| Clinical evaluation of exertional dyspnea. | |
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MedLine Citation:
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PMID: 8088092 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The medical history is the first step in the clinical evaluation of exertional dyspnea. It should include pertinent questions about the characteristics of dyspnea, especially descriptive qualities, onset, frequency, severity, and activities that provoke the symptom. Based on this information, along with the physical examination, the health care provider should be able to categorize the cause of exertional dyspnea as suspected cardiac disease, suspected respiratory disease, or as unexplained. Laboratory testing is ordered using a logical approach to diagnose the most probable cause of dyspnea. Cardiopulmonary exercise testing is indicated to differentiate cardiac and respiratory limitation, to document deconditioning, and to identify psychogenic dyspnea. The measurement of dyspnea and leg discomfort during exercise testing can be performed using the Borg 0 to 10 category-ratio scale or the visual analog scale. These perceptual responses can provide useful information about symptom limitation, which is complementary to physiologic data. |
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Authors:
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D A Mahler; M B Horowitz |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinics in chest medicine Volume: 15 ISSN: 0272-5231 ISO Abbreviation: Clin. Chest Med. Publication Date: 1994 Jun |
Date Detail:
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Created Date: 1994-10-14 Completed Date: 1994-10-14 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7907612 Medline TA: Clin Chest Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 259-69 Citation Subset: IM |
Affiliation:
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Department of Medicine, Dartmouth Medical School, Lebanon, New Hampshire. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Dyspnea* / diagnosis, etiology, physiopathology Exercise Test* Female Heart Diseases / complications, diagnosis, physiopathology Humans Male Middle Aged Physical Examination* Physical Exertion* Respiration Disorders / complications, diagnosis, physiopathology |
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