1. History
1.1. Social
1.1.1. 40 pack Smoking
1.2. Medical
1.2.1. HTN
1.2.2. HLD
1.2.3. Lymphoma
1.2.4. Obesity
1.3. Family history
1.3.1. Cardiac disease
2. Present Illness
2.1. SOB
2.1.1. acute
2.1.2. With exeprtion
2.1.3. edema
2.1.4. PND
2.1.5. Progressive's
2.2. ROS
2.2.1. Prior viral illness
3. PE/data
3.1. Edema
3.2. Elevated JVP
4. Dyspnea
4.1. High Probability
4.1.1. Heart failure (90%)
4.1.1.1. :arrow_up: What findings increase disease probability?
4.1.1.1.1. Edema
4.1.1.1.2. JVP
4.1.1.1.3. PND
4.1.1.1.4. Dyspnea on exerption
4.1.1.1.5. HTN orthopnea
4.1.1.2. :arrow_down: What findings decrease disease probability?
4.1.1.3. What findings are missing
4.1.1.3.1. S3
4.1.1.4. Work up to confirm / rule out
4.1.1.4.1. Echo
4.1.1.4.2. BNP
4.2. Moderate Probability
4.2.1. Pulm HTN / ILD 5%
4.2.1.1. :arrow_up: What findings increase disease probability?
4.2.1.1.1. PND
4.2.1.1.2. Dyspnea on exerption
4.2.1.2. :arrow_down: What findings decrease disease probability?
4.2.1.2.1. Rapid progressive
4.2.1.3. What findings are missing
4.2.1.4. Work up to confirm / rule out
4.2.1.4.1. ECHO
4.2.2. COPD (10%)
4.2.2.1. :arrow_up: What findings increase disease probability?
4.2.2.1.1. Smoking
4.2.2.1.2. wheezing
4.3. Low Probability
4.3.1. OHS (5%)
4.3.1.1. :arrow_up: What findings increase disease probability?
4.3.1.1.1. Obese
4.3.1.2. :arrow_down: What findings decrease disease probability?
4.3.1.3. What findings are missing
4.3.1.4. Work up to confirm / rule out
4.3.2. Lung Cancer (5%)
4.3.2.1. :arrow_up: What findings increase disease probability?
4.3.2.1.1. Smoking
4.3.2.1.2. History of Cancer
4.3.2.2. :arrow_down: What findings decrease disease probability?
4.3.2.2.1. Weight gain
4.4. Cant miss
4.4.1. Pericarditis
4.4.2. PE
4.4.3. Tamponade