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74 Possible Causes for Exertional Dyspnea, Lip Cyanosis, 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] A 62-year-old man with asthma presented with a 1-month history of wheezing and exertional dyspnea.[ncbi.nlm.nih.gov] Extrathoracic respiratory signs should also be systematically looked for, including cyanosis, finger deformation, pulsus paradoxus, and pursed lips breathing.[erj.ersjournals.com]

  • 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] The heart rate is usually over 120 per minute, the pulse may be very weak and the lips and fingernail beds may be blue (cyanosis).[publications.americanalpineclub.org]

  • Chronic Obstructive Pulmonary Disease

    […] with medications, and the presence of serious comorbidities. 6,7 GOALS OF TREATMENT The main goals of treatment for patients with COPD are to optimize their pulmonary capacity[pharmacytimes.com] According to the history of chronic cough and exertional dyspnea, he was treated with inhaled corticosteroids for COPD.[ncbi.nlm.nih.gov] (cyanosis) seen in them. [14] The hypoxia and fluid retention leads to them being called "Blue Bloaters."[physio-pedia.com]

  • 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] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov] […] and fingers (cyanosis) The goal of treatment is to control symptoms.[nlm.nih.gov]

  • 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] The main symptoms usually include exertional dyspnea, dry cough, and subfebrile temperature or fever. Lactate dehydrogenase may be elevated.[ncbi.nlm.nih.gov]

  • 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] (blue discoloration, usually of the lips and fingers), collapse, and circulatory instability because of decreased blood flow through the lungs and into the left side of the[en.wikipedia.org]

  • Acute Respiratory Distress Syndrome

    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] […] 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] Cyanosis (blue skin, lips, and nails caused by lack of oxygen to the tissues) is often seen.[nlm.nih.gov]

  • Hypoxia

    He was prescribed antiretroviral therapy but was noncompliant. He had no paroxysmal nocturnal dyspnea, orthopnea, rash, oral thrush, or diarrhea.[ncbi.nlm.nih.gov] Cyanosis is most easily seen around the lips and in the oral mucosa. Never assume the absence of cyanosis means adequate oxygenation.[opentextbc.ca] Upon further questioning, she reports chronic dyspnea on moderate exertion. A diagnostic workup is initiated.[bloodjournal.org]

  • Pulmonary Fibrosis

    Evaluation of sample size and power for analyses of survival with allowance for nonuniform patient entry, losses to follow-up, noncompliance, and stratification.[doi.org] A 71-year-old man developed exertional dyspnea and was diagnosed with IPF.[ncbi.nlm.nih.gov] (blue lips, nail beds, and sometimes skin due to lack of oxygen in the tissue) clubbing of the fingers (enlarged fingertips) Pulmonary fibrosis can lead to several severe[medbroadcast.com]

  • Idiopathic Pulmonary Fibrosis

    Evaluation of sample size and power for analyses of survival with allowance for nonuniform patient entry, losses to follow-up, noncompliance, and stratification.[doi.org] A 71-year-old man developed exertional dyspnea and was diagnosed with IPF.[ncbi.nlm.nih.gov] Drug noncompliance (defined by an intake of less than 50 percent of the study medication) was determined by counting the returned tablets.[doi.org]

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