Nasal Flaring: Causes & Reasons

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Possible Causes for Nasal Flaring

Neonatal 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]

flaring as the infant attempts to take in additional air. [sharecare.com]

RDS - Role of Male Gender in RDS - Role of Prematurity in RDS - Role of Surfactant - Composition of Surfactant - Pathogenesis - Morphology - Clinical Features - Cause of Nasal [youtube.com]

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]

[…] 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]

flaring Rapid breathing (tachypnea) Shortness of breath Wheezing Many hospitals and clinics can rapidly test for RSV using a sample of fluid taken from the nose with a cotton [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

We report a case of a 31-year-old healthy man with marathon-induced pulmonary edema. Chest radiograph revealed pulmonary edema without cardiomegaly. Contrast-enhanced chest computed tomography (CT) revealed transient pulmonary edema without filling-defect in pulmonary arteries. As marathon running increases in[…] [ncbi.nlm.nih.gov]

Gram-Negative Pneumonia

BACKGROUND: Diagnosis of ventilator associated pneumonia can be made by quantitative cultures of bronchoalveolar lavage fluid or of protected specimen brushings, though cultures require 24-48 hours to provide results. In 80% of cases aerobic Gram negative bacteria are the cause. METHODS: A rapid diagnostic[…] [ncbi.nlm.nih.gov]

Transitory Tachypnea of the Newborn

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

Infants present in respiratory distress, classically with grunting and nasal flaring, within the first six hours of life. There can be mild cyanosis. [radiopaedia.org]

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

Bronchiolitis

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]

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

More severe cases may be associated with nasal flaring, grunting, or the skin between the ribs pulling in with breathing. [en.wikipedia.org]

Haemophilus Influenzae Pneumonia

INTRODUCTION: Good's Syndrome is a rare cause of immunodeficiency associated with thymoma. Patients with this syndrome are prone to infections with encapsulated microorganisms. The diagnosis may be delayed for a considerable time period even after the thymectomy. CASE PRESENTATION: We describe the case of a[…] [ncbi.nlm.nih.gov]

Streptococcus Pyogenes Pneumonia

Note 267 Downloads 21 Citations Abstract Streptococcus pyogenes is an uncommon cause of community-acquired pneumonia and there have been few recent specific accounts of the condition. To describe the current nature of this disease in the UK, data was gathered on patients with clinical pneumonia from whom[…] [link.springer.com]

Psittacosis

Psittacosis—also known as parrot fever, and ornithosis—is a zoonotic infectious disease in humans caused by a bacterium called Chlamydophila psittaci and contracted from infected parrots, such as macaws, cockatiels, and budgerigars, and from pigeons, sparrows, ducks, hens, gulls and many other species of birds. The[…] [en.wikipedia.org]

Neonatal Acute Respiratory Distress due to SP-B Deficiency

flaring Reflexive widening of nares to  airway resistance Respiratory Distress Clinical Features: Respiratory Distress Clinical Features Cyanosis Bluish discoloration of [authorstream.com]

Symptoms and signs include grunting respirations, use of accessory muscles, and nasal flaring appearing soon after birth. [msdmanuals.com]

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

Bacterial Tracheitis

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

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]

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]

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]

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]

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]

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]

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]

Truncus Arteriosus

Signs of congestive heart failure are rapid breathing, shortness of breath, wheezing, grunting or very noisy breathing, nasal flaring, retractions, and restlessness. [cincinnatichildrens.org]

These infants exhibit poor feeding, lethargy, tachypnea, costal-sternal retractions, grunting, nasal flaring, tachycardia, or hepatomegaly.[2] The cardiac exam will be notable [ncbi.nlm.nih.gov]

Acute Laryngitis and/or 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]

Heiner Syndrome

Physical examination revealed clinical pallor, tachypnoea of 60 breaths per minute with nasal flaring and subcostal recessions. [ncbi.nlm.nih.gov]

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]

Sequeiros Sack Syndrome

The newborn exhibits signs of respiratory distress, including tachypnea, retractions, nasal flaring, grunting, and varying degrees of cyanosis. [link2uni.com]

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]

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]

Acute Viral Bronchiolitis

flaring, retractions Irritability Possibly cyanosis See Clinical Presentation for more detail. [emedicine.medscape.com]

[…] the presenting symptom in early disease Severe cases of bronchiolitis may progress over 48 hours to the following signs and symptoms: Respiratory distress with tachypnea, nasal [emedicine.medscape.com]

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]