Question

58 yo female presents to clinic c/w SOB and increasing slowly for yrs. Symptoms worse in...

58 yo female presents to clinic c/w SOB and increasing slowly for yrs.

Symptoms worse in recent months, last 2 days much worse with productive cough.

Ankles swelling.

Additional hx:

60 pack-yr; quit 5 yrs. Ago

Yellow sputum

No fever, no chills or chest pain

No weight loss

No hx of heart disease

Additional
No TB or asbestos exposure-no occupational exposure
no allergies
no hx of asthma
occasional bronchitis

What is the differential diagnosis

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Answer #1

The differential diagnosis are:

  • Anemia
  • Thyrotoxicosis
  • Metabolic acidosis
  • Renal dysfunction
  • Liver dysfunction
  • Chronic obstructive pulmonary disease
  • Restrictive lung disorder
  • Pulmonary hypertension
  • Obesity
  • Lower Respiratory tract infection
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