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Dyspnea – ⸻ Types 1. Exertional → HF / COPD / Anemia 2. Orthopnea (supine worse) → Left ventricular failure 3. PND (sudden night attack) → LV failure 4. Trepopnea (one lateral side worse) → Pleural effusion / Unilateral lung disease 5. Platypnea (sitting worse) → Hepatopulmonary syndrome / R→L shunt 6. Acute sudden → PE / Pneumothorax / Anaphylaxis / MI 7. Chronic progressive → COPD / ILD / HF 8. Episodic → Asthma 9. Deep labored (Kussmaul) → DKA / Metabolic acidosis ⸻ Clinical Differentiation C
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