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Hyperactive Airway Disease


Presentation

  • We are reporting an interesting case of a young male with pulmonary tuberculosis who presented with features of Bronchial asthma and was diagnosed to have pulmonary tuberculosis. Key words: Pulmonary Tuberculosis, Asthma, Wheezing.[scopemed.org]
  • Asaf Presente Dr. Presente 1 doctor agreed: 8 8 Are heart attacks linked to chronic obstructive pulmonary disease? Dr. Asaf Presente Dr.[healthtap.com]
  • Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables.[books.google.com]
  • Improve your interpretation of presenting symptoms with 39 new topics in the Differential Diagnosis section, and optimize patient care with 12 new tables in the Clinical Practice Guidelines section.[books.google.com]
  • The most common presentation of asthma in the toddler and pre-schooler is an episodic illness with wheeze, cough, and respiratory distress from viral respiratory infections interspersed with extended symptom free periods.[pediatrics.aappublications.org]
Cough
  • Read Full » My daughter has cough. Shall I give her Dexona? Query: Hello doctor, My 5 year old daughter is suffering from a cough and mild fever for the last four days. Doctor prescribed with LCF Syrup and Azithral Syrup, but she is still coughing.[icliniq.com]
  • She is suffering from cold, nasal congestion and cough frequently . For the past one month, she has cold & cough and is unable to sleep at night.[doctor.ndtv.com]
  • There are so many cough syrups out there and if you don't know what you're doing, your cough and other symptoms can actually worsen. If your cough is simply dry, you don't need and expectorant![wisegeek.org]
  • […] infections and he'd cough and cough ... 31 Toddler Vs.[mamapedia.com]
  • It is indeed a red letter day in the cough clinic when a patient does not give a high score, and this usually indicates that the cough has cleared up![breathe.ersjournals.com]
Dyspnea
  • It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal). Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs.[icd10data.com]
  • Dyspnea and Tachypnea – because of airway affectation, patients also exhibit fast breathing because only a small percentage of oxygen is enhaled. Dyspnea is experienced because of significant narrowing of the bronchioles.[healthfoxx.com]
  • Cardinal symptoms are dyspnea, wheezing, and cough.[medical-dictionary.thefreedictionary.com]
  • […] criteria to arrive at a definitive diagnosis: Must have no immediate complaints of previous respiratory ailments Onset of symptoms after a single event or accident Exposure to high concentration of irritants and caustic fumes With cough, wheezing and dyspnea[ukaccidentatwork.co.uk]
  • CASE REPORT A 25-year-old man came to the Hahnemann University Hospital Emergency Room with severe dyspnea. He had a history of mild childhood asthma, which had resolved at the age of 5 years.[nap.edu]
Asthmatic Bronchitis
  • bronchitis Chronic asthmatic bronchitis Inhaled steroid dependent asthma Intermittent allergic asthma Intermittent allergic asthma, controlled Intermittent allergic asthma, not controlled Intermittent asthma Intermittent asthma, controlled Intermittent[icd9data.com]
  • bronchitis Chronic asthmatic bronchitis Hay fever with asthma Inhaled steroid dependent asthma Mixed asthma Occupational asthma Oral steroid-dependent asthma Postpartum asthma (after childbirth) Reactive airway disease Reactive airway disease (wheezing[icd10data.com]
  • It may indicate asthma, viral bronchitis, allergic bronchitis or asthmatic bronchitis because these illnesses cannot be diagnosed in small children. Reactive Airway Disease Causes In both children and adults it develops without a specific cause.[ic.steadyhealth.com]
Prolonged Expiration
  • Auscultation of the chest revealed diffuse expiratory wheezes in all lung fields with prolonged expiration. An arterial blood gas evaluation on room air revealed a pH of 7.45, a Pco 2 of 32.2, and a Po 2 of 73.6.[nap.edu]
  • With capnography, narrowed airways and prolonged expiration result in a delayed rise in end-tidal carbon dioxide, producing a characteristic ‘sharkfin’ appearance (Figure 2) Figure 2.[isanagpur.org]
Pursed-Lip Breathing
  • Mayo 1 doctor agreed: Pursed lip breathing: Pts with COPD who practice pursed lip breathing keep their airways open a little longer allowing more air into the lung.[healthtap.com]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
  • Steatorrhea and failure to thrive further suggest cystic fibrosis. With the widespread use of neonatal screening, cystic fibrosis is often discovered at birth.[aafp.org]

Workup

  • He was admitted to Hahnemann University Hospital for management of an acute exacerbation of his illness and a diagnostic workup. Physical examination revealed an afebrile, cushingoid patient in moderate respiratory distress.[nap.edu]
Reversible Airway Obstruction
  • References Silvanus M-T, Groeben H, Peters J: Corticosteroids and inhaled salbutamol in patients with reversible airway obstruction markedly decrease the incidence of bronchospasm after endotracheal intubation.[anesthesiology.pubs.asahq.org]
  • When the patient is well again and if they are old enough to cooperate, you can consider pulmonary function testing to look for reversible airway obstruction. 5 Year Member Joined: Nov 5, 2011 Messages: 4,780 Likes Received: 2,651 Aren't rvps like 1500[forums.studentdoctor.net]
  • The hallmarks of asthma are reversible airway obstruction from bronchial smooth muscle contraction, mucus hypersecretion, and mucosal edema.[womenshealthsection.com]
  • Corticosteroids and inhaled salbutamol in patients with reversible airway obstruction markedly decrease the incidence of bronchospasm after tracheal intubation. Anesthesiology2004; 100: 1052–7.[isanagpur.org]
  • Corticosteroids and inhaled salbutamol in patients with reversible airway obstruction markedly decrease the incidence of bronchospasm after tracheal intubation. Anesthesiology 2004;100:1052-7. 21. Sherrington CA, Mallol J.[karnatakaanaesthj.org]

Treatment

  • Pathophysiology is emphasized throughout, providing a sound basis for discussions of the diagnosis, treatment, and prognosis that follow.[books.google.com]
  • About Hyperactive Airway Disease Discussions around the web We found 58 discussions Treato does not review third-party posts for accuracy of any kind, including for medical diagnosis or treatments, or events in general.[treato.com]
  • Early treatment is most effective and works the fastest to reverse the symptoms.[nepeds.com]
  • A treatment still undergoing scientific study is the use of high-dose vitamin D. In a case study, 2000 IU/day of vitamin D was given to a patient unresponsive to asthma treatments.[ukaccidentatwork.co.uk]
  • The treatment for Reactive Airway Disease, which is the younger age group diagnosis of asthma, is very similar to treatment of asthma. The main difference is that Reactive Airway Disease is something that most kids do grow out of.[kidsinthehouse.com]

Prognosis

  • Pathophysiology is emphasized throughout, providing a sound basis for discussions of the diagnosis, treatment, and prognosis that follow.[books.google.com]
  • Prognosis The clinical course of ABPA is variable. Many ABPA patients can be stabilized for long periods when treated. However, long-lasting remissions are seen in only 50% of patients and many patients require recurrent courses of therapy.[orpha.net]
  • Experts can help answer if reactive airway disease is genetic or what reactive airway disease prognosis may be. Get the answers to your questions about reactive airway disease answered by asking an Expert.[justanswer.com]
  • Prognosis? Dr. Nestor Del rosario Dr. Del rosario Asthma: In the past small airways disease did not have its own code but listed under asthma .[healthtap.com]
  • What Is the Prognosis of Exercise-Induced Asthma? Most people with exercise-induced asthma are able to control their condition if they work together with a health-care professional and follow their treatment regimen carefully.[emedicinehealth.com]

Etiology

  • Definition Bronchial hyperreactivity may last as long as 6 weeks following an upper respiratory tract infection, of which up to 95% are of viral etiology.[openanesthesia.org]
  • Etiology ABPA is an immunologic disorder due to a predominant T-helper 2 lymphocyte response to Aspergillus fumigatus infection without tissue invasion.[orpha.net]
  • PATTERN The pattern of wheezing may suggest the etiology.[aafp.org]
  • Edited because I got the age range wrong for transient wheeze I think the multiplex viral panels are useful only if they are going to change management *(cohort with other children with same disease process, forgo abx, forgo other testing to search for etiology[forums.studentdoctor.net]
  • Prevalence and etiology of asthma. J Allergy Clin Immunol . 2000 Feb. 105(2 Pt 2):S466-72. [Medline] . Becker A, Watson W, Ferguson A, et al. The Canadian asthma primary prevention study: outcomes at 2 years of age.[emedicine.medscape.com]

Epidemiology

  • CONCLUSION: This is the first epidemiological study in Lebanon that determined physician diagnosed asthma prevalence and hyperreactive airway disease and their associated factors among Lebanese adults.[ncbi.nlm.nih.gov]
  • Summary Epidemiology The prevalence of ABPA in the general population is unknown. Clinical description ABPA is most commonly diagnosed in adults although it is increasingly being diagnosed in children.[orpha.net]
  • The striking epidemiological association is consequently dismissed as two common diseases coexisting.[breathe.ersjournals.com]
  • Epidemiology Frequency United States Pediatric asthma is a chronic, multifactorial, lower airway disease that affects 5-15% of children (2.7 million children in the United States alone).[emedicine.medscape.com]
  • At my institution we are lucky to have a very rational epidemiology dept who was able to change the culture.[forums.studentdoctor.net]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology is emphasized throughout, providing a sound basis for discussions of the diagnosis, treatment, and prognosis that follow.[books.google.com]
  • Current views of the pathophysiology of asthma emphasize its inflammatory component and the risk of gradual, irreversible airway remodeling due to subepithelial fibrosis in poorly controlled asthma.[medical-dictionary.thefreedictionary.com]
  • Childhood Asthma: Pathophysiology and Treatment . 2nd ed. New York, NY: Dekker; 1993:255–282. 3. Martinati LC, Boner AL. Clinical diagnosis of wheezing in early childhood. Allergy . 1995;50(9):701–710. 4.[aafp.org]
  • Pathophysiology of Asthma: Asthma is obstructive disease of the large or small airways. It combines reversible airway constriction, inflammation, airway edema and mucous plugging.[womenshealthsection.com]
  • This is the true pathophysiology of respiratory disease. Extrinsic factors are important but we have lost sight of intrinsic factors in the form of reflux.[breathe.ersjournals.com]

Prevention

  • Hence detection of Tuberculosis at the earliest is important to start administration of anti-tuberculosis chemotherapy, to prevent the spread of disease and to prevent complications.[scopemed.org]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • Prevention is better than cure” as the saying goes and doctors need to focus on preventing the disease.[instah.com]
  • Prevention There is no known way to prevent bronchospasm. References: Reactive airways dysfunction syndrome. Health Navigator New Zealand website. Available at: . Updated August 23, 2017. Accessed August 28, 2017. Brooks S.[cancercarewny.com]

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