8 doctors weighed in:
Shortness of breath for 2 weeks. 2 ER visits. Spirometry and vitals normal. Doctors are stumped. Any thoughts?
8 doctors weighed in

Dr. Allen Seely
General Practice
6 doctors agree
In brief: Check D-DIMER, etc.
If d-dimer lab is elevated then pulmonary embolus (p.
E.) needs to be ruled out with chest ct-angio. P.E. 's are easily missed. Shortness of breath is an 'angina equivalent' so coronary heart disease needs to considered (e.g. Lab: troponin/cpk/myoglobin) another lab is a bnp which if elevated points to CHF (right or left sided heart failure) and echocardiogram may be helpful. Hope better soon!

In brief: Check D-DIMER, etc.
If d-dimer lab is elevated then pulmonary embolus (p.
E.) needs to be ruled out with chest ct-angio. P.E. 's are easily missed. Shortness of breath is an 'angina equivalent' so coronary heart disease needs to considered (e.g. Lab: troponin/cpk/myoglobin) another lab is a bnp which if elevated points to CHF (right or left sided heart failure) and echocardiogram may be helpful. Hope better soon!
Dr. Allen Seely
Dr. Allen Seely
Thank
Dr. William Walsh
Addiction Medicine
In brief: Anxiety, other brain
While a pulmonary embolism is a possibility, i'm assuming they checked for anemia, thyroid problems, pulmonary hypertension, shunting of oxygen in a fistula, etc.
If it isn't one of the above low hanging fruit, brain/anxiety issues can give a terrible sense of dyspneic with no physiologic abnormalities.

In brief: Anxiety, other brain
While a pulmonary embolism is a possibility, i'm assuming they checked for anemia, thyroid problems, pulmonary hypertension, shunting of oxygen in a fistula, etc.
If it isn't one of the above low hanging fruit, brain/anxiety issues can give a terrible sense of dyspneic with no physiologic abnormalities.
Dr. William Walsh
Dr. William Walsh
Thank
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