Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Dyspnea.

Joseph R Shiber1, Jose Santana

  • 1Department of Medicine, East Carolina University, Greenville, NC 27834, USA. shiberj@mail.ecu.edu

The Medical Clinics of North America
|February 14, 2006
PubMed
Summary
This summary is machine-generated.

Initial office evaluation of dyspneic patients requires assessing airway, breathing, and circulation. Most cases involve acute cardiopulmonary issues, but severe cases may need emergency transfer to an emergency department (ED) for diagnosis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Management of Traumatic Liver Failure Using Molecular Adsorbent Recirculating System (MARS) Treatment.

The American surgeon·2025
Same author

High-Intensity vs Low-Intensity Noninvasive Positive Pressure Ventilation and Need for Endotracheal Intubation.

JAMA·2025
Same author

Comments About Timing of Intubation for COVID-19.

Critical care medicine·2024
Same author

Antipsychotics for Agitation to Allow Treatment of the Underlying Disorder Causing Delirium.

Critical care medicine·2024
Same author

Persistently elevated liver enzymes and bile acids, icterus, and weight loss in a 1.5-year-old Thoroughbred colt.

Journal of the American Veterinary Medical Association·2024
Same author

Postpartum Hemorrhage.

The New England journal of medicine·2021
Same journal

Care Transitions Continue to Evolve.

The Medical clinics of North America·2026
Same journal

Navigating the Gaps: A Comprehensive Overview of Care Transitions Across the Continuum.

The Medical clinics of North America·2026
Same journal

Care Transitions and Value-Based Payment Models in the United States.

The Medical clinics of North America·2026
Same journal

Technology and Innovation in Care Transitions: Imagining the Future of Postdischarge Care.

The Medical clinics of North America·2026
Same journal

Primary Care, Specialists, and Hospitals: Bridging the Gaps in Communication and Coordination.

The Medical clinics of North America·2026
Same journal

Social Determinants of Health: Unique Considerations in Transitions of Care.

The Medical clinics of North America·2026
See all related articles

Area of Science:

  • Internal Medicine
  • Pulmonology
  • Cardiology

Background:

  • Dyspnea is a common presenting symptom in outpatient settings.
  • Prompt evaluation is crucial for identifying acute cardiopulmonary disorders.
  • Management strategies vary based on patient stability.

Purpose of the Study:

  • To outline the initial assessment of dyspneic patients in an office setting.
  • To differentiate between conditions treatable in the office and those requiring emergent transfer.
  • To emphasize the role of the emergency department (ED) for complex cases.

Main Methods:

  • Focused history taking and physical examination.
  • Assessment of airway, breathing, and circulation (ABCs).
  • Clinical judgment to determine patient disposition (home vs. transfer).

Related Experiment Videos

Main Results:

  • Most dyspneic patients present with identifiable and treatable acute cardiopulmonary conditions like CHF, cardiac ischemia, pneumonia, asthma, or COPD exacerbation.
  • Stable patients who improve can be discharged home.
  • Patients in acute distress or with unstable conditions require emergent transfer to definitive care.

Conclusions:

  • Office-based evaluation of dyspnea necessitates a rapid ABC assessment and focused workup.
  • Timely identification of acute cardiopulmonary disorders guides initial management.
  • Transfer to an ED is essential for definitive diagnosis and management of unstable or complex outpatient dyspnea cases.