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37 Possible Causes for Barrel Chest, Hyperresonance

  • Chronic Obstructive Pulmonary Disease

    On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[] […] cough or expectoration Breathing may be assisted by pursed lips and use of accessory respiratory muscles; patients may adopt the tripod sitting position The chest may be hyperresonant[] chest) Wheezing – Frequently heard on forced and unforced expiration Diffusely decreased breath sounds Hyperresonance on percussion Prolonged expiration Coarse crackles beginning[]

  • Asthma

    Exosomes are nanosized vesicles and have recently been recognized as important players in cell-to-cell communication. Exosomes contain different mediators such as proteins, nucleic acids (DNA, mRNA, miRNAs, and other ncRNAs), and lipid mediators and can shuttle their exosomal content to both neighboring and distal[…][]

  • 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[] As the disease progresses, patients often develop decreased breath sounds (likelihood ratio [LR] 10.2 for breath sound score less than or equal to 9), hyperresonance (LR 5.1[] Hyper-expansion of the chest- In advanced disease the chest wall can become barrel shaped. Reduced chest expansion. Reduced breath sounds, wheeze and crackles.[]

  • Hypoventilation

    Thoracic examination Upon thoracic examination, patients with obstructive lung disease have diffuse wheezing, hyperinflation (barrel chest), diffusely decreased breath sounds[] Barrel chest (emphysema) 7. Use of accessory muscles for breathing 8. Prolonged expiration 9. Orthopnea 10. Cardiac dysrhythmias 11.[] […] examination Upon thoracic examination, patients with obstructive lung disease generally have Diffuse wheezing, hyperinflation (barrel chest), Diffusely decreased breath sounds, Hyperresonance[]

  • Respiratory Acidosis

    Barrel chest (emphysema) 7. Use of accessory muscles for breathing 8. Prolonged expiration 9. Orthopnea 10. Cardiac dysrhythmias 11.[] Thoracic examination of the patients may reveal the following signs: Wheezing Decreased breath sounds Hyperinflation Hyperresonance on percussion Prolonged expiration Rhonchi[] chest, breath sounds, hyperresonance on percussion, prolonged expiration; depressed mental status due to CO 2 , accompanied by asterixis, myoclonus, seizures, papilledema[]

  • Silicosis

    The working environment of stone miners has been believed to cause their susceptibility to respiratory diseases. Silicosis is an occupational disease caused by exposure to crystalline silica dust which is marked by inflammation and scarring in the lung. The immune system boosted after the silica invasion led to[…][]

  • Hyperactive Airway Disease

    Barrel chest – Patients may also exhibit an increased anteroposterior diameter of the chest because of severe lung consolidation.[] Hyperresonance of the lungs – Hyperresonance may indicate lung consolidation because of accumulation of pulmonary secretions.[]

  • Pulmonary Bullous Emphysema

    This may also add to the appearance of a barrel chest. Bulla (Bullae).[] Physical examination revealed cachexia, with decreased apical breath sounds and hyperresonance to percussion in both lungs.[] He was tachypneic and had no breath sounds over his right hemithorax, which was hyperresonant to percussion.[]

  • Alpha-1 Antitrypsin Deficiency

    Hyperinflation results in barrel chest, increased percussion note, decreased breath sound intensity (see breath sound assessment video, below), and distant heart sounds.[] Hyperresonant breath sounds : An increased echo quality of the breath sounds when listening with a stethoscope can indicate that there is emphysema, as there is more air and[] Other common symptoms include: Unintentional weight loss Vision changes Fatigue Repeated respiratory infections Rapid heartbeat when standing Barrel-shaped chest A1AD also[]

  • Chest Wall Disorder

    chest M95.4 Concavity chest wall M95.4 Deformity Q89.9 ICD-10-CM Diagnosis Code Q89.9 Congenital malformation, unspecified 2016 2017 2018 2019 Billable/Specific Code POA[] Physical findings classically consist of absent tactile fremitus, hyperresonance to percussion, and decreased breath sounds on the affected side.[] Pneumothorax - General Physical Findings Physical findings correlate with degree of symptoms and size Mild sinus tachycardia Decreased or absence breath sounds Hyperresonance[]

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