1. Omar A. Othman

2.   5% of all ED presentation  Associated with critical diagnosis Chest Pain

3.  Historical Points

4.  Differential Diagnosis Critical  Acute coronary syndromes (ACS),  aortic dissection,  pulmonary embolism (PE),  pneumothorax,  Pericarditis with tamponade  esophageal rupture Others  Valvular heart disease  Pneumomediastinum  Esophageal reflux  Trauma  Pneumonia

5.  Now Back to History

6.   Age>45 yrs  Hypertension  Cigarette use  Oral contraceptives  Prolonged immobilization  Pregnancy  Preceded by infection  Drugs High Risk Association

7.   Labs, assessment and radiology  Treatment Management

8.  Dyspnea

9.   Dyspnea  Tachypnea  Hyperpnea  Hyperventilation  Orthopnea  Paroxysmal nocturnal dyspnea Terms

10.  Differential Diagnosis

11.   Duration of Dyspnea.  Onset of Dyspnea.  Positional Changes.  Grades History Points

12.   Labs, Rad. And assessment  ABG  Complete blood count  Chemistry  ECG  Chest radiograph  Bronchoscopy Management

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