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189 Possible Causes for Exertional Dyspnea, Medication Noncompliance, Rales

  • 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] Bilateral crepitant rales and sibilant rhochi were also detected. In his thoracic computerized tomography, the ground glass areas were noted in both lungs.[ncbi.nlm.nih.gov]

  • 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] However, the patient developed pink frothy sputum with diffuse bilateral rales 30 min later after transported to surgical intensive care unit (SICU).[ncbi.nlm.nih.gov]

  • 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] […] because of an inherited or acquired abnormality of cardiac structure and/or function, develop a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales[web.archive.org]

  • 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] Chest auscultation revealed decreased breath sounds without rales.[ncbi.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] During auscultation, you typically can hear wet rales. In lobar pneumonia, during auscultation, you can hear the characteristic bronchial respiration.[flexikon.doccheck.com]

  • High Output Heart Failure

    Medication noncompliance: Frequently, diuretics are not taken as prescribed due to the urinary side-effects.[healio.com] A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure.[ncbi.nlm.nih.gov] Patients with high output heart failure present with dyspnea, tachypnea, non-productive cough, fatigability, pulmonary rales, pleural effusion and peripheral edema, as a result[symptoma.com]

  • 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] There were no rales or rubs. Heart reveals PMI in the 5th intercostal space in MCL. The pulmonic component of the second sound is accentuated.[meddean.luc.edu]

  • 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] Examination of the lungs may reveal bilateral rales. Rales may not be present despite widespread involvement.[emedicine.medscape.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] The patient had tachypnea (26 breaths/min) without pulmonary rales, bulging of the neck veins, hepatomegaly and a painful swelling of the left calf, with a positive Homans[tmj.ro]

  • Idiopathic Pulmonary Fibrosis

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] A 71-year-old man developed exertional dyspnea and was diagnosed with IPF.[ncbi.nlm.nih.gov] Similar to the sound heard when gently separating the joined strip of velcro on the blood pressure cuff (or jogging shoes), fine crackles have been coined “velcro” rales by[doi.org]

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