WhatsDx.today
Hard Monday, Sep 14 Pulmonology
đŸ‘Ĩ 42 Clinical Minds solved this

Hyperinflated Chest

69M with a 40-pack-year smoking history has progressive exertional dyspnea, quiet breath sounds and a hyperresonant chest. This is a teaching case selected for the September 2026 daily challenge.
VITALS: SpO2 90% room air

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Emphysema
Key Insight

Destruction of alveolar walls with air trapping produces hyperinflation, reduced breath sounds and progressive dyspnea in emphysema. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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Recurrent Wheeze
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Recurrent Panic Attacks
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Painful Visual Loss
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Painless Hematochezia
Gastroenterology â€ĸ 2026-04-27
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Dysphagia to Solids and Liquids
Gastroenterology â€ĸ 2026-04-26
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Post-Antibiotic Diarrhea
Gastroenterology â€ĸ 2026-04-25
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Skip Lesions and Fistula
Gastroenterology â€ĸ 2026-04-24
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Bloody Diarrhea
Gastroenterology â€ĸ 2026-04-23
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Painless Progressive Jaundice
Gastroenterology â€ĸ 2026-04-22
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Colicky Pain with Jaundice
Gastroenterology â€ĸ 2026-04-21
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Right Upper Quadrant Pain
Gastroenterology â€ĸ 2026-04-20
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Epigastric Pain to Back
Gastroenterology â€ĸ 2026-04-19
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Copious Foul Sputum
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Pulmonology â€ĸ 2026-04-12
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Recurrent Wheeze
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Raised JVP and Edema
Cardiology â€ĸ 2026-04-10
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Holosystolic Apical Murmur
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Cardiology â€ĸ 2026-04-08
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Syncope with Harsh Murmur
Cardiology â€ĸ 2026-04-07
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Saw-Tooth Rhythm
Cardiology â€ĸ 2026-04-06
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Irregularly Irregular Pulse
Cardiology â€ĸ 2026-04-05
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Sudden Collapse with Palpitations
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Cardiology â€ĸ 2026-04-03
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Crushing Chest Pain
Cardiology â€ĸ 2026-04-02
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Exertional Chest Pain
Medicine â€ĸ 2026-04-01
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Pica with Spoon Nails
Hematology â€ĸ 2026-03-31
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Sudden Collapse with Arrhythmia
Cardiology â€ĸ 2026-03-30
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Chronic Productive Cough
Pulmonology â€ĸ 2026-03-29
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ENT â€ĸ 2026-03-28
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Fever with Splenomegaly
Medicine â€ĸ 2026-03-27
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Child with Neck Swelling
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Obstetrics â€ĸ 2026-03-25
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Painful Swollen Joint
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Confusion After Alcohol Use
Neurology â€ĸ 2026-03-23
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Surgery â€ĸ 2026-03-22
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Pediatrics â€ĸ 2026-03-21
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Failure to Pass Urine
Surgery â€ĸ 2026-03-20
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Sudden Vision Loss with Pain
Ophthalmology â€ĸ 2026-03-19
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Persistent Hoarseness
ENT â€ĸ 2026-03-18
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Dermatology â€ĸ 2026-03-17
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Sudden Weakness of One Side
Neurology â€ĸ 2026-03-16
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Severe Anemia with Neuropathy
Hematology â€ĸ 2026-03-15
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Bloody Diarrhea
Gastroenterology â€ĸ 2026-03-14
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Sudden Chest Pain in Tall Man
Medicine â€ĸ 2026-03-13
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Palpitations with Sweating
Endocrinology â€ĸ 2026-03-12
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Fatigable Muscle Weakness
Neurology â€ĸ 2026-03-11
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Nocturnal Bone Pain
Orthopedics â€ĸ 2026-03-10
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Burning Micturition with Fever
Medicine â€ĸ 2026-03-09
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Painless Hematuria
Surgery â€ĸ 2026-03-08
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Sudden Collapse After Trauma
Critical Care â€ĸ 2026-03-07
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Rheumatology â€ĸ 2026-03-04
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Endocrinology â€ĸ 2026-03-02
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Critical Care â€ĸ 2026-02-28
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Chronic Bloody Diarrhea
Gastroenterology â€ĸ 2026-02-27
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Neurology â€ĸ 2026-02-26
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Polyuria with Normal Glucose
Endocrinology â€ĸ 2026-02-25
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Sudden Chest Pain with Dyspnea
Medicine â€ĸ 2026-02-24
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Child with Neck Stiffness
Pediatrics â€ĸ 2026-02-23
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Seizures with Hypertension in Pregnancy
Obstetrics â€ĸ 2026-02-22
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Postpartum Bleeding
Obstetrics â€ĸ 2026-02-21
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Severe Anemia with Glossitis
Hematology â€ĸ 2026-02-20
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Stooped Posture and Tremor
Neurology â€ĸ 2026-02-19
○
Burning Micturition with Fever
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Fever with Pancytopenia
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Sudden Scrotal Pain
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Rheumatology â€ĸ 2026-02-15
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Sudden Severe Headache
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Recurrent Chest Infections
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Palpitations and Weight Loss
Endocrinology â€ĸ 2026-02-12
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Fatigable Weakness
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Painless Hematuria
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Night Bone Pain
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Chronic Fatty Diarrhea
Gastroenterology â€ĸ 2026-02-08
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Sudden Painless Vision Loss
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Sudden Rigid Abdomen
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Morning Stiffness
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Blue Spells in Toddler
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Progressive Dysphagia
Surgery â€ĸ 2026-02-02
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Sudden Breathlessness After Travel
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○
Pica and Spoon Nails
Hematology â€ĸ 2026-01-31
○
Sudden Unconscious Collapse
Cardiology â€ĸ 2026-01-30
○
Painful Oral and Genital Ulcers
Rheumatology â€ĸ 2026-01-29
○
Severe Bleeding After Delivery
Obstetrics â€ĸ 2026-01-28
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Warm Shock After Infection
Critical Care â€ĸ 2026-01-27
○
Wrist Drop
Neurology â€ĸ 2026-01-26
○
Dark Urine After Infection
Nephrology â€ĸ 2026-01-25
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Acute Testicular Pain
Surgery â€ĸ 2026-01-24
○
Resting Tremor and Stooped Posture
Neurology â€ĸ 2026-01-23
○
Chronic Diarrhea After Antibiotics
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Elderly Man with Bone Pain and Fractures
Orthopedics â€ĸ 2026-01-21
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Confusion and Ataxia in Alcoholic
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Young Female with Butterfly Rash
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Bloody Diarrhea with Weight Loss
Gastroenterology â€ĸ 2026-01-18
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Sudden Severe Headache
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Dysuria
Surgery â€ĸ 2026-01-16
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Chronic Productive Cough with Clubbing
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Painful Urination After Unprotected Sex
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The Crushing Chest Pain
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Painful Vesicles on Lip
Dermatology â€ĸ 2026-01-12
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Child with Wheeze
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Tender Nodules on the Shins
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Frequent Night Urination
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Neck Swelling Moves with Tongue
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Painful Swollen Joint
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Yellow Eyes and Dark Urine
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Barking Cough in Child
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Sudden Chest Pain
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Burning on Urination
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Fever with Sore Throat
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Cyclical Fevers
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Spinning Room
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Yellow Baby
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Loin to Groin
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Facial Flush
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Severe Epigastric Pain
Surgery â€ĸ 2025-12-26
○
Winter Wheeze
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○
Sports Knee Injury
Orthopedics â€ĸ 2025-12-24
○
Highs and Lows
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Heavy Periods
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Polyuria & Thirst
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Red Jelly Stool
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Groin Swelling
Surgery â€ĸ 2025-12-19
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Rice Water Stool
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Sudden Weakness
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Silvery Scales
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Irregular Cycles
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Migrating Pain
Surgery â€ĸ 2025-12-14
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Strawberry Tongue
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Chest Tightness
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Curtain Falling
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Painful Swallowing
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Feeling Down
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The Fallen Senior
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Unilateral Headache
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The Itchy Rash
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Tremors at Rest
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Sudden Collapse
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The Persistent Cough
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WhatsDx Today

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WhatsDx.today
Daily Clinical Diagnosis Game
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Hyperinflated Chest
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WhatsDx.today
Daily Clinical Diagnosis Game
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WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
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