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42 Possible Causes for Barrel Chest, Medication Noncompliance, Respiratory Failure

  • 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] (47%) had other causes of respiratory failure, including pulmonary embolism, pneumothorax, etc.[ncbi.nlm.nih.gov]

  • 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] Emerging evidence suggests that attenuating the decline in lung density may prolong the time to respiratory failure.[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] These events may contribute to the increased inflammatory events leading to respiratory failure.[ncbi.nlm.nih.gov] […] 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]

  • 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] His arterial blood gas revealed type 1 respiratory failure (PaO2 2016 BMJ Publishing Group Ltd.[ncbi.nlm.nih.gov] In the absence of trials conducted in ICUs, no conclusion can be drawn regarding children with impending respiratory failure.[ncbi.nlm.nih.gov]

  • Obesity

    Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media[dx.doi.org] After 14 days, the patient started to develop acute respiratory failure, and neurological functions were impaired.[ncbi.nlm.nih.gov] The populations in the studies reviewed were generally self‐ or researcher‐selected, and often noncompliant patients were excluded from analyses.[dx.doi.org]

  • 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] Respiratory muscle weakness is an uncommon cause of chronic respiratory failure and a rare cause of 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]

  • 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] Patient was incubated and connected to mechanical ventilator in view of dropping saturation and respiratory failure.[ijhas.in] Physical examination revealed barrel chest, with obvious use of accessory respiratory muscle.[omicsonline.org]

  • Status Asthmaticus

    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] The study population included 1,257 adults with respiratory failure requiring ECLS. Status asthmaticus was the primary indication for ECLS in 24 patients.[ncbi.nlm.nih.gov] ., 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]

  • Chronic Pulmonary Edema

    Wall – inspect chest wall for signs of trauma, barrel chest from COPD or accessory muscle use.[medictests.com] ) Patient noncompliance with medications (eg, diuretics) Severe anemia Sepsis Thyrotoxicosis Myocarditis Myocardial toxins (eg, alcohol, cocaine, chemotherapeutic agents such[emedicine.medscape.com] It leads to impaired gas exchange and may cause respiratory failure.[icd.codes]

  • Pneumothorax

    .[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] noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] Indications for outpatient drainage therapy were pneumothorax without circulatory or respiratory failure and pleural effusion.[ncbi.nlm.nih.gov]

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