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18 Possible Causes for Cystic Fibrosis, Hyperresonance, Right Axis Deviation

  • Spontaneous Pneumothorax

    Pulmonary Langerhans cell histiocytosis Cystic fibrosis Pneumocystis jirovecii pneumonia Alpha-1 antitrypsin deficiency Tuberous sclerosis complex with lymphangioleiomyomatosis[] These findings include axis deviation, T-wave inversion, and right bundle branch block.[] There will be decreased breath sounds on the affected side and hyperresonance to percussion. What is the most likely cause for a spontaneous pneumothorax?[]

  • Chronic Obstructive Pulmonary Disease

    […] caused by genetic mutations of the cystic fibrosis transmembrane conductance regulator (CFTR) gene.[] […] ventricular hypertrophy right axis deviation dominant R wave in V1 with an amplitude 7mm often associated with "P pulmonale" ( right atrial enlargement ) multifocal atrial[] […] 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[]

  • Asthma

    It is now well established that there is no single "gene for asthma", in the way that the cystic fibrosis transmembrane receptor is the "gene for cystic fibrosis".[] Electrocardiographic signs of right heart strain such as right axis deviation, clockwise rotation, and evidence of right ventricular hypertrophy may be observed in acute,[] fibrosis transmembrane receptor is the gene for cystic fibrosis.[]

  • Cor Pulmonale

    fibrosis interstitial lung disease massive pulmonary emboli : for acute cor pulmonale acute respiratory distress syndrome : for acute cor pulmonale Plain radiograph central[] Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[] Right ventricular failure Increased chest diameter Labored respirations with retractions Distended neck veins Cyanosis On auscultation wheezes and crackles On percussion hyperresonance[]

  • Acute Cor Pulmonale

    AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis.[] Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ).[] On percussion, hyperresonance of the lungs may be a sign of underlying COPD.[]

  • Ileus

    While neonates with cystic fibrosis invariably suffer from meconium ileus, almost 21% of patients with meconium ileus do not have cystic fibrosis.[] Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram[] Signs : 1) Abdominal distention. 2) Absent peristaltic sounds (silent abdomen). 3) Hyperresonance to percussion. 4) Signs of peritonitis (if this is the cause): Abdominal[]

  • Artificial Pneumothorax

    Fibrosis 193 Chapter 11 Asthma 199 Chapter 12 Central Airway Obstruction and Bronchial Carcinoma 221 Chapter 13 Respiratory Infections and Acute Respiratory Distress Syndrome[] A case with right-sided 72% pneumothorax. The axis was changed from a normal axis to a right axis deviation after closed thoracostomy. Fig. 2.[] Emphysema (see emphysema entry), cystic fibrosis (see cystic fibrosis entry), and tuberculosis (see tuberculosis entry) are examples of such lung disorders.[]

  • Pulmonary Disorder

    Abstract Collectively asthma, chronic obstructive pulmonary disorder (COPD) and cystic fibrosis (CF) are very common, important causes of disease and ill health.[] Rightward shift of the QRS axis towards 90 degrees (vertical axis) or beyond ( right axis deviation ).[] Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard on forced and unforced expiration Diffusely decreased breath sounds Hyperresonance[]

  • Chronic Bronchitis

    Author information 1 1 Pulmonary and Critical Care Medicine, Department of Medicine. 2 2 Marsico Lung Institute, Cystic Fibrosis Research Center, and. 3 3 Center for Environmental[] deviation 110 without right bundle branch block; or some combination of these.[] 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[]

  • Pulmonary Emphysema

    Alpha-1-antitrypsin deficiency (AAT) is one of the three most common lethal genetic diseases in the caucasian population (together with cystic fibrosis and Down syndrome).[] Rightward shift of the QRS axis towards 90 degrees (vertical axis) or beyond ( right axis deviation ).[] Similarly, hyperresonant notes are perceived via percussion, and auscultation reveals diminished or distant breath sounds.[]

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