Differentiation between Cardiac Dyspnea and Bronchial Asthma (Physical Signs)

In this article, we will discuss the Differentiation between Cardiac Dyspnea and Bronchial Asthma (Physical Signs). So, let’s get started.

Physical Signs

Cardiac Dyspnea (asthma)

  • Tachypnea, tachycardia, cyanosis (central, peripheral)
  • Trachea central, normal in length
  • No retraction of supraclavicular fossae or intercostal spaces
  • Percussion note is dull at the bases
  • Crackles at the bases
  • Apex beat is normal or displaced
  • Breath sounds are normal
  • 3rd heart sound (gallop rhythm) may be present

Bronchial Asthma (dyspnea)

  • They are less marked
  • Trachea is central but palpable part is decreased
  • Retraction of supraclavicular fossae and/or intercostal spaces is marked
  • Hyper-resonant note may be present
  • Both crackles and rales throughout the lungs
  • Apex beat may not be normal
  • Normal breath sounds with prolonged expiration
  • No 3rd heart sound
Advertisements

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.