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31 Possible Causes for Barrel Chest, Exertional Dyspnea, Medication Noncompliance

  • Obesity

    Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media[dx.doi.org] Because dyspnea with exertion and lower extremity edema are often nonspecific signs of heart disease in obesity, 27–29 it may be difficult to clinically assess an obese individual[dx.doi.org] The populations in the studies reviewed were generally self‐ or researcher‐selected, and often noncompliant patients were excluded from analyses.[dx.doi.org]

  • 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] A 62-year-old man with asthma presented with a 1-month history of wheezing and exertional dyspnea.[ncbi.nlm.nih.gov] A 47-year-old woman with a 6-month medical history of "asthma" presented to our hospital with a 1-month history or dyspnea on exertion.[ncbi.nlm.nih.gov]

  • 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] According to the history of chronic cough and exertional dyspnea, he was treated with inhaled corticosteroids for COPD.[ncbi.nlm.nih.gov] On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[radiopaedia.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] […] on exertion and shortness of breath.[medbullets.com] 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]

  • Acute Bronchitis

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] […] on exertion wheezing, rhonchi, or other signs of obstruction may have accompanying URI symptoms (for example, fever, sore throat, nasal congestion, runny nose) Past medical[clinicaladvisor.com] General physical signs Barrel chest (increased anteroposterior diameter) Diaphragm appears lower and flatter Paradoxical inward movement of the lower ribs and visible interspaces[physio-pedia.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] dyspnea ratings and greater respiratory mechanical constraints at a standardized work rate than patients without CB (P .05).[ncbi.nlm.nih.gov]

  • 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] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[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]

  • Recurrent Pulmonary Embolism

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

  • Pulmonary Disorder

    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] 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] Patients with chronic obstructive pulmonary disease typically present with coughing, sputum production, and dyspnea on exertion.[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] .[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] Distinct sensations include effort/work, chest tightness, and air hunger (the feeling of not enough oxygen).[1] Dyspnea is a normal symptom of heavy exertion but becomes pathological[en.wikipedia.org]

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