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First level: Cardiovascular

Diagnosis 1:    Acute Myocardial Infarction

Diagnosis 2:   Congestive Heart Failure

Diagnosis 3:    Cardiac Tamponade

Second level: Respiratory 

Pleural:

Diagnosis 1: Pneumothorax/Tension Pneumothorax

Adults

Children 

Lower airway:

Diagnosis 1: Asthma

Acute management

Chronic management

Diagnosis 2: Chronic Obstructive Pulmonary Disease

Chronic management

Acute exacerbation management

Diagnosis 3: Congestive Heart Failure

Parenchymal:

Diagnosis 1: Pneumonia

Diagnosis 2: Pulmonary Embolism

Upper Airway:

Diagnosis 1: Aspiration

Diagnosis 2: Anaphylaxis 

DYSPNEA: Acute Acute Presents in minutes to hours Chronic Dyspnea Asthma* AECOPD CHF Cardiovascular Respiratory Vascular Airway Pleural Parenchymal Pneumothorax (Tension*) Pneumonia Myocardial Infarction* Cardiac Tamponade* CHF Pulmonary Embolism* Lower Airway (Wheeze) Upper Airway (Stridor) Aspiration* Anaphylaxis** Denotes acutely life-threatening causes

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