Nasal Flaring: Causes & Reasons

Possible Causes for Nasal Flaring

The symptoms usually appear shortly after birth and may include tachypnea, tachycardia, chest wall retractions (recession), expiratory grunting, nasal flaring and cyanosis [orpha.net]

flaring and blue discoloration of the skin during breathing efforts. [imedpub.com]

Definition Respiratory distress in the newborn is characterized by one or more of the following: nasal flaring, chest retractions, tachypnea, and grunting. [pedsinreview.aappublications.org]

Respiratory Syncytial Virus Infection

Hypoxia, wheezing, stridor, nasal flaring and chest wall in-drawing had sensitivities ranging from 8 to 31 %, but had specificities >75 %. [ncbi.nlm.nih.gov]

The symptoms may include: Coughing with yellow, green or grey mucus Sneezing Wheezing Nasal flaring Fever Runny nose with thick nasal discharge Difficulty in breathing Blue [news-medical.net]

[…] symptoms and often have the most trouble breathing: Bluish skin color due to a lack of oxygen ( cyanosis ) in more severe cases Breathing difficulty or labored breathing Nasal [medlineplus.gov]

Staphylococcal Pneumonia

Signs and symptoms tachypnea, grunting respirations, sternal and subcostal retractions, nasal flaring, cyanosis, and anxiety. lethargic, irritable and toxic. may develop severe [medicalpptonline.blogspot.com]

flaring, grunting or crepitations are also present then the probability of pneumonia is increased further. [starship.org.nz]

Health Organisation) < 2 months age > 60 breaths per minute 2- 12 months age > 50 breaths per minute 12 months to 5 years age > 40 breaths per minute If chest indrawing, nasal [starship.org.nz]

Acute Respiratory Distress Syndrome

The symptoms usually appear shortly after birth and may include tachypnea, tachycardia, chest wall retractions (recession), expiratory grunting, nasal flaring and cyanosis [orpha.net]

This is characterized by the combination of one or more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, [xlung.net]

Pneumococcal Pneumonia

For children (1–15 years), the case definition is the criteria for adults plus symptoms of fast breathing, chest-indrawing and nasal flaring. [bmjopen.bmj.com]

Additional findings in children with severe disease include cyanosis, nasal flaring, and intercostal retractions. [emedicine.medscape.com]

Bacterial Pneumonia

Nasal flaring, use of accessory muscles, and cyanosis are common among infants. Fever is frequently absent in the elderly. [merckmanuals.com]

Pulmonary Edema

Pulmonary edema is a condition associated with increased loss of fluid from the pulmonary capillaries into the pulmonary interstitium and alveoli. Pulmonary edema of cardiac origin most commonly results from an increase in pulmonary capillary pressure caused by an elevation of left atrial pressure ( pulmonary capillary[…] [cvphysiology.com]

Gram-Negative Pneumonia

From Drugs to Devices You will receive a reminder email the day before the event. Register Now Tuesday, October 31 @ 5:30 AM Sheraton Centre Hotel Grand Centre Ballroom Toronto, Ontario, Canada CREDITS AVAILABLE: Maximum Of 1.0 AMA PRA Category 1 Credit(s)™ This interactive symposium will explore the diagnosis,[…] [medscape.org]

Transitory Tachypnea of the Newborn

Symptoms and signs include tachypnea, retractions, grunting, and nasal flaring. [merckmanuals.com]

Definition Respiratory distress in the newborn is characterized by one or more of the following: nasal flaring, chest retractions, tachypnea, and grunting. [pedsinreview.aappublications.org]

Symptoms of transient tachypnea of the newborn include tachypnea, intracostal and subcostal retractions, grunting, nasal flaring, and possible cyanosis. [merckmanuals.com]

Bronchiolitis

On physical exam, he has increased work of breath with nasal flaring, grunting, and intercostal retractions. He also has bilateral wheezes. [step2.medbullets.com]

flaring Marked increase or decrease Tracheal tug Nasal flaring Accessory Muscle Use None or minimal Moderate chest wall retraction Marked chest wall retraction Feeding Normal [ausmed.com]

flaring intercostal retractions Studies Labs rapid antigen test Making the diagnosis most cases are clinically diagnosed Differential Asthma distinguishing factors typically [step2.medbullets.com]

Haemophilus Influenzae Pneumonia

Abstract Haemophilus influenzae is a common cause of acute childhood pneumonia. Most Haemophilus pneumonia generally follow a benign course with occasional complications of pleural effusion, pneumothorax or pneumatocele. Deaths following invasive Haemophilus pneumonia have rarely been reported in children older than 3[…] [ncbi.nlm.nih.gov]

Streptococcus Pyogenes Pneumonia

Abstract During the past two decades there has been a resurgence of invasive group A streptococcal (GAS) infection, specially pneumonia and bacteremia. We report a 35 year-old female previously subjected to a thyroidectomy for a thyroid cancer, that five days after operation, presented with a severe[…] [unboundmedicine.com]

Infantile-Onset Pompe Disease

She was tachypneic (respiratory rate: 60/min, the normal range for 3–6 months: 30–55) and had subcostal and intercostal recessions with nasal flaring. [ncbi.nlm.nih.gov]

Her heart rate was 136 bpm (the normal range for 3–6 months: 120–160) with an oxygen saturation >92% on nasal prong oxygen. [ncbi.nlm.nih.gov]

Psittacosis

A previously fit man developed psittacosis with marked cerebellar symptoms and signs. He was febrile but not confused, and he responded rapidly to treatment with erythromycin. Even if respiratory symptoms are minimal, psittacosis and other atypical pneumonias should be considered in any patient presenting with[…] [ncbi.nlm.nih.gov]

Bacterial Tracheitis

Nasal flaring. Cyanosis. [epainassist.com]

These can include: high fever deep severe cough difficulty breathing wheezing nasal flaring cyanosis, a blue tinge to their skin Your child may also develop stridor. [healthline.com]

flaring Cyanosis Sore throat, odynophagia Dysphonia No drooling No specific position of comfort (The patient may lie supine.) [emedicine.medscape.com]

Spasmodic Croup

Flaring Marked increase or decrease Tracheal Tug Nasal Flaring Accessory Muscle Use None or minimal Moderate chest wall retraction Marked chest wall retraction Oxygen No [rch.org.au]

flaring, respiratory retractions, stridor). 7, 11 The symptoms subside quickly with resolution of the cough usually within two days, although the cough may persist for up [aafp.org]

[…] or lethargy Stridor* Barking cough Stridor only when active or upset Some stridor at rest Stridor present at rest Respiratory Rate Normal Increased Resp rate Tracheal Tug Nasal [rch.org.au]

Laryngospasm

flaring • Reduced respiratory rate (tiring) • Cyanosis, reduced GCS • Cardiorespiratory arrest Possible investigations to consider • Complete medical history • Radiology [quizlet.com]

Observation of respiratory effort by assessing for: retractions (intercostal, supraclavicular, and subxyphoid), nasal flaring, drooling, cyanosis, agitation. [medicine.uiowa.edu]

When croup progresses to upper airway obstruction, the patient may have an increased respiratory rate, nasal flaring, and suprasternal, infrasternal, and intercostal retractions [americannursetoday.com]

Acute Laryngitis and/or Tracheitis

flaring Drooling often due to difficulty in breathing Patient may experience lethargy Feeling of discomfort in supine position Pain while breathing Tracheitis Causes Tracheitis [symptomscausestreatment.com]

These can include: high fever deep severe cough difficulty breathing wheezing nasal flaring cyanosis, a blue tinge to their skin Your child may also develop stridor. [healthline.com]

Rarely, the upper airway obstruction progresses and is accompanied by an increasing respiratory rate; nasal flaring; suprasternal, infrasternal, and intercostal retractions [clinicalgate.com]

Extreme Fetal Immaturity

Presentation Symptoms dyspnea, tachypnea during first hours of life nasal flaring expiratory grunting, intercostal, subxiphoid retractions Physical exam severe hypoxemia not [medbullets.com]

History: Signs of respiratory distress (eg, tachypnea, nasal flaring, grunting, retractions, cyanosis in extreme cases) become evident shortly after birth. [anestesiarianimazione.com]

flaring and blue discoloration of the skin during breathing efforts. [en.wikipedia.org]

17q23.1q23.2 Microdeletion Syndrome

While in the nursery, he presented with nasal flaring and decreased pulse oximetry (low 80’s percentage), low blood glucose (35 mg/dL and 22 mg/dL), and poor tone. [cureus.com]

The patient required positive pressure ventilation (PPV) for one minute and continuous positive airway pressure (CPAP) for 10 minutes intermittently for nasal flaring and [cureus.com]

Respiratory Distress Syndrome of Prematurity

The symptoms usually appear shortly after birth and may include tachypnea, tachycardia, chest wall retractions (recession), expiratory grunting, nasal flaring and cyanosis [orpha.net]

flaring and blue discoloration of the skin during breathing efforts. [imedpub.com]

[…] born of premature twins.Infant respiratory distress syndrome symptoms include Fast breathing, a fast heart rate, chest wall retractions (recession), expiratory grunting, nasal [imedpub.com]

Acute Tracheitis

These can include: high fever deep severe cough difficulty breathing wheezing nasal flaring cyanosis, a blue tinge to their skin Your child may also develop stridor. [healthline.com]

Rarely, the upper airway obstruction progresses and is accompanied by an increasing respiratory rate; nasal flaring; suprasternal, infrasternal, and intercostal retractions [clinicalgate.com]

Acute Subglottic Laryngitis

Rarely, the upper airway obstruction progresses and is accompanied by an increasing respiratory rate; nasal flaring; suprasternal, infrasternal, and intercostal retractions [clinicalgate.com]

The respiratory distress is quite notable with dyspnea, intercostal retractions, nasal flaring, and tracheal tugging. [virtualpediatrichospital.org]

Children with severe croup have primarily inspiratory stridor at rest with nasal flaring and suprasternal and intercostal retractions. [atsu.edu]

15q24 Deletion Syndrome

[…] bridge broad nasal bridge high nasal bridge flaring of nasal alae wide, short nose Genitourinary External Genitalia Male: cryptorchidism hypospadias microphallus Head And [malacards.org]

[…] bridge, broad nasal base with notched flaring alae nasi, long philtrum, full lower lip, highly arched palate and crowded teeth High anterior hair line, broadening of the [academic.oup.com]

[…] connective tissue Skeletal Hands: clinodactyly brachydactyly hypoplastic thumbs long, slender fingers digital abnormalities, variable more Head And Neck Nose: depressed nasal [malacards.org]

Truncus Arteriosus

If it is not picked up in the antenatal period, once the baby is born it will display the following signs: rapid breathing grunting or very noisy breathing nasal flaring poor [tinytickers.org]

flaring). [cincinnatichildrens.org]

Pulmonary congestion and heart failure can manifest as: Poor feeding Letharg Respiratory distress (tachypnea, subcostal retractions, nasal flaring, grunting) Tachycardia Hyperdynamic [pedclerk.bsd.uchicago.edu]

Larynx Atresia

On examination, the child with a laryngeal web may or may not be in significant respiratory distress (nasal flaring, supraclavicular or intercostal indrawing, cyanosis). [emedicine.medscape.com]

On examination, the child with bilateral vocal fold paralysis may or may not be in significant respiratory distress (nasal flaring, supraclavicular or intercostal indrawing [emedicine.medscape.com]

On examination, the child with congenital subglottic stenosis may or may not be in significant respiratory distress (nasal flaring, supraclavicular or intercostal indrawing [emedicine.medscape.com]

Diffuse Neonatal Hemangiomatosis

[…] studies if needed.[6] Liver involvement complications such as high-output heart failure include signs and symptoms such as tachypnea, hepatomegaly, jaundice, diaphoresis, and nasal [en.wikipedia.org]

flares.[6][7] Differential Diagnosis[edit] In the past, the diagnosis of "diffuse neonatal hemangiomatosis" included both infantile hemangioma (IH) and multifocal lymphangioendotheliomatosis [en.wikipedia.org]

Respiratory Acidosis

The presence of nasal flaring was evaluated by two observers. [ncbi.nlm.nih.gov]

flaring/yawning, use of neck and upper body muscles Decreased respiratory rate/hypoventilation (associated with decreased function of respiratory center as in head trauma [nurseslabs.com]

Nasal flaring had a positive likelihood ratio for acidosis of 4.6 (95% CI 2.9-7.4). [ncbi.nlm.nih.gov]

Perinatal Atelectasis

They typically present shortly after birth, at times hours afterwards, and include: Cyanosis Tachypnea Nasal flaring Subcostal and intercostal retractions Expiratory grunting [pedclerk.bsd.uchicago.edu]

Bi-nasal prong : Specially designed nasal prongs which end at the nasal level Indications Increased work of breathing – tachypnoea, nasal flaring, grunting, retractions, cyanosis [rch.org.au]

The clinical presentation of respiratory distress in the newborn includes apnea, cyanosis, grunting, inspiratory stridor, nasal flaring, poor feeding, and tachypnea (more [aafp.org]

Neonatal Sepsis

His paediatrician reported tachypnoea with a respiratory rate of 80 breaths per minute and nasal flaring. [bmj.com]

Infants with neonatal sepsis or infection may exhibit some of these symptoms: apnea shock diarrhea seizures jaundice vomiting cyanosis irritability skin rashes nasal flaring [healthblurbs.com]

Abnormally high (100.4 °F) or low body temperatures [10] Diarrhea Slow heart rate Respiratory distress (often presents as tachypnea and mild nasal flaring) [11] Poor feeding [pregmed.org]