |pages=222–31 |year=2003 |pmid=12668748 |doi=10.1148/radiol.2271011063 |url=}}</ref>
|Acute, Chronic
| style="background:#F5F5F5;" align="center" + |Acute, Chronic
|
| style="background:#F5F5F5;" + |
* Years
* Years
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Rhonchi]]
* [[Rhonchi]]
* [[Rales|Crackles]]
* [[Rales|Crackles]]
|
| style="background:#F5F5F5;" + |
* Blood gas analysis
* [[Arterial blood gas]]
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Complete blood count]] ([[Complete blood count|CBC]])
|
| style="background:#F5F5F5;" + |
* Small oppacities and [[fibrosis]] observed in [[Chest X-ray|Chest X-Ray]]
* Small oppacities and [[fibrosis]] observed in [[chest X-ray]]
* [[Computed tomography|CT]]
* [[Computed tomography|CT]]
* [[Positron emission tomography|FDG-PET]]
* [[Positron emission tomography|FDG-PET]]
|
| style="background:#F5F5F5;" + |
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* [[FEV1/FVC ratio|FEV1/FVC]] <70%
* [[FEV1]] <80%  
* [[FEV1]] <80%  
|
| style="background:#F5F5F5;" + |
* Exposure story and [[Chest X-ray|chest radiograph]]
* Exposure history  and [[Chest X-ray|chest radiograph]]
|
| style="background:#F5F5F5;" + |
* Fibrogenic: [[Silica]], [[Asbestos]]
* Fibrogenic: [[Silica]], [[asbestos]]
* Inert: [[Iron]], [[Barium]]
* Inert: [[Iron]], [[barium]]
* Granulomatous: [[Beryllium]]
* Granulomatous: [[Beryllium]]
* Giant cell pneumonia: [[Cobalt]]
* Giant cell pneumonia: [[Cobalt]]
|-
|-
|[[Lung cancer|'''Lung cancer''']]<ref name="pmid21296855">{{cite journal |vauthors=Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D |title=Global cancer statistics |journal=CA Cancer J Clin |volume=61 |issue=2 |pages=69–90 |year=2011 |pmid=21296855 |doi=10.3322/caac.20107 |url=}}</ref><ref name="pmid23649435">{{cite journal |vauthors=Ost DE, Jim Yeung SC, Tanoue LT, Gould MK |title=Clinical and organizational factors in the initial evaluation of patients with lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines |journal=Chest |volume=143 |issue=5 Suppl |pages=e121S–e141S |year=2013 |pmid=23649435 |pmc=4694609 |doi=10.1378/chest.12-2352 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Lung cancer|'''Lung cancer''']]<ref name="pmid21296855">{{cite journal |vauthors=Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D |title=Global cancer statistics |journal=CA Cancer J Clin |volume=61 |issue=2 |pages=69–90 |year=2011 |pmid=21296855 |doi=10.3322/caac.20107 |url=}}</ref><ref name="pmid23649435">{{cite journal |vauthors=Ost DE, Jim Yeung SC, Tanoue LT, Gould MK |title=Clinical and organizational factors in the initial evaluation of patients with lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines |journal=Chest |volume=143 |issue=5 Suppl |pages=e121S–e141S |year=2013 |pmid=23649435 |pmc=4694609 |doi=10.1378/chest.12-2352 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Years
* Years
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Hoarseness]]
* [[Hoarseness]]
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Alanine transaminase|ALT]], [[Aspartate transaminase|AST]]
* [[Alanine transaminase|ALT]], [[Aspartate transaminase|AST]]
Line 802: Line 1,355:
* [[Lactate dehydrogenase|LDH]]
* [[Lactate dehydrogenase|LDH]]
* [[Creatinine]]
* [[Creatinine]]
|
| style="background:#F5F5F5;" + |
* Contrast-enhance [[Computed tomography|CT]] of chest and upper abdomen
* [[Contrast enhanced CT|Contrast-enhanced CT]] of chest and upper abdomen
|
| style="background:#F5F5F5;" + |
* Not specific
* Not specific
|
| style="background:#F5F5F5;" + |
* Tissue [[biopsy]], large enough for [[Molecule|molecular]] testing
* Tissue [[biopsy]] (sample should be sufficient for [[Molecule|molecular]] testing)
|
| style="background:#F5F5F5;" + |
* Risk factor: [[Smoking|Cigarette smoking]]
* Risk factor:
* [[Small cell lung cancer|Small cell lung cance]]<nowiki/>r ([[Small cell lung cancer|SCLC]])
** Cigarette smoking
* [[Non small cell lung cancer|Non-small cell lung cance]]<nowiki/>r ([[Non small cell lung cancer|NSCLC]])
* Types
** [[Small cell lung cancer|Small cell lung cance]]<nowiki/>r ([[Small cell lung cancer|SCLC]])
** [[Non small cell lung cancer|Non-small cell lung cance]]<nowiki/>r ([[Non small cell lung cancer|NSCLC]])
|-
|-
|'''[[Interstitial lung disease]]'''<ref name="pmid15331185">{{cite journal |vauthors=Lama VN, Martinez FJ |title=Resting and exercise physiology in interstitial lung diseases |journal=Clin. Chest Med. |volume=25 |issue=3 |pages=435–53, v |year=2004 |pmid=15331185 |doi=10.1016/j.ccm.2004.05.005 |url=}}</ref><ref name="pmid15133338">{{cite journal |vauthors=Chetta A, Marangio E, Olivieri D |title=Pulmonary function testing in interstitial lung diseases |journal=Respiration |volume=71 |issue=3 |pages=209–13 |year=2004 |pmid=15133338 |doi=10.1159/000077416 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Interstitial lung disease]]'''<ref name="pmid15331185">{{cite journal |vauthors=Lama VN, Martinez FJ |title=Resting and exercise physiology in interstitial lung diseases |journal=Clin. Chest Med. |volume=25 |issue=3 |pages=435–53, v |year=2004 |pmid=15331185 |doi=10.1016/j.ccm.2004.05.005 |url=}}</ref><ref name="pmid15133338">{{cite journal |vauthors=Chetta A, Marangio E, Olivieri D |title=Pulmonary function testing in interstitial lung diseases |journal=Respiration |volume=71 |issue=3 |pages=209–13 |year=2004 |pmid=15133338 |doi=10.1159/000077416 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Rales|Crackles]] or Velcro rales
* [[Rales|Crackles]] or velcro rales
* [[Lung volumes|Inspiratory]] high-pitched [[rhonchi]]
* [[Lung volumes|Inspiratory]] high-pitched [[rhonchi]]
|
| style="background:#F5F5F5;" + |
* Test for [[Hepatic function test|hepatic]] and [[Renal function tests|renal function]]  
* Test for [[Hepatic function test|hepatic]] and [[Renal function tests|renal function]]  
* Hematologic test in differential [[Complete blood count|CBC]]
* Hematologic test in differential [[Complete blood count|CBC]]
* [[Serology|Serological testing]]
* [[Serology|Serological testing]]
|
| style="background:#F5F5F5;" + |
* [[Nodular]], [[reticular]] or both pattern in chest [[X-rays|X-Ray]]
* [[Nodular]], [[reticular]] or both pattern in [[chest X-ray]]
* [[Computed tomography|CT]] in patients with diffuse pulmonary lung disease
* [[Computed tomography|CT]] in patients with diffuse pulmonary lung disease
|
| style="background:#F5F5F5;" + |
* Reduction in [[Vital capacity|FVC]], [[Residual volume|RV]], [[Functional residual capacity|FRC]], [[Total lung capacity|TLC]] and [[FEV1]] in [[Spirometry]]
* Reduction in [[Vital capacity|FVC]], [[Residual volume|RV]], [[Functional residual capacity|FRC]], [[Total lung capacity|TLC]] and [[FEV1]] on spirometry
* [[FEV1/FVC ratio|FEV1/FVC]] normal or increase
* [[FEV1/FVC ratio|FEV1/FVC]] normal or increase
* [[Lung volumes]]
* [[Lung volumes]]
* Diffusing capacity, [[DLCO]] reduced
* Diffusion capacity ([[DLCO]] reduced)
|
| style="background:#F5F5F5;" + |
* Lung [[biopsy]] when Lab, imaging and PFT do not allow to do the diagnosis
* Lung [[biopsy]] when lab, imaging, and PFT has indeterminate result
|
| style="background:#F5F5F5;" + |
* Clubbing is common in [[asbestosis]] and [[idiopathic pulmonary fibrosis]]
* Clubbing is common in [[asbestosis]] and [[idiopathic pulmonary fibrosis]]
|-
|-
|'''[[Tuberculosis]] ([[Tuberculosis|TB]])'''<ref name="pmid9332519">{{cite journal |vauthors=Perlman DC, el-Sadr WM, Nelson ET, Matts JP, Telzak EE, Salomon N, Chirgwin K, Hafner R |title=Variation of chest radiographic patterns in pulmonary tuberculosis by degree of human immunodeficiency virus-related immunosuppression. The Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA). The AIDS Clinical Trials Group (ACTG) |journal=Clin. Infect. Dis. |volume=25 |issue=2 |pages=242–6 |year=1997 |pmid=9332519 |doi= |url=}}</ref><ref name="pmid2456183">{{cite journal |vauthors=Barnes PF, Verdegem TD, Vachon LA, Leedom JM, Overturf GD |title=Chest roentgenogram in pulmonary tuberculosis. New data on an old test |journal=Chest |volume=94 |issue=2 |pages=316–20 |year=1988 |pmid=2456183 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |'''[[Tuberculosis]] ([[Tuberculosis|TB]])'''<ref name="pmid9332519">{{cite journal |vauthors=Perlman DC, el-Sadr WM, Nelson ET, Matts JP, Telzak EE, Salomon N, Chirgwin K, Hafner R |title=Variation of chest radiographic patterns in pulmonary tuberculosis by degree of human immunodeficiency virus-related immunosuppression. The Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA). The AIDS Clinical Trials Group (ACTG) |journal=Clin. Infect. Dis. |volume=25 |issue=2 |pages=242–6 |year=1997 |pmid=9332519 |doi= |url=}}</ref><ref name="pmid2456183">{{cite journal |vauthors=Barnes PF, Verdegem TD, Vachon LA, Leedom JM, Overturf GD |title=Chest roentgenogram in pulmonary tuberculosis. New data on an old test |journal=Chest |volume=94 |issue=2 |pages=316–20 |year=1988 |pmid=2456183 |doi= |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* More than 2 or 3 weeks
* More than 2 or 3 weeks
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Pleural effusion]]
* [[Pleural effusion]]
* [[Crackles]]
* [[Crackles]]
Line 858: Line 1,413:
* Decreased fremitus
* Decreased fremitus
* [[Rhonchi]]
* [[Rhonchi]]
|
| style="background:#F5F5F5;" + |
* Sputum [[acid-fast]] bacilli ([[Acid-fast|AFB]])
* Sputum [[acid-fast]] bacilli ([[Acid-fast|AFB]]) smear
* [[Mycobacterium|Mycobacterial]] [[Culture media|culture]]
* [[Mycobacterium|Mycobacterial]] [[Culture media|culture]]
* Molecular test
* Molecular testing
|
| style="background:#F5F5F5;" + |
* Reactivation of [[Tuberculosis|TB]] is observed as [[Infiltration (medical)|infiltration]] in the upper [[Lobe (anatomy)|lobe]] in [[Chest X-ray|chest X-Ray]]
* Reactivation of [[Tuberculosis|TB]] is observed as [[Infiltration (medical)|infiltration]] in the upper [[Lobe (anatomy)|lobe]] in [[Chest X-ray|chest X-Ray]]
* In Patients with [[Human Immunodeficiency Virus (HIV)|HIV]] is observed lobar [[Infiltration (medical)|infiltration]], [[adenopathy]], lung mass named [[tuberculoma]], small fibronodular lesions and/or [[pleural effusion]] [[Chest X-ray|chest X-Ray]]  
* In patients with [[Human Immunodeficiency Virus (HIV)|HIV]], Tb is observed as lobar [[Infiltration (medical)|infiltration]], [[adenopathy]], lung mass named [[tuberculoma]], small fibronodular lesions, and/or [[pleural effusion]] [[Chest X-ray|chest X-Ray]]  
* [[Computed tomography|CT]] can detect early nodal process
* [[Computed tomography|CT]] can detect early nodal process
|
| style="background:#F5F5F5;" + |
* Decreased [[FEV1]]  
* Decreased [[FEV1]]  
* Reduced  [[Vital capacity|FVC]]  
* Reduced  [[Vital capacity|FVC]]  
|
| style="background:#F5F5F5;" + |
* Isolation of ''[[Mycobacterium tuberculosis]]'' from some [[secretion]]
* Isolation of ''[[Mycobacterium tuberculosis]]'' from some [[secretion]]
|
| style="background:#F5F5F5;" + |
* Etiology: ''[[Mycobacterium tuberculosis]]''
* Etiology: ''[[Mycobacterium tuberculosis]]''
* Complications: [[Pneumothorax]], [[Bronchiectasis]], pulmonary destruction and [[chronic pulmonary aspergillosis]]
* Complications: [[Pneumothorax]], [[bronchiectasis]], pulmonary destruction and [[chronic pulmonary aspergillosis]]
|-
|-
|[[Cystic fibrosis|'''Cystic fibrosis''']]<ref name="pmid18639722">{{cite journal |vauthors=Farrell PM, Rosenstein BJ, White TB, Accurso FJ, Castellani C, Cutting GR, Durie PR, Legrys VA, Massie J, Parad RB, Rock MJ, Campbell PW |title=Guidelines for diagnosis of cystic fibrosis in newborns through older adults: Cystic Fibrosis Foundation consensus report |journal=J. Pediatr. |volume=153 |issue=2 |pages=S4–S14 |year=2008 |pmid=18639722 |pmc=2810958 |doi=10.1016/j.jpeds.2008.05.005 |url=}}</ref><ref name="pmid1285737">{{cite journal |vauthors=Kerem E, Reisman J, Corey M, Canny GJ, Levison H |title=Prediction of mortality in patients with cystic fibrosis |journal=N. Engl. J. Med. |volume=326 |issue=18 |pages=1187–91 |year=1992 |pmid=1285737 |doi=10.1056/NEJM199204303261804 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Cystic fibrosis|'''Cystic fibrosis''']] ([[Cystic fibrosis|CF]])<ref name="pmid18639722">{{cite journal |vauthors=Farrell PM, Rosenstein BJ, White TB, Accurso FJ, Castellani C, Cutting GR, Durie PR, Legrys VA, Massie J, Parad RB, Rock MJ, Campbell PW |title=Guidelines for diagnosis of cystic fibrosis in newborns through older adults: Cystic Fibrosis Foundation consensus report |journal=J. Pediatr. |volume=153 |issue=2 |pages=S4–S14 |year=2008 |pmid=18639722 |pmc=2810958 |doi=10.1016/j.jpeds.2008.05.005 |url=}}</ref><ref name="pmid1285737">{{cite journal |vauthors=Kerem E, Reisman J, Corey M, Canny GJ, Levison H |title=Prediction of mortality in patients with cystic fibrosis |journal=N. Engl. J. Med. |volume=326 |issue=18 |pages=1187–91 |year=1992 |pmid=1285737 |doi=10.1056/NEJM199204303261804 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" align="center" + |
* Variable
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" align="center" + |
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* Barrel-shaped chest
* Barrel-shaped chest
* [[Wheezing]]
* [[Wheezing]]
* [[Tachypnea]]
* [[Tachypnea]]
|
| style="background:#F5F5F5;" + |
* [[Respiratory tract]] [[Culture media|culture]] for [[Cystic fibrosis|CF]]
* [[Respiratory tract]] [[Culture media|culture]] for [[Cystic fibrosis|CF]]
* [[Bronchoalveolar lavage]] for citology
* [[Bronchoalveolar lavage]] for cytology
* >= 60 mmol/L [[Sweat chloride test]]
* 60 mmol/L [[Sweat chloride test]]
* [[CFTR (gene)|CFTR]] [[mutation]] in molecular test
* [[CFTR (gene)|CFTR]] [[mutation]] in molecular testing
|
| style="background:#F5F5F5;" + |
* Hyperinflation and bronchovascular in [[Chest X-ray|chest X-Ray]]
* Hyperinflation, [[atelectasis]], and infiltrates on [[Chest X-ray|chest X-Ray]]
* More severe patients present bronchietasis, "tram tracks" [[Peribronchial cuffing|peribronchial cuffin]]<nowiki/>g in [[Chest X-ray|chest X-Ray]]
* Severe patients present bronchietasis, "tram tracks" [[Peribronchial cuffing|peribronchial cuffin]]<nowiki/>g in [[Chest X-ray|chest X-Ray]]
* The extension of bronchietasis can be defined by [[Computed tomography|CT]]  
* The extension of [[bronchietasis]] can be defined by [[Computed tomography|CT]]  
|
| style="background:#F5F5F5;" + |
* [[Residual volume|RV]]/[[Total lung capacity|TLC]] ratio increased  
* [[Residual volume|RV]]/[[Total lung capacity|TLC]] ratio increased  
* [[FEV1/FVC ratio]] <70%
* [[FEV1/FVC ratio]] <70%
* Low levels of [[FEV1]]
* Low levels of [[FEV1]]
* High levels of [[Total lung capacity|TLC]]  
* High levels of [[Total lung capacity|TLC]]  
* [[Residual volume|RV]] increased
* [[Residual volume|RV]] increased
|
| style="background:#F5F5F5;" + |
* [[Sweat chloride test]]
* [[Sweat chloride test]]
|Clinical symptoms, one organ system and evidence of [[Cystic fibrosis transmembrane conductance regulator|CFTR]] dysfunction
| style="background:#F5F5F5;" + |
* Evidence of [[Cystic fibrosis transmembrane conductance regulator|CFTR]] dysfunction
|-
|-
| colspan="2" rowspan="3" |[[Heart|'''Cardiac''']]
| colspan="2" rowspan="3" style="background:#DCDCDC;" align="center" + |[[Heart|'''Cardiac''']]
|[[Pulmonary edema|'''Cardiogenic pulmonary edema''']]<ref name="pmid16365214">{{cite journal |vauthors=Gheorghiade M, Zannad F, Sopko G, Klein L, Piña IL, Konstam MA, Massie BM, Roland E, Targum S, Collins SP, Filippatos G, Tavazzi L |title=Acute heart failure syndromes: current state and framework for future research |journal=Circulation |volume=112 |issue=25 |pages=3958–68 |year=2005 |pmid=16365214 |doi=10.1161/CIRCULATIONAHA.105.590091 |url=}}</ref><ref name="pmid23741058">{{cite journal |vauthors=Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL |title=2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines |journal=Circulation |volume=128 |issue=16 |pages=e240–327 |year=2013 |pmid=23741058 |doi=10.1161/CIR.0b013e31829e8776 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Pulmonary edema|'''Cardiogenic pulmonary edema''']]<ref name="pmid16365214">{{cite journal |vauthors=Gheorghiade M, Zannad F, Sopko G, Klein L, Piña IL, Konstam MA, Massie BM, Roland E, Targum S, Collins SP, Filippatos G, Tavazzi L |title=Acute heart failure syndromes: current state and framework for future research |journal=Circulation |volume=112 |issue=25 |pages=3958–68 |year=2005 |pmid=16365214 |doi=10.1161/CIRCULATIONAHA.105.590091 |url=}}</ref><ref name="pmid23741058">{{cite journal |vauthors=Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL |title=2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines |journal=Circulation |volume=128 |issue=16 |pages=e240–327 |year=2013 |pmid=23741058 |doi=10.1161/CIR.0b013e31829e8776 |url=}}</ref>
|Acute
| style="background:#F5F5F5;" align="center" + |Acute
|
| style="background:#F5F5F5;" + |
* Days to weeks  
* Days to weeks  
|✔ Pink frothy liquid
| style="background:#F5F5F5;" align="center" + |✔ Pink frothy, liquid
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Rales|Crackles]]  
* [[Rales|Crackles]]  
* Increased [[respiratory rate]]
* Increased [[respiratory rate]]
Line 924: Line 1,479:
* [[Rhonchi]]
* [[Rhonchi]]
* Gurgling sounds
* Gurgling sounds
|
| style="background:#F5F5F5;" + |
* [[Arterial blood gas|Arterial blood]] analysis
* [[Arterial blood gas]]
* [[Blood urea nitrogen|BUN]]  
* [[Blood urea nitrogen|BUN]]  
* [[Serum creatinine|Serum creatinin]]
* [[Serum creatinine|Serum creatinin]]
Line 932: Line 1,487:
* [[Lactic acid]]
* [[Lactic acid]]
* [[Complete blood count]]
* [[Complete blood count]]
|
| style="background:#F5F5F5;" + |
* [[Cardiomegaly]], [[pleural effusion]], intersticial edema, alveolar edema and blood redistribution in lower lobes in chest [[X-rays|X-Ray]]  
* [[Cardiomegaly]], [[pleural effusion]], interstitial [[edema]], alveolar [[edema]] and blood redistribution in lower lobes in [[chest X-ray]]  
|
| style="background:#F5F5F5;" + |
* Not specific
* Not specific
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis. Test are supportive  
* Clinical diagnosis  
|
* Tests are supportive  
| style="background:#F5F5F5;" + |
* [[12-lead ECG]]
* [[12-lead ECG]]
* Plasma [[Brain natriuretic peptide|BNP]] and [[NT-proBNP]]
* Plasma [[Brain natriuretic peptide|BNP]] and [[NT-proBNP]]
* [[Echocardiography]]
* [[Echocardiography]]
|-
|-
|[[Mitral stenosis|'''Mitral Stenosis''']]<ref name="pmid1921207">{{cite journal |vauthors=Belorusov OS, Iurasov SE |title=[Characteristics of the early postoperative period following kidney allotransplantation and immunosuppression using Sandimmune (cyclosporin A)] |language=Russian |journal=Khirurgiia (Mosk) |volume= |issue=7 |pages=8–11 |year=1991 |pmid=1921207 |doi= |url=}}</ref><ref name="pmid19747723">{{cite journal |vauthors=Chandrashekhar Y, Westaby S, Narula J |title=Mitral stenosis |journal=Lancet |volume=374 |issue=9697 |pages=1271–83 |year=2009 |pmid=19747723 |doi=10.1016/S0140-6736(09)60994-6 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Mitral stenosis|'''Mitral Stenosis''']]<ref name="pmid13936649">{{cite journal| author=MUNROE DS, RALLY CR| title=The diagnosis of mitral stenosis. | journal=Can Med Assoc J | year= 1963 | volume= 88 | issue= | pages= 611-22 | pmid=13936649 | doi= | pmc=1921207 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13936649  }}</ref><ref name="pmid19747723">{{cite journal |vauthors=Chandrashekhar Y, Westaby S, Narula J |title=Mitral stenosis |journal=Lancet |volume=374 |issue=9697 |pages=1271–83 |year=2009 |pmid=19747723 |doi=10.1016/S0140-6736(09)60994-6 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔ Pink frothy
| style="background:#F5F5F5;" align="center" + |✔ Pink frothy
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Crackles]]
* [[Crackles]]
* [[Hoarseness]]
* [[Hoarseness]]
|
| style="background:#F5F5F5;" + |
* Not specifc
* Not specifc
|
| style="background:#F5F5F5;" + |
* [[Electrocardiogram]]
* [[Electrocardiogram]]
* Elargement of [[left atrium]] and [[appendage]] in [[Chest X-ray|chest radiograph]]
* Enlargement of [[left atrium]] and [[appendage]] in [[Chest X-ray|chest radiograph]]
|
| style="background:#F5F5F5;" + |
* [[Vital capacity|FVC]] reduced
* [[Vital capacity|FVC]] reduced
|
| style="background:#F5F5F5;" + |
* Resting [[transthoracic echocardiography]]
* Resting [[transthoracic echocardiography]]
|
| style="background:#F5F5F5;" + |
* [[Stress testing]]
* [[Stress testing]]
* [[Cardiac catheterization]]
* [[Cardiac catheterization]]
|-
|-
|[[Pulmonary hypertension|'''Pulmonary hypertension''']]<ref name="pmid21393391">{{cite journal |vauthors=Brown LM, Chen H, Halpern S, Taichman D, McGoon MD, Farber HW, Frost AE, Liou TG, Turner M, Feldkircher K, Miller DP, Elliott CG |title=Delay in recognition of pulmonary arterial hypertension: factors identified from the REVEAL Registry |journal=Chest |volume=140 |issue=1 |pages=19–26 |year=2011 |pmid=21393391 |pmc=3198486 |doi=10.1378/chest.10-1166 |url=}}</ref><ref name="urlPulmonary function in primary pulmonary hypertension - ScienceDirect">{{cite web |url=https://www.sciencedirect.com/science/article/pii/S0735109702029649?via%3Dihub |title=Pulmonary function in primary pulmonary hypertension - ScienceDirect |format= |work= |accessdate=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Pulmonary hypertension|'''Pulmonary hypertension''']]<ref name="pmid21393391">{{cite journal |vauthors=Brown LM, Chen H, Halpern S, Taichman D, McGoon MD, Farber HW, Frost AE, Liou TG, Turner M, Feldkircher K, Miller DP, Elliott CG |title=Delay in recognition of pulmonary arterial hypertension: factors identified from the REVEAL Registry |journal=Chest |volume=140 |issue=1 |pages=19–26 |year=2011 |pmid=21393391 |pmc=3198486 |doi=10.1378/chest.10-1166 |url=}}</ref><ref name="pmid12651053">{{cite journal| author=Sun XG, Hansen JE, Oudiz RJ, Wasserman K| title=Pulmonary function in primary pulmonary hypertension. | journal=J Am Coll Cardiol | year= 2003 | volume= 41 | issue= 6 | pages= 1028-35 | pmid=12651053 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12651053  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* More than 2 years
* More than 2 years
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Dysphonia|Hoarseness]]
* [[Dysphonia|Hoarseness]]
|
| style="background:#F5F5F5;" + |
* [[Human Immunodeficiency Virus (HIV)|HIV]] serology
* [[Human Immunodeficiency Virus (HIV)|HIV]] serology
* [[Anti-nuclear antibody|Antinuclear antibody]] ([[Antinuclear antibodies|ANA]])
* [[Anti-nuclear antibody|Antinuclear antibody]] ([[Antinuclear antibodies|ANA]])
* [[Rheumatoid factor]] ([[RF]])
* [[Rheumatoid factor]] ([[RF]])
* Anti-neutrophil  cytoplasmatic antibody ([[Anti-neutrophil cytoplasmic antibody|ANCA]])
* [[Anti-neutrophil  cytoplasmic antibody]] ([[Anti-neutrophil cytoplasmic antibody|ANCA]])
|
| style="background:#F5F5F5;" + |
* Enlargement of the central [[pulmonary artery]] and right heart  in [[Chest X-ray|chest X-Ray]]
* Enlargement of the central [[pulmonary artery]] and right heart  in [[Chest X-ray|chest X-Ray]]
* [[Pulmonary  artery]] systolic pressure can be estimated in [[Echocardiography]]
* [[Pulmonary  artery]] systolic pressure can be estimated in [[echocardiography]]
|
| style="background:#F5F5F5;" + |
* Low levels of [[FEV1]]
* Low levels of [[FEV1]]
* Decreased [[Vital capacity|FVC]]
* Decreased [[Vital capacity|FVC]]
* [[DLCO]] reduced
* [[DLCO]] reduced
|
| style="background:#F5F5F5;" + |
* Mean [[pulmonary artery]] pressure more than 25 [[mmHg]] at rest
* Mean [[pulmonary artery]] pressure more than 25 [[mmHg]] at rest
|
| style="background:#F5F5F5;" + |
* [[Chest pain]]
* [[Chest pain]]
* [[Ascites]]
* [[Ascites]]
Line 999: Line 1,555:
* Peripherial [[edema]]
* Peripherial [[edema]]
|-
|-
| colspan="2" |[[Gastrointestinal tract|'''Gastrointestinal''']]
| colspan="2" style="background:#DCDCDC;" align="center" + |[[Gastrointestinal tract|'''Gastrointestinal''']]
|[[Gastroesophageal reflux disease|'''Gastroesophageal reflux''']]<ref name="pmid21508423">{{cite journal |vauthors=Kahrilas PJ, Hughes N, Howden CW |title=Response of unexplained chest pain to proton pump inhibitor treatment in patients with and without objective evidence of gastro-oesophageal reflux disease |journal=Gut |volume=60 |issue=11 |pages=1473–8 |year=2011 |pmid=21508423 |doi=10.1136/gut.2011.241307 |url=}}</ref><ref name="pmid4133436">{{cite journal |vauthors=Harland PS |title=Letter: Measuring malnutrition |journal=Lancet |volume=1 |issue=7863 |pages=925 |year=1974 |pmid=4133436 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Gastroesophageal reflux disease|'''Gastroesophageal reflux''']]<ref name="pmid21508423">{{cite journal |vauthors=Kahrilas PJ, Hughes N, Howden CW |title=Response of unexplained chest pain to proton pump inhibitor treatment in patients with and without objective evidence of gastro-oesophageal reflux disease |journal=Gut |volume=60 |issue=11 |pages=1473–8 |year=2011 |pmid=21508423 |doi=10.1136/gut.2011.241307 |url=}}</ref><ref name="pmid25133039">{{cite journal| author=Badillo R, Francis D| title=Diagnosis and treatment of gastroesophageal reflux disease. | journal=World J Gastrointest Pharmacol Ther | year= 2014 | volume= 5 | issue= 3 | pages= 105-12 | pmid=25133039 | doi=10.4292/wjgpt.v5.i3.105 | pmc=4133436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25133039  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Hoarseness]]
* [[Hoarseness]]
|
| style="background:#F5F5F5;" + |
* Not specific
* Not specific
|
| style="background:#F5F5F5;" + |
* [[Upper endoscopy]]  
* [[Upper endoscopy]]  
* [[Barium]] esophagram  
* [[Barium]] esophagram  
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* PH testing
* PH testing
|
| style="background:#F5F5F5;" align="center" + | --
|-
|-
| colspan="2" rowspan="5" |[[Autoimmune disease|'''Autoinmune''']]
| colspan="2" rowspan="5" style="background:#DCDCDC;" align="center" + |[[Autoimmune disease|'''Autoinmune''']]
|[[Goodpasture syndrome|'''Goodpasture syndrome''']]<ref name="pmid16183752">{{cite journal |vauthors=Bergs L |title=Goodpasture syndrome |journal=Crit Care Nurse |volume=25 |issue=5 |pages=50–4, 56, 57–8 |year=2005 |pmid=16183752 |doi= |url=}}</ref><ref name="pmid3728460">{{cite journal |vauthors=Boyce NW, Holdsworth SR |title=Pulmonary manifestations of the clinical syndrome of acute glomerulonephritis and lung hemorrhage |journal=Am. J. Kidney Dis. |volume=8 |issue=1 |pages=31–6 |year=1986 |pmid=3728460 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Goodpasture syndrome|'''Goodpasture syndrome''']]<ref name="pmid3728460">{{cite journal |vauthors=Boyce NW, Holdsworth SR |title=Pulmonary manifestations of the clinical syndrome of acute glomerulonephritis and lung hemorrhage |journal=Am. J. Kidney Dis. |volume=8 |issue=1 |pages=31–6 |year=1986 |pmid=3728460 |doi= |url=}}</ref><ref name="pmid27496347">{{cite journal| author=Foster MH| title=Basement membranes and autoimmune diseases. | journal=Matrix Biol | year= 2017 | volume= 57-58 | issue= | pages= 149-168 | pmid=27496347 | doi=10.1016/j.matbio.2016.07.008 | pmc=5290253 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27496347  }}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* Shortness of [[breath]]
* [[Shortness of breath]]
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Complete blood count]] ([[Complete blood count|CBC]])
* [[Anti-neutrophil cytoplasmic antibody|ANCA]] positive
* [[Anti-neutrophil cytoplasmic antibody|ANCA]] positive
* [[Goodpasture syndrome|Anti-GBM]] in [[Enzyme linked immunosorbent assay (ELISA)|ELISA]] or Western Blood
* [[Goodpasture syndrome|Anti-GBM]] in [[Enzyme linked immunosorbent assay (ELISA)|ELISA]] or [[western blot]]
|
| style="background:#F5F5F5;" + |
* Pulmonary infiltratation in [[Chest X-ray|chest X-Ray]]
* Pulmonary infiltratation in [[Chest X-ray|chest X-Ray]]
* [[Computed tomography|CT]] parenchimal envolment  
* [[Computed tomography|CT]] parenchimal envolment  
|
| style="background:#F5F5F5;" + |
* Increased [[DLCO]]
* Increased [[DLCO]]
* Decreased [[Total lung capacity|TLC]]  
* Decreased [[Total lung capacity|TLC]]  
* Decreased [[Vital capacity|FVC]]
* Decreased [[Vital capacity|FVC]]
|
| style="background:#F5F5F5;" + |
* Renal [[biopsy]]
* Renal [[biopsy]]
|
| style="background:#F5F5F5;" + |
* [[Hematuria]]
* [[Hematuria]]
* [[Proteinuria]]
* [[Proteinuria]]
|-
|-
|[[Granulomatosis with polyangiitis|'''Wegener's disease''']] ([[Granulomatosis with polyangiitis|'''GPA''']]) <ref name="pmid1739240">{{cite journal |vauthors=Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, Rottem M, Fauci AS |title=Wegener granulomatosis: an analysis of 158 patients |journal=Ann. Intern. Med. |volume=116 |issue=6 |pages=488–98 |year=1992 |pmid=1739240 |doi= |url=}}</ref><ref name="pmid21374588">{{cite journal |vauthors=Falk RJ, Gross WL, Guillevin L, Hoffman GS, Jayne DR, Jennette JC, Kallenberg CG, Luqmani R, Mahr AD, Matteson EL, Merkel PA, Specks U, Watts RA |title=Granulomatosis with polyangiitis (Wegener's): an alternative name for Wegener's granulomatosis |journal=Arthritis Rheum. |volume=63 |issue=4 |pages=863–4 |year=2011 |pmid=21374588 |doi=10.1002/art.30286 |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Granulomatosis with polyangiitis|'''Wegener's disease''']] ([[Granulomatosis with polyangiitis|'''GPA''']]) <ref name="pmid1739240">{{cite journal |vauthors=Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, Rottem M, Fauci AS |title=Wegener granulomatosis: an analysis of 158 patients |journal=Ann. Intern. Med. |volume=116 |issue=6 |pages=488–98 |year=1992 |pmid=1739240 |doi= |url=}}</ref><ref name="pmid21374588">{{cite journal |vauthors=Falk RJ, Gross WL, Guillevin L, Hoffman GS, Jayne DR, Jennette JC, Kallenberg CG, Luqmani R, Mahr AD, Matteson EL, Merkel PA, Specks U, Watts RA |title=Granulomatosis with polyangiitis (Wegener's): an alternative name for Wegener's granulomatosis |journal=Arthritis Rheum. |volume=63 |issue=4 |pages=863–4 |year=2011 |pmid=21374588 |doi=10.1002/art.30286 |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Months
* Months
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Hoarseness]]
* [[Hoarseness]]
* [[Stridor]]
* [[Stridor]]
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
|
| style="background:#F5F5F5;" + |
* [[Anti-neutrophil cytoplasmic antibody|ANCA]], [[P-ANCA]], [[C-ANCA]]
* [[Anti-neutrophil cytoplasmic antibody|ANCA]], [[P-ANCA]], [[C-ANCA]]
* [[Blood urea nitrogen|BUN]]
* [[Blood urea nitrogen|BUN]]
Line 1,071: Line 1,627:
* [[Complete blood count]]
* [[Complete blood count]]
* [[Urinalysis]]
* [[Urinalysis]]
* Lung biopsy
* Lung [[biopsy]]
|
| style="background:#F5F5F5;" + |
* [[Nodules]], [[Lung|pulmonary]] infiltrates, reticular margins, pleural opacities and [[Cavity|cavities]] in [[Chest X-ray|chest X-Ray]]
* [[Nodules]], [[Lung|pulmonary]] infiltrates, reticular margins, pleural opacities and [[Cavity|cavities]] in [[Chest X-ray|chest X-Ray]]
* [[Nodule (medicine)|Nodules]], [[cavities]] and stellate-shaped peripherial pulmonary in chest [[Computed tomography|CT]]
* [[Nodule (medicine)|Nodules]], [[cavities]] and stellate-shaped peripherial [[pulmonary]] in chest [[Computed tomography|CT]]
* [[Bronchoscopy]]
* [[Bronchoscopy]]
|
| style="background:#F5F5F5;" + |
* Low levels of [[DLCO]]
* Low levels of [[DLCO]]
* Reduce [[lung volumes]]
* Reduce [[lung volumes]]
|
| style="background:#F5F5F5;" + |
* Tissue biopsy  
* Tissue [[biopsy]]
|
| style="background:#F5F5F5;" + |
* Nasal crusting, sinus pain, chronic [[rhinosinusitis]], nasal obstruction and discharge in [[Upper respiratory tract|upper airway]]  
* Nasal crusting, sinus pain, chronic [[rhinosinusitis]], nasal obstruction and discharge in [[Upper respiratory tract|upper airway]]  
* Saddle nose deformity  
* [[Saddle nose|Saddle nose deformity]]
* Purpura in lower extremities  
* [[Purpura]] in lower extremities  
|-
|-
|[[Sarcoidosis|'''Sarcoidosis''']]<ref name="pmid27378039">{{cite journal |vauthors=Carmona EM, Kalra S, Ryu JH |title=Pulmonary Sarcoidosis: Diagnosis and Treatment |journal=Mayo Clin. Proc. |volume=91 |issue=7 |pages=946–54 |year=2016 |pmid=27378039 |doi=10.1016/j.mayocp.2016.03.004 |url=}}</ref><ref name="pmid12803116">{{cite journal |vauthors=Yanardağ H, Pamuk GE, Karayel T, Demirci S |title=Bone marrow involvement in sarcoidosis: an analysis of 50 bone marrow samples |journal=Haematologia (Budap) |volume=32 |issue=4 |pages=419–25 |year=2002 |pmid=12803116 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Sarcoidosis|'''Sarcoidosis''']]<ref name="pmid27378039">{{cite journal |vauthors=Carmona EM, Kalra S, Ryu JH |title=Pulmonary Sarcoidosis: Diagnosis and Treatment |journal=Mayo Clin. Proc. |volume=91 |issue=7 |pages=946–54 |year=2016 |pmid=27378039 |doi=10.1016/j.mayocp.2016.03.004 |url=}}</ref><ref name="pmid12803116">{{cite journal |vauthors=Yanardağ H, Pamuk GE, Karayel T, Demirci S |title=Bone marrow involvement in sarcoidosis: an analysis of 50 bone marrow samples |journal=Haematologia (Budap) |volume=32 |issue=4 |pages=419–25 |year=2002 |pmid=12803116 |doi= |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Years
* Years
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
| -
| style="background:#F5F5F5;" align="center" + | -
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* Squeaky sounds
* Squeaky sounds
|
| style="background:#F5F5F5;" + |
* [[Complete blood count]] ([[CBC]])
* [[Complete blood count]] ([[CBC]])
* [[Urinalysis]]
* [[Urinalysis]]
Line 1,107: Line 1,663:
* [[Electrolyte|Electrolytes]]
* [[Electrolyte|Electrolytes]]
* [[Histopathology|Histopathologic]] detection  
* [[Histopathology|Histopathologic]] detection  
|
| style="background:#F5F5F5;" + |
* In [[Chest X-ray|chest X-Ray]] is observed bilateral hiliar [[adenopathy]] (stage 1), [[reticular]] opacities and hiliar adenopathy (stage 2), shrink hiliar [[Nodule (medicine)|nodules]] and reticular opacities (stage 3) and lost of volume (stage 4)  
* On [[Chest X-ray|chest X-Ray]]:
|
** Stage 1: Bilateral hiliar [[adenopathy]]
** Stage 2: [[Reticular]] opacities and hiliar adenopathy   
** Stage 3: Shrink hiliar [[Nodule (medicine)|nodules]] and [[reticular]] opacities
** Stage 4: Lost of volume   
| style="background:#F5F5F5;" + |
* Reduced [[FVC]]
* Reduced [[FVC]]
* Decreased of [[Total lung capacity|TLC]]
* Decreased of [[Total lung capacity|TLC]]
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis, [[Histopathology|histopathologic]] detection of noncaseating [[Granuloma|granulomas]] and exclusion of other diseases
* Clinical diagnosis, [[Histopathology|histopathologic]] detection of noncaseating [[Granuloma|granulomas]] and exclusion of other diseases
|
| style="background:#F5F5F5;" + |
* Young adults
* Young adults
* [[Skin]], [[joint]] and [[eye]] lesions
* [[Skin]], [[joint]] and [[eye]] lesions
|-
|-
|'''Microscopic polyangitis ([[Microscopic polyangiitis|MPA]])'''<ref name="urlMicroscopic Polyangiitis • Johns Hopkins Vasculitis Center">{{cite web |url=https://www.hopkinsvasculitis.org/types-vasculitis/microscopic-polyangiitis/#symptoms |title=Microscopic Polyangiitis • Johns Hopkins Vasculitis Center |format= |work= |accessdate=}}</ref><ref name="pmid2323259">{{cite journal |vauthors=Cordier JF, Valeyre D, Guillevin L, Loire R, Brechot JM |title=Pulmonary Wegener's granulomatosis. A clinical and imaging study of 77 cases |journal=Chest |volume=97 |issue=4 |pages=906–12 |year=1990 |pmid=2323259 |doi= |url=}}</ref>  
| style="background:#DCDCDC;" align="center" + |'''Microscopic polyangitis ([[Microscopic polyangiitis|MPA]])'''<ref name="JennetteFalk1997">{{cite journal|last1=Jennette|first1=J. Charles|last2=Falk|first2=Ronald J.|title=Small-Vessel Vasculitis|journal=New England Journal of Medicine|volume=337|issue=21|year=1997|pages=1512–1523|issn=0028-4793|doi=10.1056/NEJM199711203372106}}</ref>  
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Hoarseness]]
* [[Hoarseness]]
* [[Stridor]]
* [[Stridor]]
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
|
| style="background:#F5F5F5;" + |
* ANCA positive
* [[ANCA]] positive
* [[Blood urea nitrogen|BUN]]
* [[Blood urea nitrogen|BUN]]
* [[Creatinine]]
* [[Creatinine]]
* [[Complete blood count]]
* [[Complete blood count]]
* [[Urinalysis]]
* [[Urinalysis]]
|
| style="background:#F5F5F5;" + |
* [[Cavitation]], [[Nodule (medicine)|nodules]] and alveolar oppacities in chest [[X-rays|X-Ray]]
* [[Cavitation]], [[Nodule (medicine)|nodules]], and alveolar opacities in [[chest X-ray]]
* Head and chest [[Computed tomography|CT]]
* Head and chest [[Computed tomography|CT]]
* [[Electromyography]]/nerve conduction
* [[Electromyography]]/[[nerve conduction study]]
|
| style="background:#F5F5F5;" + |
* Reduced [[lung volumes]]
* Reduced [[lung volumes]]
|
| style="background:#F5F5F5;" + |
* Tissue [[biopsy]]  
* Tissue [[biopsy]]  
|
| style="background:#F5F5F5;" + |
* [[Nerve]] damage
* [[Nerve]] damage
* [[Rhinosinusitis]]
* [[Rhinosinusitis]]
* [[Purpura]] involving lower extremities  
* [[Purpura]] involving lower extremities  
|-
|-
|[[Eosinophilic granulomatosis with polyangiitis|'''Churg-Strauss''']]<ref name="pmid23330816">{{cite journal |vauthors=Vaglio A, Buzio C, Zwerina J |title=Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): state of the art |journal=Allergy |volume=68 |issue=3 |pages=261–73 |year=2013 |pmid=23330816 |doi=10.1111/all.12088 |url=}}</ref><ref name="pmid6366453">{{cite journal |vauthors=Lanham JG, Elkon KB, Pusey CD, Hughes GR |title=Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome |journal=Medicine (Baltimore) |volume=63 |issue=2 |pages=65–81 |year=1984 |pmid=6366453 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[Eosinophilic granulomatosis with polyangiitis|'''Churg-Strauss''']]<ref name="pmid23330816">{{cite journal |vauthors=Vaglio A, Buzio C, Zwerina J |title=Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): state of the art |journal=Allergy |volume=68 |issue=3 |pages=261–73 |year=2013 |pmid=23330816 |doi=10.1111/all.12088 |url=}}</ref><ref name="pmid6366453">{{cite journal |vauthors=Lanham JG, Elkon KB, Pusey CD, Hughes GR |title=Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome |journal=Medicine (Baltimore) |volume=63 |issue=2 |pages=65–81 |year=1984 |pmid=6366453 |doi= |url=}}</ref>
|Chronic
| style="background:#F5F5F5;" align="center" + |Chronic
|
| style="background:#F5F5F5;" + |
* Variable
* Variable
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
* [[Rales]]
* [[Rales]]
* [[Rhonchi]]
* [[Rhonchi]]
* Expiratory noises (related to [[asthma]])
* Expiratory sounds(related to [[asthma]])
|
| style="background:#F5F5F5;" + |
* Peripherial [[eosinophilia]]
* Peripherial [[eosinophilia]]
* In active phase [[C-reactive protein|CRP]] and [[Red blood cell|erytrocyte]] [[sedimentation]] rate high  
* In active phase [[C-reactive protein|CRP]] and [[Red blood cell|erytrocyte]] [[sedimentation]] rate high  
* High levels of [[Immunoglobulin E|IgE]]
* High levels of [[Immunoglobulin E|IgE]]
* [[Anti-neutrophil cytoplasmic antibody|ANCA]] positive
* [[Anti-neutrophil cytoplasmic antibody|ANCA]] positive
|
| style="background:#F5F5F5;" + |
* Infiltrates in [[Chest X-ray|chest X-Ray]]
* Infiltrates in [[Chest X-ray|chest X-Ray]]
* Ground glass opacities , tree-in-bud sign and small nodules  in chest [[Computed tomography|CT]]
* Ground glass opacities, tree-in-bud sign and small nodules  in chest [[Computed tomography|CT]]
|
| style="background:#F5F5F5;" + |
* [[Lung volumes]] decreased
* [[Lung volumes]] decreased
* [[Vital capacity|FVC]] reduced
* [[Vital capacity|FVC]] reduced
* [[FEV1/FVC ratio]] <70%
* [[FEV1/FVC ratio]] <70%
|
| style="background:#F5F5F5;" + |
* Tissue [[biopsy]]
* Tissue [[biopsy]]
|
| style="background:#F5F5F5;" + |
* [[Asthma]]  
* [[Asthma]]  
* [[Eosinophilia]]
* [[Eosinophilia]]
* [[Rhinosinusitis]]
* [[Rhinosinusitis]]
|-
|-
| colspan="2" |[[Medication|'''Medication''']]
| colspan="2" style="background:#DCDCDC;" align="center" + |[[Medication|'''Medication''']]
|[[ACE inhibitor|'''ACE inhibitors''']]<ref name="pmid1365002">{{cite journal |vauthors=Rzeszowska G, Modrzewska R, Sebastianka M |title=[Sensitivity to antibiotics of Salmonella isolated from patients] |language=French |journal=Ann Univ Mariae Curie Sklodowska Med |volume=46 |issue= |pages=55–7 |year=1991 |pmid=1365002 |doi= |url=}}</ref><ref name="pmid1616218">{{cite journal |vauthors=Israili ZH, Hall WD |title=Cough and angioneurotic edema associated with angiotensin-converting enzyme inhibitor therapy. A review of the literature and pathophysiology |journal=Ann. Intern. Med. |volume=117 |issue=3 |pages=234–42 |year=1992 |pmid=1616218 |doi= |url=}}</ref>
| style="background:#DCDCDC;" align="center" + |[[ACE inhibitor|'''ACE inhibitors''']]<ref name="pmid1616218">{{cite journal |vauthors=Israili ZH, Hall WD |title=Cough and angioneurotic edema associated with angiotensin-converting enzyme inhibitor therapy. A review of the literature and pathophysiology |journal=Ann. Intern. Med. |volume=117 |issue=3 |pages=234–42 |year=1992 |pmid=1616218 |doi= |url=}}</ref><ref name="pmid7619667">{{cite journal| author=Wood R| title=Bronchospasm and cough as adverse reactions to the ACE inhibitors captopril, enalapril and lisinopril. A controlled retrospective cohort study. | journal=Br J Clin Pharmacol | year= 1995 | volume= 39 | issue= 3 | pages= 265-70 | pmid=7619667 | doi= | pmc=1365002 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7619667  }}</ref>
|Acute (depend on the medication)
| style="background:#F5F5F5;" align="center" + |Acute (depend on the medication)
|
| style="background:#F5F5F5;" + |
* From 2 weeks to 6 months
* From 2 weeks to 6 months
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|<nowiki>-</nowiki>
| style="background:#F5F5F5;" align="center" + |<nowiki>-</nowiki>
|✔
| style="background:#F5F5F5;" align="center" + |✔
|
| style="background:#F5F5F5;" + |
* [[Wheeze|Wheezing]]
* [[Wheeze|Wheezing]]
|
| style="background:#F5F5F5;" + |
* Not  required  
* Not  required  
|
| style="background:#F5F5F5;" + |
* No required
* No required
|
| style="background:#F5F5F5;" + |
* Normal function
* Normal function
|
| style="background:#F5F5F5;" + |
* Clinical diagnosis
* Clinical diagnosis
|
| style="background:#F5F5F5;" a+ |
* Resolves in four or five days of stopping the medication
* Resolves in four to five days of stopping the medication
*[[Angioedema]]
|}
|}



Latest revision as of 21:55, 27 February 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karina Zavaleta, MD [2]

Overview

Etiology on the basis of anatomy Diseases Clinical manifestations Diagnosis Other features
Symptoms Physical exam Imaging
Onset Coughfam Dyspnea Fever Slurred speech Cyanosis Clubbing Auscultation Labs Pulmonary function testing Chest imaging Other Gold standard
Extrathoracic upper airway diseases Laryngeal edema

(Anaphylaxis)

Acute - - -
  • Not specific
  • Not required
  • Not required

Acute onset with one of them:

Two or more after the exposure to a likely allergern

BP reduced after exposure of a known allergen

Cricoarytenoid arthritis Acute - - -
  • Clear chest
Vocal fold edema/Hematoma/Paralysis[3] Acute - - -
  • Not specific
  • Variable
  • Clear chest
  • Not required
Paradoxical vocal fold motion Acute - - -
  • Clear chest
Laryngeal stenosis[7] Acute, chronic - -
  • Not specific
  • FV loop variable
  • Clear chest
Laryngocele Chronic - - - -
  • Not specific
  • Normal function
  • Clear chest
  • Dysphagia, laryngeal discomfort
  • Usually asymptomatic
Epiglottitis (supraglottitis) Acute
Goiter
Postnasal drip syndrome
Relapsing polychondritis
Retropharyngeal abscess
Tonsillar hypertrophy
Tumor of pharynx/larynx/upper trachea
Central airway diseases

(Intrathoracic upper airway obstruction)

Mediastinal mass/lymphadenopathy
Respiratory papillomatosis
Tracheobronchomalacia
Tracheal stenosis
Tracheal and bronchial tumors
Vascular ring or aneurysm
Lower airway obstruction Bronchiectasis
Bronchiolitis
Carcinoid syndrome
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH)
Heart failure
Noncardiogenic pulmonary edema
Parasitic infection with VLM (eg, Ascaris Strongyloides, filaria)
Pulmonary thromboembolism 
Reactive airways dysfunction syndrome
Tracheobronchomalacia


Type of respiratory failure Causes/Etiology Onset Clinical manifestations Investigations Gold standard Other features
Symptoms Physical exam
Hypoxic respiratory failure (Type 1 respiratory failure) Cardiogenic pulmonary edema Acute decompensated heart failure Acute
  • Clinical diagnosis (test results are supportive)
Non cardiogenic pulmonary edema Adult respiratory distress syndrome(ARDS) Acute According to Berlin definition[12]:
  • One week of new or worse respiratory symptoms or clinical insult
  • Symptoms can not be explain by cardiac disease
  • Bilateral opacities in chest X-Ray or CT
  • Compromised oxygenation
High-Altitude Pulmonary edema (HAPE)[13] Acute
  • Clinical diagnosis
  • Occurrs over 2500 m
  • Descent is mandatory in >4000 m [13]
Neurogenic pulmonary edema Acute
Pulmonary embolism Acute, subacute, Chronic
Pneumonia[17] Acute
  • Clinical manifestations and infiltration chest X-Ray with or without microbiological test [18]
Idiopatic chronic lung fibrosis[19] Chronic
  • Lung biopsy when Lab, imaging and PFT do not allow to do the diagnosis
Hypercapnic respiratory failure (Type 2 respiratory failure) COPD
Sedative abuse
Encephalitis
Stroke
Obesity hypoventilation
Hypothermia
Hypothiroidism
Myasthenia gravis
Guillain-Barré syndrome
Perioperative respiratory failure (Type 3 respiratory failure) Post-operative atelectasis Acute
  • Clinical diagnosis with supportive test
  • Obstructive
  • Non Obstructive[21]
Type 4 respiratory failure Shock[22] Acute
  • Clinical diagnosis with supportive test [23]

Cough

Organ system Diseases Clinical manifestations Diagnosis Other features
Symptoms Physical exam
Onset Duration Productive cough Hemoptysis Weight lost Fever Dyspnea Ascultation Lab findings Imaging PFT Gold standard
Respiratory Upper airway diseases Epiglottitis[24][25] Abrupt or acute
  • 12-24 hours
- - -
  • Elevated white blood count in CBC
  • Blood culture may show bacterial growth
  • Epiglottal culture in intubated patients may show bacterial growth
  • Normal function
Croup[26] Acute
  • 3-5 days
- - -
  • Clinical diagnosis.
  • Laboratory findings and imaging are not necessary for diagnosis
Pertussis[27][28] Acute
  • Two weeks
✔ Whooping sound - -
  • Clear chest
  • Normal function
  • Culture
Laryngopharyngeal reflux[29][30] Chronic
  • Variable
- - -
  • Normal function
  • 24 hour-dual sensor pH probe
Common Cold[31] Acute
  • 3-10 days
- - -
  • Bacterial culture is not indicated
  • Normal function
  • Clinical diagnosis
Seasonal Influenza [32] Acute
  • 5-10 days
- - -
  • Normal function
  • Clinical diagnosis
Rhinosinusitis[33][34] Acute, subacute, chronic, recurrent
  • Acute: Less than 4 weeks
  • Subacute: 4-12 weeks
  • Chronic: More than 12 weeks
  • Recurrent: 4 or more episodes or acute rhinosinusitis per year
- -
  • Clear chest
  • Air-fluid level, mucosal edema and bony erosion of sinus on CT
  • MRI for distinguish the etiology
  • Normal function
Lower airway Asthma[35] Chronic
  • Years
✔ Clear mucoid or yellow sputum - - -
  • Family history
  • Seasonal variation
Acute Bronchitis[36] Acute
  • From 5 days to 1 or 3 weeks
- - -
  • FEV1 < 80%
  • Clinical diagnosis
Chronic Bronchitis[37][38] Chronic
  • Most of the days for three months in the las two years.
✔ Clear sputum - -
Non-asthmatic eosinophilic bronchitis[39][40] Chronic
  • More than 8 weeks
Eosinophilic sputum - -
  • Exposure to an occupational cause
Bronchiectasis[41] Chronic
  • Months to years
✔ Mucopurulent sputum -
  • CT of chest
Emphysema [42] Chronic
  • Months to years
✔ Mucoid or purulent sputum - -
  • Exposure of tobacco and air pollution
Foreing body aspiration[43][44][45] Acute
  • Variable
-
  • No specific
  • Not specific
  • In children <1 year and adults >75 years
  • Organic materials in children
  • Inorganic materials in adults
Bronchiolitis[46][47] Acute
  • 8-15 days
-
  • Clinical diagnosis
Parenchyma Pneumonia[48][49] Acute
  • Variable
✔ Mucopurulent sputum - -
  • Not specific
Pneumoconioses[50][51] Acute, Chronic
  • Years
- -
Lung cancer[52][53] Chronic
  • Years
-
  • Not specific
Interstitial lung disease[54][55] Chronic
  • Variable
- -
  • Lung biopsy when lab, imaging, and PFT has indeterminate result
Tuberculosis (TB)[56][57] Chronic
  • More than 2 or 3 weeks
Cystic fibrosis (CF)[58][59] Chronic
  • Variable
-
  • Evidence of CFTR dysfunction
Cardiac Cardiogenic pulmonary edema[60][61] Acute
  • Days to weeks
✔ Pink frothy, liquid - -
  • Not specific
  • Clinical diagnosis
  • Tests are supportive
Mitral Stenosis[62][63] Chronic
  • Variable
✔ Pink frothy - -
  • Not specifc
Pulmonary hypertension[64][65] Chronic
  • More than 2 years
- -
Gastrointestinal Gastroesophageal reflux[66][67] Chronic
  • Variable
- -
  • Not specific
  • Normal function
  • PH testing
--
Autoinmune Goodpasture syndrome[68][69] Chronic
  • Variable
- - -
Wegener's disease (GPA) [70][71] Chronic
  • Months
Sarcoidosis[72][73] Chronic
  • Years
- -
Microscopic polyangitis (MPA)[74] Chronic
  • Variable
Churg-Strauss[75][76] Chronic
  • Variable
  • Infiltrates in chest X-Ray
  • Ground glass opacities, tree-in-bud sign and small nodules in chest CT
Medication ACE inhibitors[77][78] Acute (depend on the medication)
  • From 2 weeks to 6 months
- - - -
  • Not required
  • No required
  • Normal function
  • Clinical diagnosis
  • Resolves in four to five days of stopping the medication
  • Angioedema

Microscopic Pathology

  1. Transmission:[79]
    1. Multiplication
    2. asjdh

Associated Conditions

Pathophysiology
Pathophysiology Gross Pathophysiology
Macroscopic a c
Microscopic b d

GASTROINTESTINAL

Condition Onset Duration Type of pain Location Exacerbating factors Alleviating factors Radiation Associated features Labs Imaging
GERD, Peptic Ulcer Acute
  • Burning
  • Antiacid
  • Food
  • Not specific
  • Not specific
  • Ambulatory reflux monitoring
  • Not specific
Esophageal Spasm Acute
  • Minutes to hours
  • Burning
  • Pressure
  • Retrosternal
  • Not specific
  • Not specific
  • Not specific (closely mimic angina)
  • Esophageal manometry is more than 20% premature contractions
  • Not specific
Esophagitis[80] Acute
  • Variable
  • Burning
  • Back
  • Not specific
  • Endoscopy
Eosinophilic esophagitis[81] Chronic
  • Variable
  • Burning
  • Retrosternal
  • Abdominal
  • Cold and dry climates
  • European ancestry
  • Not specific
  • Not specific
Esophageal perforation[82] Acute
  • Minutes to hours
  • Burning
  • Upper abdominal
  • Not specific
  • Confirmed by water-soluble contrast esophagram
Mediastinitis[83] Acute, Chronic Variable
  • Irritation
  • Retrosternal
  • Not specific
  • Not specific
  • Postive organisms in sternal culture
  • CT
  • X-Ray
Cholelithiasis[84] Acute, subacute Minutes to hours
  • Burning
  • Colicky
  • Post meal
  • Fatty foodd
  • Not specific
  • Not specific
  • Liver biochemical test
  • Amylase levels
  • Llipase levels
Pancreatitis[85] Acute, Chronic Variable
  • Pressure
  • Lying flat on the back
  • After eating
  • Drinking
  • Primary cirrhosis
  • Primary sclerosing colangitis
Sliding hiatal hernia[86] Acute Variable
  • Burning
Epigastric
  • Not specific

Rheumatic diseases:

Condition Onset Duration Type of pain Location Exacerbating factors Alleviating factors Radiation Associated features Labs Imaging
Fibromyalgia[87] Chronic Variable
  • Spreads out the tender points
Normal Blood and urine test (mandatory to rule out other diseases) Normal (mandatory to rule out other diseases)
Rheumatoid arthritis[88][89] Chronic Years
  • Both sides in the same joint
  • Wrist
  • Fingers
  • Knees
  • Feet
  • Ankles
  • Increases at mornings
  • Occupational activities related to silica and asbestos
  • Smoking
  • Wildespread
  • Not specific
  • Positive Rheumatic Factor
  • Anti-CCP body
Ankylosing spondylitis[90] Chronic Years
  • Interminent
  • Increases at morning and nights
  • Less activity
  • Not specific
  • Patients with HLA-27 variant
Psoriatic arthritis[91] Chronic Years
  • Asymmetrical
  • Intermitent (Comes and goes)
  • Less activity
  • Not specific
  • Serum complement
  • Levels of Long Prentaxin 3 protein (PTX3)
  • Increased levels of CRP
  • X-Ray
  • Utrasonography
  • CT scan
  • MRI
Sternocostoclavicular hyperostosis (SAPHO syndrome)[92] Chronic Years
  • Recurrent
  • Multifocal
  • Shrugging or retractin the ipsilateral shoulder
Systemic lupus erythematosus [93] Chronic Years Not specific
  • Sun exposure
  • Sleep quality
  • Throught the body
  • HLA-genetic mutations
  • Female gender
  • Being younger than 50
  • Chest X-Ray
Relapsing polychondritis[94] Chronic Years Intermitent
  • Not specific
  • Not specific

MUSCULOSKELETAL

Condition Onset Duration Type of pain Location Exacerbating factors Alleviating factors Radiation Associated features Diagnostic Tests
Musculo-skeletal Pain Acute, subacute Variable Pressure, aching
  • Localized to involved area
  • Increases by movement and pressure on involved area
  • Analgesics
Not specific
  • Not specific
MRI
Rib pain Acute, Chronic Variable Aching
  • Depend on the area involved
  • Movements during breathing
  • Specific position that increases the pressure
Not specific
  • Broken ribs
  • X-Ray
  • MRI
Isolated musculoskeletal chest pain syndromes[95] Acute, Chronic Variable Pressure
  • Ribs
  • Sternum
  • Joints
  • Overused
  • Stress fractures
  • Sporting activities
Not specific
  • Athlets injuries
  • Costosternal pain syndromes
  • CT
  • X-Ray
Rheumatic diseases Chronic Variable Intermitent
  • Depend on the area involve
  • Depend on the disease
Wildspread
  • Not specific
  • CT
  • X-Ray
Traumatic Acute Variable Aching
  • Localized to the area involved
  • Physicological distress
Not specific
  • Tissue adjacent
  • X-Ray
  • CT

Isolated musculoskeletal chest pain syndromes:

Condition Onset Duration Type of pain Location Exacerbating factors Alleviating factors Radiation Associated features Diagnostic Tests
Costosternal syndromes (costochondritis)[96] Acute, subacute Days to weeks Pressure Anterior part of chest wall
  • Analgesics
  • Lie down
  • Breath quietly
  • Lightly massage
  • Hot or cold compresses
  • Back
  • Stomach
  • Not specific
  • Palpation of tender areas
  • Chest X-ray
Lower rib pain syndromes[97] Chronic Variable Aching
  • Lower chest
  • Upper abdomen
  • Not specific
  • Not specifc
  • Hooking maneuver
Sternalis syndrome[98] Chronic Variable Pressure
  • Over the body of sternum
  • Sternalis muscle
  • Left or middle side of the chest wall
  • Not specific
  • Both arms
Tietze's syndrome[99] Acute Weeks Pressure
  • Exacerbated with respiration
  • Minimal physical activity
  • NSAIDs
  • Heat or ice
  • Arms
  • Shoulders
  • Sneezing
  • Exercise
  • Cough
  • Quick movements
  • Test are for rule out other diseases
Xiphoidalgia[100] Acute Variable Pressure
  • Over the xiphoid process
  • Sternum
  • Xiphosternal joint
  • Heavy meals
  • Twisting movements
  • Bending
  • Back
  • Cough
  • Heavy work
  • Provocative test
Spontaneous sternoclavicular subluxation[101] Acute, Chronic Variable Aching
  • Moderate to heavy repetitive tasks
  • Not specific
Posterior chest wall pain syndromes[102] Chronic Variable Band-like chest pain
  • Costovertebral joint
  • Scapulothoracic articulation
  • Posterior chest wall
  • Cough
  • Deep breath
  • Throwing activities
  • Not specific
  • Imaging test
  • Pain by palpation

OTHER

Condition Onset Duration Type of pain Location Exacerbating factors Alleviating factors Radiation Associated features Diagnostic Tests
Substance abuse (Cocaine)[103] Acute Hours
  • Pressure
  • Chest
Not specific
Referred pain[104] Acute, Chronic Variable
  • Corresponding dermatomes
  • Corresponding myotomes
  • Spurling maneuver
Not specific
Herpes Zoster[105][106] Acute, Chronic Variable
  • Burning
  • Chest
  • Upper back
  • Lower back
  • Light touch (in Postherpetic neuralgia PHN)
Dermatomal distribution
Domestic abuse[107] Acute, chronic Variable
  • Depend on the injury
  • Head
  • Chest
  • Neck
  • Genital area
  • Breast
  • Not specific
Not specific
  • Assesment for IPV (intimate partner violence) in patients wiht suggested abuse
Stress fracture[108] Acute Minutes
  • Aching
  • Increased activity
  • History of prior stress fracture
  • Low levels of physical activity
  • Pain medication
  • Protection of the fracture
  • Proper nutrition
  • Minimal physical activity
Not specific
  • Athlets
Sickle cell disease[109] Chronic From birth
  • Aching
  • Lower back
  • Legs
  • Chest
  • Abdomen
  • Arms
Not specific

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