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41 Possible Causes for Grunting, Prolonged Expiration

  • Pneumonia

    Some European techniques are also described as modern: slow and prolonged expiration and increased expiratory flow are used in paediatric patients ( Mucciollo 2008 ); total[] Findings In this systematic review and meta-analysis, the presence of hypoxia and increased work of breathing (grunting, nasal flaring, and retractions) were associated with[] Features with the highest pooled positive likelihood ratios were respiratory rate higher than 50 breaths per min (1·90, 1·45-2·48), grunting (1·78, 1·10-2·88), chest indrawing[]

  • Bronchiolitis

    expiration End-respiratory crackles on auscultation Investigations RSV – can be easily tested for with nasopharyngeal mucous secretions.[] Significant multivariable predictors and their odds ratios (ORs) were as follows: age (0.9), oxygen saturation (1.3), apnea (3.4), dehydration (3.2), nasal flaring and/or grunting[] On physical exam, he has increased work of breath with nasal flaring, grunting, and intercostal retractions. He also has bilateral wheezes.[]

  • Asthma

    expiration, elevated jugular venous pulse, and cyanosis.[] […] with exercise • Chest tightness (a young child may say that his chest “hurts” or “feels funny”) • Fatigue (your child may slow down or stop playing) • Problems feeding or grunting[] […] may include respiratory distress, tachypnea, cyanosis , use of accessory respiratory muscles, peripheral edema , hyperinflation, chronic wheezing, abnormal lung sounds, prolonged[]

  • Hyperactive Airway Disease

    With capnography, narrowed airways and prolonged expiration result in a delayed rise in end-tidal carbon dioxide, producing a characteristic ‘sharkfin’ appearance (Figure[] , labored breathing where the chest and neck are showing unusual visible movement inward with each breath (called retraction), flared nostrils, coughing a lot, wheezing, grunting[] […] your child doing any of these things, start rescue medicine: First signs of a cold Wheezing Noisy breathing Chest tightness Fast breathing Coughing For very young children, grunting[]

  • Bronchiolitis Obliterans

    Auscultation of the lungs revealed prolonged expiration and bilateral crepitant rales. CXR revealed bilateral paracardiac infiltration.[] […] if: Your child has severe breathing difficulties or exhaustion from trying to breathe – you may see the muscles under their ribs sucking in with each breath, they may be grunting[] […] example, retraction of muscles between the ribs or above the sternum (breast bone) Nasal flaring with inspiration Respiratory rate greater than 70 inspirations per minute and grunting[]

  • Croup

    Listening to the chest through a stethoscope may reveal prolonged inspiration or expiration, wheezing , and decreased breath sounds.[] […] your child has any of the following symptoms: starts dribbling or cannot swallow cannot bend their neck forward is not having enough fluid makes a high pitched noise or grunt[] • Wheezing • Increased respiratory rate • Dyspnea • Cyanosis • Grunting, nasal flaring • Tachycardia • Retractions of the chest wall • Irritability • Poor feeding • Vomiting[]

  • Pulmonary Alveolar Proteinosis

    Congenital pulmonary alveolar proteinosis leads respiratory distress syndrome and entails tachypnea, grunting during expiration, nasal flaring, cyanosis, subcostal retractions[]

  • Broncholithiasis

    […] example, retraction of muscles between the ribs or above the sternum (breast bone) Nasal flaring with inspiration Respiratory rate greater than 70 inspirations per minute and grunting[]

  • Tic Disorder

    The crying may be brief or prolonged.[] Tics that affect the muscles used to produce speech are known as vocal tics, and can range from grunts or whistles to the repetition of complete words or phrases.[] Tics can manifest as movement — like rapid, uncontrolled blinking of the eyes — or as sounds, like throat clearing or grunting.[]

  • Meconium Aspiration Syndrome

    Term or post term Umbilical cord and fingernails are stained yellow or green Stained vernix Exhibits respiratory distress at birth with meconium stained fluid Prolonged expiration[] Tachypnea, grunting, and respiratory insufficiency are the main manifestations of this syndrome.[] Affected newborns have bluish skin, rapid and labored breathing, and can make a grunting sound when breathing out.[]

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