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27 Possible Causes for Barrel Chest, Hyperventilation, 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] Her Nijmegen score dropped from positive to negative for hyperventilation (from 39 to 7). Her anxiety-depression levels both reduced into 'normal' ranges.[ncbi.nlm.nih.gov] HYPERVENTILATION SYNDROME AND GLOTTIC DYSFUNCTION There are several conditions that may mimic asthma, such as hyperventilation syndrome or various types of glottic dysfunction[dx.doi.org]

  • Chronic Obstructive Pulmonary Disease

    On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[radiopaedia.org] noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] ABGs Usually near normal due to compensatory hyperventilation; arterial pO 2 is in the mid-70s, pCO 2 is low to normal; PPs have tidal volume and retraction of accessory[medical-dictionary.thefreedictionary.com]

  • Obesity

    Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media[dx.doi.org] Many patients have a tendancy to hyperventilate at the first impression of positive pressure.[web.archive.org] The populations in the studies reviewed were generally self‐ or researcher‐selected, and often noncompliant patients were excluded from analyses.[dx.doi.org]

  • Psychogenic Hyperventilation

    . • Patients who have been noncompliant with instructions for CPAP use prior to surgery and are in need of CPAP post surgery, pose the highest risk of potential complications[slideshare.net] […] the hyperventilation were absent.[ncbi.nlm.nih.gov] . #7 If we review only barrel shaped chest, hyperresonant percussion sound, CXR: hyperinflated lung. Patient is ex-smoker.[forums.studentdoctor.net]

  • Acute Hyperventilation

    Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia.[quizlet.com] . • Patients who have been noncompliant with instructions for CPAP use prior to surgery and are in need of CPAP post surgery, pose the highest risk of potential complications[slideshare.net] Symptoms of hyperventilation are likewise independent of the inspired oxygen concentration for the range studied.[ncbi.nlm.nih.gov]

  • 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] Patients with predominantly emphysema on the other hand are described as “pink puffers” as they are very breathless and hyperventilating (with pursed lips) but have near normal[myvmc.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]

  • 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] Patients with predominantly emphysema, on the other hand, are described as “pink puffers” as they are very breathless and hyperventilate (with pursed lips), but have near[myvmc.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]

  • Hypoventilation

    Previous history of venous thromboembolism, morbid obesity, male sex, hypertension, increasing age, and noncompliance with PAP treatment may further increase mortality risk[anesthesiology.pubs.asahq.org] The possible advantages of deliberate hyperventilation were explored in 128 patients undergoing thoracic surgery.[jamanetwork.com] Thoracic examination Upon thoracic examination, patients with obstructive lung disease have diffuse wheezing, hyperinflation (barrel chest), diffusely decreased breath sounds[emedicine.medscape.com]

  • 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.[emedicine.medscape.com] noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] A physical examination may reveal a barrel-shaped chest, wheezing, or decreased breath sounds.[nlm.nih.gov]

  • Bronchitis

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] , 33: 783-787. 10.1023/A:1025145331149 View Article PubMed Google Scholar Dean JB, Mulkey DK, Henderson RA, Potter SJ, Putnam RW: Hyperoxia, reactive oxygen species, and hyperventilation[doi.org] 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]

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