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27 Possible Causes for Bronchospasm and Wheezing, Exertional Dyspnea, Medication Noncompliance

  • 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] However, it is not uncommon for individuals with acute bronchitis to experience bronchospasm and wheezing, especially if there is an underlying history of asthma. 10 In order[journals.lww.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[doi.org] A 62-year-old man with asthma presented with a 1-month history of wheezing and exertional dyspnea.[ncbi.nlm.nih.gov] […] asth·ma \ ˈaz-mə, British ˈas- \ : a chronic lung disorder that is marked by recurring episodes of airway obstruction (as from bronchospasm) manifested by labored breathing[merriam-webster.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] According to the history of chronic cough and exertional dyspnea, he was treated with inhaled corticosteroids for COPD.[ncbi.nlm.nih.gov] These may be caused by bronchospasm, a sudden contraction of the airways that makes it difficult to breathe and that may trigger a torrent of wheezing or coughing.[health.harvard.edu]

  • Pulmonary Edema

    ) Patient noncompliance with medications (eg, diuretics) Severe anemia Sepsis Thyrotoxicosis Myocarditis Myocardial toxins (eg, alcohol, cocaine, chemotherapeutic agents such[emedicine.com] High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] […] not necessarily be due to bronchospasm.[anesthesiology.pubs.asahq.org]

  • Pulmonary Embolism

    DOACs do not require monitoring, and noncompliance will not be readily apparent. Direct oral anticoagulants.[clevelandclinicmeded.com] Dyspnea may be absent or occur only with exertion. The onset of dyspnea may occur over seconds to days. Orthopnea occurs with PE as well as heart failure.[ncbi.nlm.nih.gov] Limitations of ECS therapy include patient noncompliance due to difficulty in applying the garments, discomfort while wearing them daily, and their cost.[doi.org]

  • Acute Respiratory Distress Syndrome

    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 followed by dyspnea at rest Hypoxia; PaO 2 /FIO 2 300 mm Hg Often sepsis and MODS ( JAMA 2016;315:788 ) Respiratory dysfunction and physical disability may persist[pathologyoutlines.com] Indeed, noninvasive ventilation (NIV) can fail because of the severity of the disease, patient noncompliance or technical problems, particularly at the interface.[ccforum.biomedcentral.com]

  • Heart Failure

    Pathophysiology – Congestive Heart Failure - Diastolic Diastolic dysfunction occurs when the left ventricular myocardium is noncompliant and not able to accept blood return[healio.com] Here we present an 80-year-old Asian woman complaining of progressive exertional dyspnea.[ncbi.nlm.nih.gov] Some people have severe spasms of the airways (bronchospasms) and wheezing.[msdmanuals.com]

  • Pneumonia

    […] independently associated with greater durations of mechanical ventilation: development of acute renal failure (hazard ratio 1.47, 95% CI 1.02 to 2.12) and prescription of an IDSA-noncompliant[doi.org] She was emergently admitted to our hospital due to the worsening exertional dyspnea and severe hypoxemia.[ncbi.nlm.nih.gov] In addition to auscultating lung sounds, waveform capnography is a useful tool to identify bronchospasm in pneumonia.[ems1.com]

  • Congestive Heart Failure

    These include any recent infection, dietary non compliance (excess use of fluids, alcohol, or salt), medication noncompliance (especially diuretics), presence of chest pain[clinicaladvisor.com] A 78-year-old woman presented with mild exertional dyspnea three weeks after starting osimertinib for the treatment of epidermal growth factor receptor (EGFR) T790M-positive[ncbi.nlm.nih.gov] Some people have severe spasms of the airways (bronchospasms) and wheezing.[merckmanuals.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] Case Report In January 2015, a 76-year-old ex-smoker was referred to our hospital with a 2-months history of increase in cough, purulent expectoration, exertional dyspnea[omicsonline.org] It is characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm.[en.wikipedia.org]

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