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33 Possible Causes for Barrel Chest, Cyanosis, 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[doi.org] […] you: otc inhalers Seek medical help immediately for: Fast breathing with chest retractions (skin sucks in between or around the chest plate and/or rib bones when inhaling) Cyanosis[aafa.org] Extrathoracic respiratory signs should also be systematically looked for, including cyanosis, finger deformation, pulsus paradoxus, and pursed lips breathing.[erj.ersjournals.com]

  • 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] The is caused by the lack of oxygen in the bloodstream, a condition known as cyanosis.[verywell.com] On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[radiopaedia.org]

  • Chronic Bronchitis

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] Symptoms of chronic bronchitis include the following: Cough Sputum production Fever Nausea, anorexia General malaise and fatigue Chest pain Dyspnea and cyanosis (only seen[symptoma.com] […] 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]

  • Chronic Right-Sided Congestive Heart Failure

    Factors aggravating heart failure • Myocardial ischemia or infarct • Dietary sodium excess • Excess fluid intake • Medication noncompliance • Arrhythmias • Intercurrent illness[slideshare.net] Go through your normal ABCs, look for signs of cardiogenic shock such as cyanosis, clammy, and diaphoretic skin.[medictests.com] Medication noncompliance: Frequently, diuretics are not taken as prescribed due to the urinary side-effects.[healio.com]

  • Cor Pulmonale

    Acute Precipitating Factors Include (1) excessive Na intake, (2) noncompliance with heart failure medications, (3) acute MI (may be silent), (4) exacerbation of hypertension[accessmedicine.mhmedical.com] A 57-year-old man with deep vein thrombosis in his left calf developed acute progressive dyspnea with hypoxemia, cyanosis and the clinical picture of acute cor pulmonale,[ncbi.nlm.nih.gov] ., nodular opacities in interstitial lung disease, barrel chest in COPD ) Additional tests to screen for underlying cause Laboratory: HIV test, liver function tests ( portopulmonary[amboss.com]

  • 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] Inspection should focus on Signs of respiratory difficulty and hypoxemia (eg, restlessness, tachypnea, cyanosis, accessory muscle use) Signs of possible chronic pulmonary[msdmanuals.com] People with COPD sometimes develop a barrel-shaped chest due to an enlargement of the lungs.[sleepfoundation.org]

  • 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] […] exercise Feeling tired Feeling weak Feeling pain or pounding in the chest (the pounding is called palpitations) Swelling of the legs due to fluid retention ( edema ) Developing cyanosis[my.clevelandclinic.org] Physical examination revealed barrel chest, with obvious use of accessory respiratory muscle.[omicsonline.org]

  • Neonatal Respiratory Distress Syndrome

    Even if the lung is opened in the DR, with or without the help of mask and bag ventilation, a noncompliant surfactant-deficient lung has a tendency to collapse and lung volume[journals.plos.org] A condition of the newborn marked by dyspnea with cyanosis, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal[icd9data.com] Examination may reveal a barrel-shaped chest, with rales and rhonchi heard on auscultation.[aafp.org]

  • Pneumothorax

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] In tension pneumothorax, patients are distressed with rapid laboured respirations, cyanosis, profuse diaphoresis, and tachycardia.[bestpractice.bmj.com] .[58] Tension pneumothorax – the presence of which may be suspected due to rapidly deteriorating heart function, absent lung sounds throughout the thorax, and a barrel-shaped[en.wikipedia.org]

  • Alpha-1 Antitrypsin Deficiency

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] Hyperinflation results in barrel chest, increased percussion note, decreased breath sound intensity (see breath sound assessment video, below), and distant heart sounds.[emedicine.medscape.com] A physical examination may reveal a barrel-shaped chest, wheezing, or decreased breath sounds.[nlm.nih.gov]

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