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Patients with dyspnea in the practice of a general practitioner

https://doi.org/10.18093/0869-0189-2020-30-6-842-846

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Abstract

Shortness of breath, a subjective feeling of lack of air, is one of the most common complaints that patients present to a general practitoner or any other primary care doctor. The range of pathological conditions and diseases accompanied by shortness of breath is diverse and often poses a difficult diagnostic task for the doctor. These conditions may include such life-threatening pathologies as myocardial infarction or pulmonary embolism on the one hand, and conditions that are relatively “harmless” from a prognostic point of view, such as hyperventilation syndrome and detraining, on the other. The more experienced a doctor is, the wider this range will be. However, certain stereotypes are usually triggered in the management of such patients in the routine practice and the pathology that the general practitioner faces most often, prevails. Our clinical example clearly shows how the present cardiovascular condition (hypertension) masks other signs, and the shortness of breath is easily explained by a complication of hypertension - heart failure. Nevertheless, this case turned out to be more complicated. This clinical example shows the main problems of differential diagnosis of shortness of breath in the practice of a general practitioner or a family doctor. This case emphasizes that a multidisciplinary approach should be applied to the diagnosis and treatment of patients with dyspnea.

For citations:

Gordeeva N.V., Demko I.V., Mamaeva M.G., Zelenyy S.V., Kraposhina A.Yu., Solov 'eva I.A., Mosina V.A., Verbitskaya Е.A., Tolstokorova Yu.A. Patients with dyspnea in the practice of a general practitioner. PULMONOLOGIYA. 2020;30(6):842-846. (In Russ.) https://doi.org/10.18093/0869-0189-2020-30-6-842-846

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)

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