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231 Possible Causes for Exertional Dyspnea, Medication Noncompliance, X-Ray Abnormal

  • 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] She has had a cough since November and had an X-ray examination this month, but no abnormality was found, media said.[reuters.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[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] (a) The chest x-ray shows an abnormal distension of the fundus of the stomach.[ncbi.nlm.nih.gov]

  • Hypertension

    Social context, the struggle with uncertainty, and subjective risk as meaning-rich constructs for explaining HBP noncompliance.[ncbi.nlm.nih.gov] […] 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] […] typically 4 ng/mL 65–67 ; (2) the great majority of women in Women’s Health Initiative had baseline vitamin D insufficiency ( 54 ; (3) 40% of women on active treatment were noncompliant[dx.doi.org]

  • 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] A chest X-ray revealed bilateral pulmonary edema, and echocardiography revealed normal cardiac function, indicating that the pulmonary edema resulted from HBOT or neurogenic[ncbi.nlm.nih.gov]

  • 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 CT may reveal abnormalities that are not apparent on the chest x-ray and may also suggest coexisting or complicating disorders, such as pneumonia, pneumoconiosis, or[merckmanuals.com]

  • Hypertrophic Cardiomyopathy

    Hypertrophy results in a stiff, noncompliant chamber (usually the left ventricle) that resists diastolic filling, elevating end-diastolic pressure and thus increasing pulmonary[merckmanuals.com] A 10-month female infant who experienced cough, fever, aggressive exertional dyspnea, and recurrent cyanosis was admitted to our hospital.[ncbi.nlm.nih.gov] An electrocardiogram (ECG) is also done and is almost always abnormal. Other heart tests include a Holter monitor, and chest x-ray.[mottchildren.org]

  • 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] Diagnostic Highlights Test Normal Result Abnormality With Condition Explanation Chest x-rays Normal heart size and clear lungs Enlarged right ventricle and pulmonary artery[nursing.unboundmedicine.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] A chest x-ray performed before any fluid resuscitation depicted a pulmonary edema and pleural effusion.[circ.ahajournals.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] For pulmonary embolism, a chest x-ray should be used to triage the patient to either a ventilation/perfusion study after a normal X-ray or a CT pulmonary angiogram after an[ncbi.nlm.nih.gov]

  • 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] Chest X-rays showed abnormalities in 60–100% of the patients [ 16 ].[em-consulte.com]

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