From: Approach to undifferentiated dyspnea in emergency department: aids in rapid clinical decision-making
Emergency department diagnosis | Number of patients | Number of incorrect ED diagnosis | Final discharge diagnosis of incorrect ED diagnosis cases |
---|---|---|---|
ADHF (systolic or diastolic heart failure) | 43 | 2 | 1. Volume overload/AKI 2. Acute bilateral bronchopneumonia |
COPD | 4 | Nil | |
ARDS | 7 | 1 | Anaphylaxis |
Acute pulmonary embolism | 7 | 4 | 1. ASD/Beri beri 2. Pneumonia/sepsis with DIC 3. ADHF/pneumonia/severe anemia 4. ILD with Ac exacerbation of PAH |
Acute pneumonia | 4 | 1 | Severe anemia with ADHF |
Volume overload (AKI, CKD) | 4 | Nil | |
Massive pleural effusion | 3 | Nil | |
Both (cardiac and non-cardiac) | 28 | 3 | 1. IPF acute exacerbation/RV failure 2. ADHF/malignant effusion 3. Severe anemia/RPGN |