This document provides a differential diagnosis for a patient presenting with difficulty breathing and chest pain. It rules in and rules out three potential diagnoses: pulmonary embolism, myocardial infarction, and pneumothorax secondary to tuberculosis. For pulmonary embolism, factors that rule it in include difficulty breathing, chest pain, rapid breathing, smoking history, and cyanosis; factors ruling it out include lack of shock, syncope, or hemoptysis. For myocardial infarction, ruling it in are chest pain, smoking history, palpitations and fatigue; ruling it out is pain not radiating and presence of wheezes. For pneumothorax secondary to tuberculosis, prior tuberculosis diagnosis and smoking rule it in, while lack of
This document provides a differential diagnosis for a patient presenting with difficulty breathing and chest pain. It rules in and rules out three potential diagnoses: pulmonary embolism, myocardial infarction, and pneumothorax secondary to tuberculosis. For pulmonary embolism, factors that rule it in include difficulty breathing, chest pain, rapid breathing, smoking history, and cyanosis; factors ruling it out include lack of shock, syncope, or hemoptysis. For myocardial infarction, ruling it in are chest pain, smoking history, palpitations and fatigue; ruling it out is pain not radiating and presence of wheezes. For pneumothorax secondary to tuberculosis, prior tuberculosis diagnosis and smoking rule it in, while lack of
This document provides a differential diagnosis for a patient presenting with difficulty breathing and chest pain. It rules in and rules out three potential diagnoses: pulmonary embolism, myocardial infarction, and pneumothorax secondary to tuberculosis. For pulmonary embolism, factors that rule it in include difficulty breathing, chest pain, rapid breathing, smoking history, and cyanosis; factors ruling it out include lack of shock, syncope, or hemoptysis. For myocardial infarction, ruling it in are chest pain, smoking history, palpitations and fatigue; ruling it out is pain not radiating and presence of wheezes. For pneumothorax secondary to tuberculosis, prior tuberculosis diagnosis and smoking rule it in, while lack of
Difficulty of Breathing (-) signs of shock Chest Pain (9/10) (-) syncope RR- 30cpm (-) Hemoptysis (+) Smoker (-) for other risk factors (+) Cyanosis, Cough, & that wound increase Dizziness chances of having (+) Chest Tightness pulmonary embolism (+) Palpitations Audible Wheezes
Myocardial Infarction
Rule In Rule Out
(+) DOB Chest Pain does not Chest Pain (9/10) radiate to arms, neck, or (+) Chest Tightness jaw (+) Smoker and Drinker (+) wheezes (+) Palpitations (+) Easy Fatigability and Dizziness
Pneumothorax secondary to Tuberculosis
Rule In Rule Out
Diagnosed with TB (-) Low Grade fever (2014, Treated) (-) hemoptysis (+) DOB (-) other supporting (+) smoker laboratory examinations (+) cyanosis and and ancillary procedure wheezes to diagnose it as (+) weight loss and Tuberculosis cough (+) easy fatigability
Hytension For 16 Years Men (64 Years Old) Cigarette Smoking (32 Pack Years) Alcoholic Drinker For 32 Years Fond of Eating Fatty Foods Physical Inability Sodium Intake Hereditary