Clinical Assessment of dyspnea

Include a complete history, including:

  1. onset – acute or chronic
  2. if it is affected by positioning
  3. its qualities
  4. associated symptoms
  5. precipitation and reliving events or activities
  6. underlying lung or cardiac disease
  7. concurrent medical conditions
  8. allergy history
  9. elicit details of previous medications or treatments
Physical Assessment:
Perticular attention should be directed at signs associated with certain clincial synfromes that are common causes of dysnpnea.
  • dullness to percussion
  • decreased tactile fremitus
  • absent breath sounds associated with pleural effusion in an individual with lung cancer
  • elevated jugular venous pressure
  • audible third heart sound
  • bilateral crackles audible on chest examination associated with CHF
  • distant heart sounds
  • pulsus paradoxus in individuals with pericardial effusions.
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