Possible Causes for nasal flaring 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] Pulmonary Edema CPE is caused by elevated pulmonary capillary hydrostatic pressure leading to transudation of fluid into the pulmonary interstitium and alveoli. Increased LA pressure increases pulmonary venous pressure and pressure in the lung microvasculature, resulting in pulmonary edema. Mechanism of CPE Pulmonary capillary blood[…] [emedicine.com] 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] 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] 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] 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] (World 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] Gram-Negative Pneumonia Crit Care. 2016 Jan 29;20:19. doi: 10.1186/s13054-016-1197-5. Author information 1 Santa Maria Misericordia University Hospital, Piazzale S. Maria Misericordia 15, 33100, Udine, Italy. bassetti.matteo@aoud.sanita.fvg.it. 2 Department of Respiratory Medicine, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover,[…] [ncbi.nlm.nih.gov] Transitory Tachypnea of the Newborn 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] Early clinical manifestations include tachypnea, retractions nasal flaring, grunting, and cyanosis. It is common to see respiratory rates of 80 to 120 breaths/minute. [thoracickey.com] Physical Exam Examination may reveal: tachycardia tachypnea increased work of breathing (abdominal retractions and nasal flaring) good air entry, but diffuse transmitted sounds [sharinginhealth.ca] Bronchiolitis More severe cases may be associated with nasal flaring, grunting, or the skin between the ribs pulling in with breathing. [en.wikipedia.org] 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 [ncbi.nlm.nih.gov] 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] 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 INTRODUCTION: In the preantibiotic era Streptococcus pyogenes was a common cause of severe pneumonia but currently, except for postinfluenza complications, it is not considered a common cause of community-acquired pneumonia in adults. AIM AND MATERIAL AND METHODS: This study aimed to identify current clinical[…] [ncbi.nlm.nih.gov] 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] Acute Respiratory Infection flaring, and adventitious breath sounds for IAC. [ncbi.nlm.nih.gov] The danger signs of pneumonia include rapid breathing: for a child 2–12 months old, 50 breaths or more per minute difficulty in breathing: nasal flare chest in-drawing: lower [wvi.org] Severe Pneumonia Chest indrawing Nasal flaring Grunting ( short sounds made with the voice) Cyanosis Treatment Refer urgently to hospital Treat fever ( paracetamol), wheezing [rnpedia.com] Psittacosis Three members of a family acquired psittacosis after exposure to a wild pigeon. Each of the patients had pulmonary infiltrates, prominent headache, abdominal complaints, and serologic evidence for infection with Chlamydia psittaci. Of 759 cases of psittacosis reported to the Centers for Disease Control for the[…] [ncbi.nlm.nih.gov] Common Cold Retractions of the chest wall, nasal flaring, and grunting are prominent findings. Wheezing or an actual lack of breath sounds may be noted. [ncbi.nlm.nih.gov] Viral Lower Respiratory Infection Nasal flaring. In children aged under 12 months this can be a useful indicator of pneumonia[5]. Marked tachypnoea (see below). [patient.info] Retractions of the chest wall, nasal flaring, and grunting are prominent findings. Wheezing or an actual lack of breath sounds may be noted. [ncbi.nlm.nih.gov] Viral Upper Respiratory Tract Infection flaring, cyanosis, and tachycardia Fatigue or malaise (may be seen with any URI) 16. [slideshare.net] […] sensation of a lump in the throat Muffled dysphonia or loss of voice Dry cough or no cough Dyspnea Fever severe respiratory distress with sternal and intercostal retractions, nasal [slideshare.net] Upper Respiratory Infection Retractions of the chest wall, nasal flaring, and grunting are prominent findings. Wheezing or an actual lack of breath sounds may be noted. [ncbi.nlm.nih.gov] 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] 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] nasal flaring, respiratory retractions, stridor). 7, 11 The symptoms subside quickly with resolution of the cough usually within two days, although the cough may persist [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] Rosacea Furthermore, injuries, particularly to the perichondrium of the cartilaginous skeleton of the nose, need to be avoided under all circumstances to prevent nasal flaring. [doi.org] Moreover, certain medications, such as amiodarone, topical steroids, nasal steroids, and high doses of vitamins B-6 and B-12, may cause flares for patients with rosacea. [emedicine.medscape.com] 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] Hypersensitivity With severe disease, lung auscultation may reveal absent breath sounds (indicating poor air movement) or signs of respiratory distress and failure (eg, nasal flaring, grunting [emedicine.com] Acute Laryngitis and/or Tracheitis Rarely, the upper airway obstruction progresses and is accompanied by an increasing respiratory rate; nasal flaring; suprasternal, infrasternal, and intercostal retractions [clinicalgate.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] 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] Sinusitis A skin test is safe and quick and can help detect what allergen is responsible for your nasal flare-ups. Samples from your nasal and sinus discharge (cultures). [mayoclinic.org] Antibiotics can be helpful, especially for flares, but they are less important than nasal irrigation, decongestants, and prescription nasal spray. [health.harvard.edu] primary immune deficiency, HIV infection, and cystic fibrosis) you might develop chronic sinusitis with frequent flare-ups of acute sinusitis due to infections. [masseyeandear.org] Pneumonia The following outcomes were measured: duration of hospital stay, time to clinical resolution (observing the following parameters: fever, chest indrawing, nasal flaring, tachypnoea [ncbi.nlm.nih.gov] flaring (1·75, 1·20-2·56). [ncbi.nlm.nih.gov] 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 [doi.org] Sexually Transmitted Disease Infants at the neonatal intensive care unit (NICU) were also included when they showed three or more clinical signs of sepsis such as apnoea, tachypnoea ( 60/min), nasal flaring [hindawi.com] Respiratory Acidosis The presence of nasal flaring was evaluated by two observers. [ncbi.nlm.nih.gov] decreased in respiratory center depression / muscle paralysis; otherwise rate is rapid/shallow Increased respiratory effort with nasal flaring/yawning, use of neck and [nurseslabs.com] Nasal flaring had a positive likelihood ratio for acidosis of 4.6 (95% CI 2.9-7.4). [ncbi.nlm.nih.gov] Atopy Nasal flaring and abdominal breathing are also common. Wheezing may be loud and patients may feel breathless while talking. [symptoma.com]
