Presentation
Here we present a case of a 64-year-old Caucasian male who presented with a 3-week history of postprandial vomiting, weight-loss and epigastric discomfort. [ncbi.nlm.nih.gov]
Of patients presenting acutely with malignant airway obstructions, more than half will present in respiratory failure requiring emergency airway intervention. [clevelandclinicmeded.com]
Entire Body System
- Congestive Heart Failure
Overdistention of the lungs can put pressure on the heart and effect the heart’s ability to function. If the heart cannot beat effectively hydrops (congestive heart failure) can occur. The cause of CHAOS is currently unknown. [fetus.ucsf.edu]
Misawa, et al. 31 P-nuclear magnetic resonance evidence of abnormal skeltal muscle metabolism in patients with chronic lung disease and congestive heart failure. Eur Res pir J, 5 (1992), pp. 163-169 [59.] V. Ninane, F. Rypens, J.C. Yernault, et al. [archbronconeumol.org]
Patients may qualify for supplemental oxygen therapy reimbursement even if the PaO 2 is greater than 55 mm Hg and the SaO 2 or SpO 2 is greater than 88% if one of the following conditions is met: (1) dependent edema due to congestive heart failure; (2 [emedicine.medscape.com]
- Asymptomatic
Abstract Morgagni hernias are uncommon congenital diaphragmatic deficiencies that may remain asymptomatic till adulthood. We report a case of Morgagni hernia presenting with subacute bowel obstruction in a bilateral lung transplant recipient. [ncbi.nlm.nih.gov]
Dermatological reactions are the most common adverse events associated with gefitinib treatment; other adverse effects, including diarrhea, nausea, stomatitis and an asymptomatic elevation of liver enzymes have also been reported. [spandidos-publications.com]
Respiratoric
- Pneumonia
Pneumonia, another inflammation of the lungs, can occur because of a bacterial or viral infection. [sharecare.com]
Chest or abdominal pain due to other causes (for example, injury or pneumonia ) also makes taking a deep breath painful. [merckmanuals.com]
[…] infections inflammation inhaled inspiration inthe intrathoracic large airways London Chest Lung Function Tests measured Media Dordrecht 1981 MRCP Consultant Physician mucus normal occasionally oedema ofthe oxygen peak flow perfusion peripheral Plate pneumonia [books.google.com]
[…] may indicate sign of pulmonary edema - sound of asthma, croup hayfever or bronchitis caused by lower airway obstruction, heard on expiration - coarse loud gurgling, rumbling sometimes also described as crackling - from mucus filled membrane - sound of pneumonia [quizlet.com]
People with COPD are more likely to catch colds, the flu and pneumonia. Any respiratory infection can make it much more difficult to breathe and could cause further damage to lung tissue. [mayoclinic.org]
Cardiovascular
- Heart Disease
This is a significant problem in patients with congenital heart disease, and unfortunately is often fatal. [savingtinyhearts.org]
The findings were not altered by cardiovascular risk factors (including smoking), age, or prior heart disease. [medicalnewstoday.com]
Heart problems. For reasons that aren't fully understood, COPD can increase your risk of heart disease, including heart attack. Quitting smoking may reduce this risk. Lung cancer. People with COPD have a higher risk of developing lung cancer. [mayoclinic.org]
Chronic obstructive pulmonary disease: a slowly progressive cardiovascular disease masked by its pulmonary effects? Eur J Heart Fail 2012; doi:10.1093/eurjhf/hfs022 3. Barr RG, Bluemke DA, Ahmed FS, et al. [escardio.org]
Stress failure of pulmonary capillaries: role in lung and heart disease. Lancet. 1992;340:762–7. 28. Dicpinigaitis PV, Mehta DC. Postobstructive pulmonary edema induced by endotracheal tube occlusion. Intensive Care Med. 1995;21:1048–50. 29. [aafp.org]
Face, Head & Neck
- Epistaxis
POPE Postextubation laryngospasm Epiglottitis Croup Choking/foreign body Strangulation Hanging Endotracheal tube obstruction Laryngeal tumor Goiter Mononucleosis Postoperative vocal cord paralysis Migration of Foley catheter balloon used to tamponade epistaxis [aafp.org]
Neurologic
- Tremor
When concern about tremor or heart rate exists, lower doses may be used. Response to an anticholinergic drug may be assessed 30 minutes after four inhalations (40 mcg each, 160 mcg total dose) of ipratropium bromide. [emedicine.medscape.com]
Treatment
Although interstitial lung disease (ILD) is a life-threatening immune-related adverse event, the risk of ILD during nivolumab treatment is unclear. [ncbi.nlm.nih.gov]
On November 4, 2013, daily treatment with 250 mg/day oral gefitinib was initiated. The symptom of cough was much improved following four days of gefitinib treatment. [spandidos-publications.com]
(a) Airway stenting alone ( n =6), (b) airway stenting followed adjuvant treatment ( n =10), (c) previous treatment and stenting followed by adjuvant treatment ( n =14), (d) previous treatment and airway stenting, BSC, best supportive care. [academic.oup.com]
Treatment of obstruction of the upper respiratory tract includes such methods as alveolar massage, oxygen therapy, therapeutic gymnastics, surgical intervention, medical treatment. [ulaizer.com.ua]
Her CXR showed marked improvement in the narrowing of the left main bronchus towards the end of treatment. Spirometry also returned to normal as did her symptoms. One year after stopping treatment she remains healthy. [lungindia.com]
Prognosis
However, the ultimate prognosis is of course associated with the underlying condition. [patient.info]
Prognosis The prognosis of SVC syndrome is variable and depends significantly on the underlying cause. Thanks for your feedback! [verywell.com]
Most of the patients have limited prognosis because of advanced stage disease or had been refractory to a conventional therapy. [academic.oup.com]
Prognosis after an airway obstruction With prompt treatment, an airway obstruction can often be treated successfully. However, airway obstructions are extremely dangerous. They can be fatal even with treatment. [healthline.com]
Etiology
Pulse Empty pulse Tongue Pale or normal tongue body Etiology/Pathology Chronic Lung problems may be hereditary, especially if a parent had Lung tuberculosis. [sacredlotus.com]
The etiology is unknown, although sporadic, genetic (3) and vascular causes (4) have all been proposed. [fetalultrasound.com]
The centrineurogenic etiology of the acute respiratory distress syndromes. Am J Surg. 1973;126:37–41. 20. Anderson AF, Alfrey D, Lipscomb AB. Acute pulmonary edema, an unusual complication following arthroscopy: a report of three cases. [aafp.org]
Exacerbations: etiology and pathophysiologic mechanisms. Chest. 2002;121:136S-141S. 14. Soriano JB, Davis KJ, Coleman B, et al. [consultant360.com]
The etiologies are divided into malignant and non-malignant. Are you sure your patient has an upper airway obstruction? What should you expect to find? The major symptom of upper airway obstruction is shortness of breath. [clinicaladvisor.com]
Epidemiology
This book takes the reader from the history of COPD and its epidemiology to the most recent advances in treatment for the various manifestations of this group of diseases and their basis in pathobiology. [books.google.com]
This implies measuring TLC by plethysmography or helium dilution, which is unrealistic in large-scale epidemiological studies such as this, especially at centres in low/middle-income countries. [erj.ersjournals.com]
Epidemiological investigations suggested that workers exposed to flavorings at these popcorn factories were at risk for developing fixed obstructive lung disease. [thoracic.org]
Epidemiology Approximately 80,000 cases of malignant airway obstruction are treated annually in the United States. Cases of CAO occur in 20% to 30% of lung cancer patients. [clevelandclinicmeded.com]
In children, the most common causes are T-cell acute lymphoblastic leukaemia and non-Hodgkin's lymphoma (T-cell lymphoblastic lymphoma). [ 5 ] Epidemiology Gender predilection reflects aetiology, with more males than females due to the prevalence of lung [patient.info]
Pathophysiology
The two newborn infants presented here demonstrate the pathophysiologic effects of total intrauterine bronchial occlusion and the consequent retention of pulmonary fluid. [pediatrics.aappublications.org]
Grasp the nuances of the pathophysiology of today’s major respiratory conditions—including pulmonary hypertension, COPD, asthma, environmental lung disease, sleep disorders, infections of the immunocompromised, neonatal breathing disorders, and drug-resistant [books.google.com]
The National Heart, Lung, and Blood Institute estimated that total COPD costs were $32.1 billion in 2002 ($18 billion in direct medical costs and $14.1 billion in indirect medical costs). 10 While improved understanding of the underlying pathophysiology [ajmc.com]
Pathophysiology of chronic obstructive pulmo nary disease. Clin Chest Med, 11 (1990), pp. 389-403 [10.] W.M. Thurbeck. Pathophysiology of chronic airflow obstruction. Chest, 97 (1990), pp. 6-10 [11.] R.R. Anthonisen, H. Bass, A. Oriol, et al. [archbronconeumol.org]
Patient with large tracheal tumor Pathophysiology of variable intrathoracic obstruction: During expiration, the expiratory muscles increase intra-thoracic and intra-airway pressures. [clinicaladvisor.com]
Prevention
According to previous cases, a bronchial balloon of double-lumen endotracheal tube (DLT) could prevent a dislodged tumor from traveling to the contralateral lung. [ncbi.nlm.nih.gov]
Centers for Disease Control and Prevention. Asthma prevalence and control characteristics by race/ethnicityâUnited States, 2002. MMWR Morb Mortal Wkly Rep. 2004;53:145-148. 2. Centers for Disease Control and Prevention. [ajmc.com]
Prevention of COPD COPD can be prevented to a certain extent by making changes in the lifestyle. One of the most important ways to prevent COPD is by quitting smoking. [news-medical.net]
Prevention Unlike some diseases, COPD has a clear cause and a clear path of prevention. The majority of cases are directly related to cigarette smoking, and the best way to prevent COPD is to never smoke — or to stop smoking now. [mayoclinic.org]