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14 Possible Causes for Barrel Chest, Complete Blood Count Abnormal, Medication Noncompliance

  • Asthma

    A meta-analysis by DiMatteo et al [ 50 ] revealed that patients with a chronic disease and depression were three times more likely to be noncompliant with medical treatment[dx.doi.org] Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety and depression on patient adherence.[ncbi.nlm.nih.gov] View Article Google Scholar DiMatteo MR, Lepper HS, Croghan TW: Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety[dx.doi.org]

  • Chronic Obstructive Pulmonary Disease

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[radiopaedia.org] Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard on forced and unforced expiration Diffusely decreased breath sounds Hyperresonance[emedicine.medscape.com]

  • Chronic Bronchitis

    […] respiratory acidosis increased PCO2 CXR decreased lung markings with flattened diaphragm hyperinflated lungs with bullae and/or blebs thin-appearing heart and mediastinum barrel-chest[step2.medbullets.com] noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] Over time, many people develop a barrel chest as the size of the lungs increases because of trapped air.[merckmanuals.com]

  • Chronic Right-Sided Congestive Heart Failure

    Wall – inspect chest wall for signs of trauma, barrel chest from COPD or accessory muscle use.[medictests.com] Factors aggravating heart failure • Myocardial ischemia or infarct • Dietary sodium excess • Excess fluid intake • Medication noncompliance • Arrhythmias • Intercurrent illness[slideshare.net] Medication noncompliance: Frequently, diuretics are not taken as prescribed due to the urinary side-effects.[healio.com]

  • Recurrent Pulmonary Embolism

    noncompliance, cardiac ischemia, dysrhythmias, renal failure, pulmonary emboli, hypertension, and infections. [13] Treatment efforts are directed towards decreasing lung[en.wikipedia.org] Physical examination revealed barrel chest, with obvious use of accessory respiratory muscle.[omicsonline.org] These signs may be obscured by obesity or by a barrel chest with increased anteroposterior diameter.[tmj.ro]

  • Pulmonary Disorder

    Psychological Factors in COPD Depression and anxiety in COPD patients have led to lower exercise tolerance, greater difficulty in stopping smoking, noncompliance with treatment[primarypsychiatry.com] Signs of possible chronic pulmonary disease include clubbing, barrel chest (the increased anterior-posterior diameter of the chest present in some patients with emphysema)[msdmanuals.com] People with COPD sometimes develop a barrel-shaped chest due to an enlargement of the lungs.[sleepfoundation.org]

  • Wilson Disease

    Not unexpectedly, the deterioration of the disease in its various forms was detected almost invariably in noncompliant patients.[scielo.br] Hyperinflation results in barrel chest, increased percussion note, decreased breath sound intensity, and distant heart sounds.[intranet.tdmu.edu.ua]

  • Chronic Pulmonary Edema

    Examples of tests used in diagnosing pulmonary edema include: complete blood count echocardiogram, or an ultrasound, to check for abnormal heart activity chest X-ray to see[healthline.com] ) Patient noncompliance with medications (eg, diuretics) Severe anemia Sepsis Thyrotoxicosis Myocarditis Myocardial toxins (eg, alcohol, cocaine, chemotherapeutic agents such[emedicine.medscape.com] Wall – inspect chest wall for signs of trauma, barrel chest from COPD or accessory muscle use.[medictests.com]

  • Atrial Arrhythmia

    chest, tachypnea, or adventitious lung sounds in patients with underlying pulmonary disease.[thecardiologyadvisor.com] blood count Identify comorbid conditions (e.g., anemia, infection) Complete metabolic profile Identify electrolyte abnormalities that may cause or exacerbate atrial fibrillation[aafp.org] There will never be an S4 heart sound present during atrial fibrillation, as this heart sound is produced when atrial contraction forces blood into a noncompliant left ventricle[healio.com]

  • Status Asthmaticus

    ., pneumonia, pneumothorax ) Normal in mild cases Signs of pulmonary hyperinflation in cases of severe asthma Low, flattened diaphragm Wide intercostal spaces Barrel chest[amboss.com] Each patient should have a complete blood count (CBC), basic metabolic panel (BMP), prothrombin time, international normalized ratio index, magnesium, and parathyroid hormone[journals.sagepub.com] Yet we found that noncompliance with medications and smoking and illicit drug usage increased in this recent 5‐year period compared with the prior study period.[journalofhospitalmedicine.com]

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