(1) Acute dyspnea can be caused by obstructive or non-obstructive factors. Obstructive causes include asthma, COPD exacerbation, foreign body, and anaphylaxis. Non-obstructive causes include pleural disease, pulmonary embolism, ARDS, pneumonia, ischemic heart disease, and CHF exacerbation. (2) Clinical exams can help determine the underlying cause, such as a prolonged expiration indicating asthma or COPD, while bradypnea may suggest drug-induced respiratory depression. Additional tests include ECG, chest X-ray, and blood gas analysis. (3) The pattern of respiration like Kussmaul’s breathing or Cheyne