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104 Possible Causes for Exertional Dyspnea, Medication Noncompliance, Severe Hypoxemia

  • 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] More severe hypoxemia and the need for higher concentrations of supplemental oxygen may relate to some contribution of shunt physiology.[ncbi.nlm.nih.gov] A 62-year-old man with asthma presented with a 1-month history of wheezing and exertional dyspnea.[ncbi.nlm.nih.gov]

  • 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] […] in the severe hypoxemia study.[ncbi.nlm.nih.gov] According to the history of chronic cough and exertional dyspnea, he was treated with inhaled corticosteroids for COPD.[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] The findings show that AB-CHMINACA induced rapid progression of pulmonary edema resulting in hypoxic encephalopathy and systemic hypoxemia, possibly through severe seizures[ncbi.nlm.nih.gov] 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]

  • 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] However, three months after treatment he presented with shortness of breath and severe hypoxemia associated with peripheral eosinophilia.[dx.doi.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] […] in considering patients with severe hypoxemia managed exclusively with noninvasive ventilation.[ncbi.nlm.nih.gov] […] 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]

  • Pulmonary Embolism

    DOACs do not require monitoring, and noncompliance will not be readily apparent. Direct oral anticoagulants.[clevelandclinicmeded.com] hypoxemia Right-to-left intracardiac shunt Lung infarction Pleural effusion Paradoxical embolism Heparin-induced thrombocytopenia Thrombophlebitis Amesquita M, Cocchi MN,[emedicine.medscape.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]

  • 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] severe complications.[medbroadcast.com] A 71-year-old man developed exertional dyspnea and was diagnosed with IPF.[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] hypoxemia, hypercapnia and pulmonary hypertension represent the syndrome's most common symptoms. 85, 86 Most patients with obesity hypoventilation syndrome also have obstructive[ncbi.nlm.nih.gov] Because dyspnea with exertion and lower extremity edema are often nonspecific signs of heart disease in obesity, 27–29 it may be difficult to clinically assess an obese individual[dx.doi.org]

  • Hypertension

    Social context, the struggle with uncertainty, and subjective risk as meaning-rich constructs for explaining HBP noncompliance.[ncbi.nlm.nih.gov] S5.4.4-6 Obstructive sleep apnea is a risk factor for several CVDs, including hypertension, coronary and cerebrovascular diseases, HF, and AF.[doi.org] […] on exertion Angina pectoris Palpitations Nausea Disturbed vision Nervousness Anxiety Diaphoresis When hypertension is not detected by blood pressure control, it often is[flexikon.doccheck.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] Large, central bilateral pulmonary emboli led to cor pulmonale and severe hypoxemia in a patient who had recently undergone cardiac surgery.[ncbi.nlm.nih.gov] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov]

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