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23 Possible Causes for Nocturnal Wheezing, Rales, Reversible Airway Obstruction

  • Asthma

    A 5-year-old girl presented with episodes of nocturnal cough, wheeze, low grade fever and breathlessness for the previous 4 months and was being treated for asthma.[ncbi.nlm.nih.gov] Bilateral crepitant rales and sibilant rhochi were also detected. In his thoracic computerized tomography, the ground glass areas were noted in both lungs.[ncbi.nlm.nih.gov] Asthma is a relatively common condition that is characterized by at least partially reversible inflammation of the airways and reversible airway obstruction due to airway[radiopaedia.org]

  • Byssinosis

    They are reversible in the early stages, but prolonged exposure results in chronic airway obstruction, bronchitis, and emphysema with fibrosis, leading to respiratory failure[medical-dictionary.thefreedictionary.com] Treatment Therapy for early-stage byssinosis focuses on reversing airway narrowing. Antihistamines may be prescribed to reduce tightness in the chest.[medical-dictionary.thefreedictionary.com] Obstructive patterns are likely in patients who have had recurrent symptoms for more than 10 years.[medical-dictionary.thefreedictionary.com]

  • Chronic Obstructive Pulmonary Disease

    Symptoms and signs may include: Fatigue Dyspnea Paroxysmal nocturnal dyspnea (PND) Chest tightness Wheezing Cough with sputum (mucoid and/or purulent) Fever Chest pain Workup[symptoma.com] Chest auscultation revealed decreased breath sounds without rales.[ncbi.nlm.nih.gov] OBJECTIVE: Introduction: Out of all respiratory diseases COPD is the leading cause of death and is characterized with diffuse non-reversible airway obstruction.[ncbi.nlm.nih.gov]

  • Pulmonary Edema

    In addition to shortness of breath, some patients with pulmonary edema will also wheeze.[emedicinehealth.com] However, the patient developed pink frothy sputum with diffuse bilateral rales 30 min later after transported to surgical intensive care unit (SICU).[ncbi.nlm.nih.gov] obstruction.[ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    Nocturnal cough ( pink frothy sputum) or wheeze. Light-headedness or syncope. Anorexia.[patient.info] No rales were detected because of its paucity of fibrous components in the lung.[ncbi.nlm.nih.gov] Patients with asthma and reversible airway obstruction were excluded from the trials of beta blockers in heart failure.[ncbi.nlm.nih.gov]

  • Cystic Fibrosis

    0.0 [0.0, 0.0] 13.8 Pharyngolaryngeal pain 1 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0] 13.9 Productive cough 1 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0] 13.10 Rales[doi.org] Regular aerobic exercise is recommended; it may also help airway clearance. For patients with reversible airway obstruction, bronchodilators may be given by inhalation.[merckmanuals.com] 0.38, 2.58] 18.14 sputum abnormal 1 153 Odds Ratio (M‐H, Random, 95% CI) 1.60 [0.60, 4.22] 18.15 infection 1 153 Odds Ratio (M‐H, Random, 95% CI) 1.43 [0.53, 3.84] 18.16 rales[doi.org]

  • Cardiac Asthma

    The subjects were divided into 3 groups based on symptoms of nocturnal coughing and/or wheezing in acute exacerbation of LVF.[joi.jlc.jst.go.jp] Obviously with a longer transport time i would hopefully had been able to hear the fine basilar rales after the treatment, but for the future i want a stronger tool set to[emtlife.com] While asthma is a reversible airway obstruction, COPD is irreversible. Sudden exposure to cold, humidity and pollution can precipitate asthma in susceptible individuals.[thehindu.com]

  • Chronic Bronchitis

    Asthma was considered present if a subject had reported asthma confirmed by a doctor and at least one respiratory symptom (wheezing, nocturnal tightness in the chest, attacks[respiratory-research.biomedcentral.com] On auscultation of the lungs, no rales are heard; scattered wheezes are heard in the lung bases. How should he be evaluated and treated? Funding and Disclosures Dr.[doi.org] Respiratory Diseases Input: Occupational Risks Risk of Airway Diseases Work-related asthma Asthma is an inflammatory airways disease causing episodic, reversible airways obstruction[web.archive.org]

  • Status Asthmaticus

    In 1939 her symptoms began in March during the tree hay fever season and were associated with wheezing.[mdedge.com] Classical signs of consolidation such as egophony, rales, whispered pectoriloquy, dullness to percussion or bronchial breath sounds might be heard.[ncbi.nlm.nih.gov] Treatment goals • Reverse airway obstruction • Correct Hypoxemia • Prevent or treat complications like pneumothorax and respiratory arrest 4. Etiology 5.[de.slideshare.net]

  • Heart Failure

    Nocturnal cough ( pink frothy sputum) or wheeze. Light-headedness or syncope. Anorexia.[patient.info] […] because of an inherited or acquired abnormality of cardiac structure and/or function, develop a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales[web.archive.org] Patients with asthma and reversible airway obstruction were excluded from the trials of beta blockers in heart failure.[ncbi.nlm.nih.gov]

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