Digital Health Assistant & Symptom Checker | Symptoma
0%
Restart

Are you sure you want to clear all symptoms and restart the conversation?

About COVID-19 Jobs Press Scholarship Terms Privacy Imprint Medical Device Language
Languages
Suggested Languages
English en
Other languages 0
2.1
Tracheobronchomalacia
Syndrome Williams Campbell

Images

WIKIDATA, CC BY 3.0

Presentation

Current therapeutic management depends on the extent, type, and severity of airway abnormalities noted and the clinical presentation. [ncbi.nlm.nih.gov]

However, expertise in this technique is not present nationwide. [jtd.amegroups.com]

Entire Body System

  • Impaired Exercise Tolerance

    Precise indications are evolving but may include symptomatic pediatric patients with known risk factors for TBM and patients with otherwise unexplained impaired exercise tolerance; recurrent lower airways infection; and therapy-resistant, irreversible [ncbi.nlm.nih.gov]

    These authors emphasize the importance of assessing for TBM in pediatric patients with a history of impaired exercise tolerance, recurrent lower airways infection, and therapy-resistant, irreversible, and/or atypical asthma (, 13 ). [dx.doi.org]

  • Hypoxemia

    Tracheobronchomalacia is an uncommon condition, which presents with similar symptoms to pulmonary embolism, including hypoxemia, tachycardia, and shortness of breath. [ncbi.nlm.nih.gov]

  • Fatigue

    We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019 [patientslikeme.com]

Respiratoric

  • Dyspnea

    Improvement of dyspnea is the most consistent metric of treatment effect, likely because dyspnea is the most common presenting complaint in patients with diffuse TBM and because of the immediate effect of the stent on expiratory airflow. [jtd.amegroups.com]

    Thirty-three patients (94%) presented with severe dyspnea, 26 patients (74%) with uncontrollable cough, and 18 patients (51%) reported recurrent pulmonary infections. [ncbi.nlm.nih.gov]

    Case Report A76-year-old female was admitted to our hospital with complaints of cough, dyspnea, night sweats, and weight loss. She reported cough and progressive dyspnea for the preceding 10 years. [karger.com]

  • Respiratory Distress

    Tracheobronchomalacia is a rare cause of respiratory distress in children. An infant with tracheobronchomalacia is presented. The aetiology, pathophysiology and management are discussed. [ncbi.nlm.nih.gov]

    Sixty-one children (81%) had respiratory distress requiring hospital admissions at least once. [erj.ersjournals.com]

  • Pulmonary Disorder

    Also, the majority of previous studies review TBM in patients with multiple pulmonary disorders. There is marked variability in the incidence of TBM in the literature. [ispub.com]

  • Paroxysmal Cough

    CLINICAL MANIFESTATIONS Dyspnea, cough, and sputum retention (most common) Expiratory wheezing or stridor Paroxysmal cough Recurrent infection Episodic choking, syncope a/w forced exhalation and cough Maneuvers can sometimes elicit symptoms Forced exhalation [slideshare.net]

Gastrointestinal

  • Dysphagia

    (see Dysphagia, [[Dysphagia]]): may occur when esophagus is also compressed Trauma External Chest Trauma Physiology : traumatic tracheal cartilaginous injury Post-Intubation Risk Factors Concurrent High-Dose Corticosteroid Therapy (see Corticosteroids [mdnxs.com]

    Long-term complications have included chronic pain (17%), recurrence of disease requiring redo TBP (8%), dysphagia (9%), and mesh erosion (3%) ( 31 ). [jtd.amegroups.com]

Cardiovascular

  • Hypotension

    ( G90.3 ) orthostatic hypotension ( I95.1 ) postprocedural shock ( T81.1- ) psychogenic syncope ( F48.8 ) shock NOS ( R57.9 ) shock complicating or following abortion or ectopic or molar pregnancy ( O00 - O07, O08.3 ) shock complicating or following [icd10data.com]

Neurologic

  • Asthenia

    Diagnosis Code R55 Syncope and collapse 2016 2017 2018 2019 Billable/Specific Code Applicable To Blackout Fainting Vasovagal attack Type 1 Excludes cardiogenic shock ( R57.0 ) carotid sinus syncope ( G90.01 ) heat syncope ( T67.1 ) neurocirculatory asthenia [icd10data.com]

Workup

In this report, we review the treatment of TBM, including preoperative workup, intraoperative anesthesia management, and surgical technique for posterior splinting tracheobronchoplasty. [ncbi.nlm.nih.gov]

With increased awareness of TBM as an independent cause of clinical symptoms and functional impairment, the need for a standard diagnostic workup becomes more important. [rc.rcjournal.com]

As part of their diagnostic workup, all infants had structurally normal hearts on echocardiogram, normal sweat tests, and normal immune function. Gastro-oesophageal reflux was excluded or treated if confirmed. [fn.bmj.com]

Pulmonary function testing is often unhelpful in screening patients during the initial diagnostic workup. [jtd.amegroups.com]

Serum

  • Hypercapnia

    Nocturnal sleep study showed an isolated hypercapnia (Mean SaO2 99.6%, SaO2 50mmHg 97.3 % TST). [erj.ersjournals.com]

Treatment

[…] appropriate treatment is important. [10] Last updated: 3/22/2018 Research helps us better understand diseases and can lead to advances in diagnosis and treatment. [rarediseases.info.nih.gov]

If found, these diagnoses require adequate treatment prior to surgical evaluation. [jtd.amegroups.com]

MATERIALS AND METHODS: Fifteen patients who had received treatment in our interventional pulmonology unit were analyzed. We analyzed the techniques used, stent duration, complications, and long-term treatment success retrospectively. [ncbi.nlm.nih.gov]

Prognosis

In general, the prognosis is good in children with primary TBM who do not have any associated problems. [rarediseases.info.nih.gov]

Treatment and prognosis In most cases, no treatment is required or offered. [radiopaedia.org]

cases with respiratory complications have worse prognosis and poorer response to corticosteroids Severe/Recurrent Tracheobronchitis (see Acute Bronchitis, [[Acute Bronchitis]]) Sulfur Mustard Gas Exposure (se Sulfur Mustard Gas, [[Sulfur Mustard Gas [mdnxs.com]

Etiology

This paper describes our experience standardizing the approach to these complex patients whose backgrounds include different disease etiologies, as well as a variety of comorbid conditions. [ncbi.nlm.nih.gov]

Etiology and classification of ECAC The cause of diffuse TBM is often unknown, but it is frequently seen in patients with common respiratory conditions such as asthma, chronic bronchitis and emphysema. [jtd.amegroups.com]

The underlying etiology is one of reduced or abnormal connective tissues in the trachea, particularly the cartilaginous rings. [radiopaedia.org]

Epidemiology

This review discusses the physiology, histopathology, epidemiology, and clinical features of TBM; it also describes current methods of diagnosis, available therapies, and postoperative imaging evaluation. [ncbi.nlm.nih.gov]

Epidemiology History : earliest references to tracheomalacia are from the 1930’s-1940’s, describing congenital thoracic vascular abnormalities which resulted in tracheal obstruction Prevalence : acquired tracheobronchomalacia is more common than congenital [mdnxs.com]

This review discusses the physiology, histopathology, epidemiology, and clinical features of TBM; it also describes current methods of diagnosis, available therapies, and postoperative imaging evaluation. * Center for Airway Imaging and the Department [journals.lww.com]

Epidemiology The lack of standardization in the diagnosis of EDAC and its non-distinction from TBM in the past is an obstacle in defining the epidemiology of this disease. [shortnessofbreath.it]

Balali-Mood’s research areas include clinical toxicology of chemical warfare agents, organophosphorous pesticide poisonings, heavy metals, drug abuse and overdosage, epidemiology of poisonings, occupational and environmental toxicology, and natural toxins [books.google.com]

Pathophysiology

[…] of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA. [email protected] Abstract Tracheobronchomalacia and excessive dynamic airway collapse are morphologic types of expiratory central airway collapse with specific pathophysiology [ncbi.nlm.nih.gov]

It is often mentioned, incidentally and interchangeably, with tracheobronchomalacia (TBM), but it is pathophysiologically and morphologically distinct from TBM. [shortnessofbreath.it]

Prevention

The stenting technique used did not prevent the development of respiratory failure and death in this patient. Hence, a surgical procedure could be considered as an alternative to stenting in such cases. [ncbi.nlm.nih.gov]

The mild pressure from CPAP can prevent your airway from collapsing or becoming blocked. The animation below shows how CPAP works to treat sleep apnea. Click the "start" button to play the animation. [web.archive.org]

Abstract Objective: To emphasize the importance of a careful clinical evaluation to prevent unnecessary interventions and treatments. [karger.com]

Languages
Suggested Languages
English en
Other languages 0
2.1
About Symptoma.com COVID-19 Jobs Press Scholarship
Contact Terms Privacy Imprint Medical Device