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Psychogenic Hyperventilation


Presentation

  • Psychogenic hyperventilation was presumed to be present when an increased respiratory rate ( 20 min) was documented at or before the ED visit and when somatic causes explaining the hyperventilation were absent.[ncbi.nlm.nih.gov]
  • Psychogenic hyperventilation was presumed to be present when an increased respiratory rate ( 20 min) was documented at or before the ED visit and when somatic causes explaining the hyperventilation were absent.[emj.bmjjournals.com]
  • Stage of Presentation Screening in the Elderly Risk Factors in the Elderly Treatment of Operable Disease Role of Radiotherapy Adjuvant Endocrine Therapy Chemotherapy Treatment of Advanced Disease Prognostic Factors in Elderly Breast Cancer Conclusion[books.google.com]
  • Mason, MD now presents the fifth edition in full color with new images and highlighted clinical elements.[books.google.com]
Infectious Mononucleosis
  • . - Ruzica Radojevic Marjanovic; Clinical Characteristics of Patients Diagnosed with Infectious Mononucleosis, 2009. - Ivan Radojkovic; Impact of acute exercise on antioxidant enzymes activity and lipid status in blood of patients with hypertension, 2009[golob-gm.si]
Dyspnea
  • The few studies that have addressed dyspnea during mechanical ventilation (MV) report moderate to severe dyspnea is common (47-62% incidence) and often linked to anxiety. 3-6 Moreover, clinicians systematically underestimate the intensity of dyspnea patients[ahcmedia.com]
  • Keywords: Dyspnea, hyperventilation, panic, psychogenic, sighing How to cite this article: Sahasrabudhe TR. Psychogenic dyspnea.[mjdrdypu.org]
  • Past episodes Duration Triggers Past treatment Typical time point of onset during the day Cardiac: Chest pain Dyspnea “Air hunger” Palpitations Neurologic: Dizziness Lightheaded...[5minuteconsult.com]
  • When stress induces a need to take a deep breath, the deep breathing is perceived as dyspnea. The sensation of dyspnea creates anxiety, which encourages more deep breathing, and a vicious cycle is created.[unp.me]
  • -Questions should be brief and limited to the quality and intensity of dyspnea and the circumstances of symptom onset. -The assessment of dyspnea should occur simultaneously with gross examination of the patients breathing pattern.[quizlet.com]
Hyperpnea
  • Synonyms Acidotic hyperventilation Hyperpnea Hyperventilation Intermittent hyperventilation O/E - hyperpnea O/E - hyperventilating Index to Diseases and Injuries References found for the code R06.4 in the Index to Diseases and Injuries: - Dyspnea (nocturnal[icdlist.com]
  • Abstract The hyperventilation syndrome is generally considered an acute, transitory episode characterized by gross hyperpnea and culminating in frank tetany.[annals.org]
  • In this article, mechanisms for OI having components of adrenergic hypofunction, adrenergic hyperfunction, hyperpnea, and regional blood volume redistribution are discussed.[pediatrics.aappublications.org]
  • Even mild threshold loads (-2.5 cm H 2 O) provoke dyspnea and cause hyperpnea. 23 Severe acidosis can potentiate asynchrony during LPV because hyperpnea is the compensatory response.[ahcmedia.com]
Tachypnea
  • CONSUMERS: Click here for the Consumer Version Topic Resources Hyperventilation syndrome is anxiety-related dyspnea and tachypnea often accompanied by systemic symptoms.[merckmanuals.com]
  • A breathing rate exceeding sixteen breaths per minute is characteristic of either hyperventilation or tachypnea (rapid shallow breathing).[medicalmarijuana.com]
  • Physical Acute hyperventilation Obvious tachypnea and hyperpnea are present.[unp.me]
  • […] breathing R06.02 Shortness of breath R06.03 Acute respiratory distress R06.09 Other forms of dyspnea R06.3 Periodic breathing R06.4 Hyperventilation R06.5 Mouth breathing R06.8 Other abnormalities of breathing R06.81 Apnea, not elsewhere classified R06.82 Tachypnea[icd10data.com]
  • They are summarized in [Table 1]. [13], [14] Examination reveals tachycardia, tachypnea, irregular respiration, and increased blood pressure.[mjdrdypu.org]
Yawning
  • If you try to expand your chest (like through yawning) you increase your risk for hyperventilation.[calmclinic.com]
  • Frequent sighing respirations, 2-3 per minute and frequent yawning are noted. Chest wall tenderness, numbness, and tingling may be present. Characteristically, patients have multiple complaints without much supporting physical evidence of disease.[unp.me]
Carpopedal Spasm
  • Carpopedal spasms are very common, therefore this is TRUE c. Hyperventilation may be a sign of head injury or diabetic problem or overdose. Yes, this is TRUE as well. d. Psychogenic hyperventilation rarely causes cyanosis.[emtcity.com]
  • The diagnosis of hyperventilation syndrome should be considered in young patients without cardiac risk factors who present with chest pain, particularly if associated with paresthesias and carpopedal spasm.[unp.me]
  • Hyperventilation syndrome related to anxiety can cause alkalosis severe enough to cause carpopedal spasm. A mild fairly well compensated respiratory alkalosis is the usual finding in pregnancy.[anaesthesiamcq.com]
  • EFFECTS OF HYPOCAPNIA CNS increased neuromuscular irritability (eg paraesthesias such as circumoral tingling & numbness; carpopedal spasm) decreased intracranial pressure (secondary to cerebral vasoconstriction) inhibition of respiratory drive via the[lifeinthefastlane.com]
  • spasm Type 1 Excludes hysterical tetany ( F44.5 ) neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) hyperpnea R06.4 hyperventilation R06.4 - see also Hyperventilation ICD-10-CM Codes Adjacent To R06.4 R06 Abnormalities[icd10data.com]
Muscle Twitch
  • Acute secondary hypocalcemia can result in carpopedal spasm, muscle twitching, prolonged QT interval, and positive Chvostek and Trousseau signs. Hypokalemia tends to be less pronounced than hypocalcemia but can produce generalized weakness.[unp.me]
Chvostek Sign
  • Chvostek's sign is also due to hypocalcaemia. Flick behind the ear, just in front of the mastoid bone where the facial nerve emerges. The hypersensitive facial nerve makes the muscles of the face twitch.[patient.info]
Panic Attacks
  • Methods We included consecutive patients admitted to the emergency department with a history and clinical findings suggesting hyperventilation, either primary (psychogenic, panic attack) or secondary to a renal colic.[ccforum.biomedcentral.com]
  • Hyperventilation Hyperventilation forms part of the panic attack symptoms experienced by 50 to 60% of all sufferers and is 7 times more likely in women than in men, meaning that nearly all women get hyperventilation amongst their collection of panic attack[panicattacksymptoms.org.uk]
  • […] hyperventilation disorder Habitual overbreathing that precipitates episodes such as panic attacks, which seem catastrophic, but resolve without harm.[brainaction.com]
  • Condition management Just staying calm through a panic attack helps gain confidence that one will survive it unharmed and intact.[news-medical.net]
  • HVS may present with chest pain and a tingling sensation in the fingertips and around the mouth ( paresthesia ) and may accompany a panic attack. People with HVS may feel that they cannot get enough air.[en.wikipedia.org]
Chronic Anxiety
  • Hyperventilation that is unrecognized by the patient is a common cause of the symptoms associated with chronic anxiety or panic attacks. chron·ic hy·per·ven·ti·la·tion syn·drome reduced CO 2 content of the blood (hypocapnia) as a result of hyperventilation[medical-dictionary.thefreedictionary.com]
  • Acute or chronic anxiety is usually considered the predominant primary causal factor of the hyperventilation syndrome.[link.springer.com]
Sexual Dysfunction
  • . - Julia Heiman; Conceptual and Therapeutic Contributions of Psychophysiology to Sexual Dysfunction, 1981. - John Henderson; The Black Death in Florence: Medical and Communal Responses, 1992. - Fiona Jenkins; Addressing the Crisis of Meaning: Toward[golob-gm.si]
Dizziness
  • MD i m having a hyperventilation syndrome. i m only 20. my heart would beat real fast and get dizzy ... the syndrome. how can i treat this and i m worried it will worsen. thanks. ... MD body just seized up..[healthcaremagic.com]
  • Past episodes Duration Triggers Past treatment Typical time point of onset during the day Cardiac: Chest pain Dyspnea “Air hunger” Palpitations Neurologic: Dizziness Lightheaded...[5minuteconsult.com]
  • The respiratory alkalosis leads to changes in the way the nervous system fires and leads to the paresthesia, dizziness, and perceptual changes that often accompany this condition.[en.wikipedia.org]
  • These signs and symptoms are strong indicators of hyperventilation syndrome, especially if the patient has several of them: Tense feeling Dizziness Fast or deep breathing Tingling in fingers and hands Stiffness or cramps in fingers and hands Tightness[verywell.com]
Paresthesia
  • The respiratory alkalosis leads to changes in the way the nervous system fires and leads to the paresthesia, dizziness, and perceptual changes that often accompany this condition.[en.wikipedia.org]
  • Skip to main content General Medicine Hyperventilation syndrome describes a constellation of symptoms: Most commonly: Dyspnea, chest pain, lightheadedness, and paresthesias Produced by a nonphysiologic increase in minute v...[5minuteconsult.com]
  • Acute secondary hypophosphatemia is common and may contribute to paresthesias and generalized weakness.[unp.me]
  • It is accompanied by agitation and a sense of terror or by symptoms of chest pain, paresthesias (peripheral and perioral), peripheral tetany (eg, stiffness of fingers or arms), and presyncope or syncope or sometimes by a combination of all of these findings[merckmanuals.com]
  • In such situations, panic attacks or anxiety attacks may occur, which lead to intense feelings of fear and its physical symptoms, such as a fast heartbeat, dizziness, muscle tightness and, in certain instances, paresthesias (otherwise known as pins and[news-medical.net]
Agitation
  • Personality Functional Impairment Mood Disorders Delusions and Hallucinations Dependence in Activities of Daily Living ADLs Inability to Initiate Meaningful Activities Anxiety Spatial Disorientation Rejection of Care Food Refusal Insomnia Apathy and Agitation[books.google.com]
  • It is accompanied by agitation and a sense of terror or by symptoms of chest pain, paresthesias (peripheral and perioral), peripheral tetany (eg, stiffness of fingers or arms), and presyncope or syncope or sometimes by a combination of all of these findings[merckmanuals.com]
  • Clinical History Patients with acute hyperventilation syndrome (HVS) may present with great agitation and anxiety.[unp.me]
  • -Easily agitated. -Irritable. -Exhibits hallucinations. -Sleepy. -Arouses easily. -Responds appropriately when aroused. -Awakens only with difficulty. -Responds appropriately when aroused. -Does not awaken completely.[quizlet.com]
Hyperreflexia
  • -Exhibits possible signs of upper motor neuron dysfunction, such as Babinski reflex or hyperreflexia. -Loses reflexes with deep or prolonged coma.[quizlet.com]

Workup

  • ADLs Inability to Initiate Meaningful Activities Anxiety Spatial Disorientation Rejection of Care Food Refusal Insomnia Apathy and Agitation Elopement and Interference with Others References Introduction Epidemiology Challenges in Geriatric Psychiatry WorkUp[books.google.com]
  • Can anyone suggest further workup? Thank you. Thread Starter #2 Correction/Addition: EKG reveals mild right axis deviation likely due to hyperinflation (also incomplete RBBB as incidental finding).[forums.studentdoctor.net]
Hypocapnia
  • Whereas high lactates are usually associated with acidosis and an increased risk of poor outcome, in patients with psychogenic hyperventilation, high lactates are associated with hypocapnia and alkalosis.[ncbi.nlm.nih.gov]
  • EFFECTS OF HYPOCAPNIA CNS increased neuromuscular irritability (eg paraesthesias such as circumoral tingling & numbness; carpopedal spasm) decreased intracranial pressure (secondary to cerebral vasoconstriction) inhibition of respiratory drive via the[lifeinthefastlane.com]
  • In reality, they have about the same oxygenation in the arterial blood (normal values are about 98% for hemoglobin saturation) and too little carbon dioxide ( hypocapnia ) in their blood and other tissues.[en.wikipedia.org]

Treatment

  • Physical Therapy Surgery References Introduction Effects of Ageing and Related Diseases on Endocrine Diseases The Hormonal Fountain of Youth References Introduction Water Homeostasis in the Elderly Workup and Treatment of Hyponatraemia Workup and Treatment[books.google.com]
  • MD have any information on how Vidaza helps MDS syndrome. 2nd treatment and he is feeling a little weak and nauseous. Does it get better as treatment goes on??? Any research on how it helps MDS patients. Appreciate ...[healthcaremagic.com]
  • None of the participants underwent any medical treatment other than observation at the ED or had been hospitalised after their ED visit. CONCLUSIONS: In patients with psychogenic hyperventilation, lactate levels are frequently elevated.[ncbi.nlm.nih.gov]
  • Leon Chaitow ND DO is an internationally known and respected osteopathic and naturopathic practitioner and teacher of soft tissue manipulation methods of treatment.[books.google.de]
  • Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn. Get procedural sedation recommendations from Dr.[books.google.de]

Prognosis

  • International experts provide you with the latest on epidemiology, diagnosis, investigations, management, and prognosis for a full range of pediatric kidney disorders.[books.google.de]
  • Conclusion References Introduction Geriatric Characteristics Adverse Drug Reactions and Drug Misuse General Rules for Individual Prescription Tools for Collective Evaluation References Introduction Pharmacology Illicit Drug Misuse Aetiology Detection Prognosis[books.google.com]
  • Prognosis Prognosis is generally good but will depend on the underlying cause and comorbidity. [ 12 ] Management of associated disorders (such as agoraphobia) will alter the course of the hyperventilation.[patient.info]
  • Prognosis NA Special considerations for nursing and allied health professionals. NA What's the evidence? Abelow, B. Understanding Acid-Base. 1998.[clinicaladvisor.com]

Etiology

  • Etiology Hypoxemia-Induced Hyperventilation Mechanism Hypoxemia stimulation of Peripheral Chemoreceptors (in Carotid Bodies) : however, the degree of hypoxemia-induced increase in VE is modulated by co-existing pCO2 and pH, mechanics of the lung and chest[mdnxs.com]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • Studies concerning the etiology and pathogenesis of neurocirculatory Asthenia. American Heart Journal 30, 557 – 566. Friedman, M. and Rosenman, R. H. ( 1974 ). Type A Behavior and your Heart. New York : Knopf. Garssen, B. ( 1980 ).[cambridge.org]
  • However, excessive sedation stymies the accurate assessment of pain and other potential sources of discomfort that often are the etiologies of apparent anxiety.[ahcmedia.com]

Epidemiology

  • Homes Successful Ageing Future Research Introduction Developments in the UK 20052010 Services Patients Views and Involvement Additional Responsibilities for Geriatric Psychiatry Services Other Issues An International Perspective References Introduction Epidemiology[books.google.com]
  • International experts provide you with the latest on epidemiology, diagnosis, investigations, management, and prognosis for a full range of pediatric kidney disorders.[books.google.de]
  • Pain Psychogenic Fever Stroke Meningitis, encephalitis Tumor, trauma Drugs: central nervous system stimulants Hypoxia Pulmonary disease Cardiac failure Shock Severe anemia Altered metabolism Sepsis Liver failure Physiological Pregnancy High altitude Epidemiology[clinicaladvisor.com]
  • Epidemiology It is quite common but precise prevalence is unknown.[patient.info]
  • Unfortunately there are only very few epidemiological studies about spasmophilia because (like in other equivalent syndromes) the reality of that illness is still called into question by those who consider it a psychiatric illness.[sommeil-mg.net]
Sex distribution
Age distribution

Pathophysiology

  • Chapters about glomerulonephritis, nephrotic syndrome, and tubular disorders provide an orientation in the pathophysiology, differential diagnosis, and treatment of these heterogeneous disease entities.[books.google.de]
  • […] of the Ageing Bladder Special Disease States Pharmacology as it Relates to the Ageing Bladder Surgical Disease of the Ageing Bladder Conclusion References Introduction Benign Prostatic Hyperplasia Prostate Cancer Prostatitis References Introduction Pathophysiology[books.google.com]
  • The pathophysiology of hyperventilation disorders. Chest. 1996;109:516–534. Nardi AE, Freire RC, Zin, WA. Panic disorder and control of breathing.[5minuteconsult.com]
  • The pathophysiology of hyperventilation disorders. Chest 1996;109:516-34 Han J.N., K. Stegen, K. Simkens, M. Cauberghs, R. Schepers, O. Van den Bergh, J. Clement, and K.P. Van de Woestijne.[verywell.com]
  • Increased base excess or bicarbonate Follow-up Management of underlying condition Pathophysiology Respiratory alkalosis is secondary to relative hyperventilation.[clinicaladvisor.com]

Prevention

  • The prevention and management of pediatric chronic renal failure and its complications are comprehensively covered in many detailed chapters.[books.google.de]
  • Intensive efforts should be made to diagnose psychogenic and functional symptoms, because this will reduce or eliminate harm, prevent stigmatization and fixation of symptoms and disease, allow an untroubled life (including sports), and prevent patients[ncbi.nlm.nih.gov]
  • Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. ‎[books.google.es]
  • It acts to prevent the sequlae. I preferred a sublingual route. If the drug is not given, the tachycardia should be able to correct it and everything goes to normal in most patients.[zeromd.wordpress.com]

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