Causes of Difficulty in Breathing Across Organ Systems

1. Respiratory System

  • Airway: Asthma, COPD, obstruction.
  • Lungs: Pneumonia, fibrosis, ARDS.
  • Vascular: Pulmonary embolism, pulmonary hypertension.
  • Pleura: Effusion, pneumothorax.

2. Cardiovascular System

  • Heart failure: Left/right-sided.
  • Ischemic heart disease: Angina, myocardial infarction.
  • Arrhythmias and valvular disease.
  • Pericardial effusion/tamponade.

3. Hematologic System

  • Anemia, carbon monoxide poisoning.

4. Neuromuscular and Skeletal

  • Neuromuscular disorders: Myasthenia gravis, ALS.
  • Chest wall deformities: Kyphoscoliosis, obesity hypoventilation.

5. Gastrointestinal

  • GERD, aspiration, abdominal distension.

6. Endocrine and Metabolic

  • Thyroid disorders: Hyper/hypothyroidism.
  • Diabetic ketoacidosis, electrolyte imbalances.

7. Psychiatric

  • Anxiety, panic disorder, somatic symptoms.

8. Miscellaneous/Systemic

  • Sepsis, shock, anaphylaxis, high-altitude sickness.