Dyspnea and Hemoptysis after a Rigorous, Open-Water Swim

Acute Care Casebook ◽

10.1093/med/9780190865412.003.0072 ◽

2018 ◽

pp. 355-359

Author(s):

Patrick Engelbert ◽

John Haggerty ◽

Steven Portouw

Keyword(s):

Pulmonary Edema ◽

Open Water ◽

Acute Onset ◽

Diagnosis And Treatment ◽

Shortness Of Breath ◽

Military Recruits ◽

Healthy Athlete ◽

Symptoms And Signs ◽

Rule Out

The case illustrates the diagnosis and treatment of a patient with swimming-induced pulmonary edema (SIPE), an uncommon cause of pulmonary edema in triathletes and military recruits. The pathophysiology is not completely understood but is thought to relate to the effects caused by immersion in conjunction with vigorous exertion. Diagnosis is by history and physical, with the prototypical SIPE patient being a previously healthy athlete exhibiting acute onset edema while exercising in the water. Typical symptoms and signs include shortness of breath, hypoxia, rales, and cough, which may or may not be productive with pink, frothy sputum. Radiographs may be obtained but are mainly obtained to rule out other diagnoses including pneumonia and pneumothorax. Treatment is supportive, although some evidence is mounting that shows decreasing rates of SIPE with prophylactic sildenafil.

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Ultrasound guiding the rapid diagnosis and treatment of negative pressure pulmonary edema: A case report

Asian Journal of Surgery ◽

10.1016/j.asjsur.2020.07.004 ◽

2020 ◽

Vol 43 (10) ◽

pp. 1047-1048

Author(s):

Gang Zhang ◽

Xiaoyan Huang ◽

Qihai Wan ◽

Lan Zhang

Keyword(s):

Case Report ◽

Pulmonary Edema ◽

Negative Pressure ◽

Rapid Diagnosis ◽

Diagnosis And Treatment ◽

Negative Pressure Pulmonary Edema

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Pulmonary edema following scorpion envenomation: Mechanisms, clinical manifestations, diagnosis and treatment

International Journal of Cardiology ◽

10.1016/j.ijcard.2011.10.013 ◽

2013 ◽

Vol 162 (2) ◽

pp. 86-91 ◽

Cited By ~ 45

Author(s):

Mabrouk Bahloul ◽

Anis Chaari ◽

Hassen Dammak ◽

Mohamed Samet ◽

Kamilia Chtara ◽

...

Keyword(s):

Pulmonary Edema ◽

Clinical Manifestations ◽

Diagnosis And Treatment ◽

Scorpion Envenomation

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Acute Pulmonary Edema Complicating Tonsillectomy and Adenoidectomy

PEDIATRICS ◽

10.1542/peds.75.1.112 ◽

1985 ◽

Vol 75 (1) ◽

pp. 112-114

Author(s):

ARTHUR N. FEINBERG ◽

CHARLES L. SHABINO

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Continuous Positive Airway Pressure ◽

Pulmonary Edema ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Medical Personnel ◽

Acute Onset ◽

Respiratory Support ◽

Acute Pulmonary Edema

In summary, we have presented two cases to illustrate the problem of postoperative pulmonary edema following tonsillectomy and adenoidectomy. Furthermore, we have discussed the difficulty in predicting those patients who will develop this complication. Because of the potential seriousness and unpredictability of acute pulmonary edema following tonsillectomy for chronic obstruction, it is important that medical personnel, including pediatricians caring for patients after tonsillectomy, be able to readily recognize this phenomenon of acute onset of congestive heart failure and treat it rapidly with diuretics, continuous positive airway pressure, and respiratory support as needed.

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Platypnea: оne more type position shortness of breath

Terapevticheskii arkhiv ◽

10.26442/00403660.2020.03.000436 ◽

2020 ◽

Vol 92 (3) ◽

pp. 92-97

Author(s):

L. I. Dvoretskiy ◽

V. V. Rezvan

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Liver Diseases ◽

Hepatopulmonary Syndrome ◽

Diagnosis And Treatment ◽

Chronic Obstructive ◽

Shortness Of Breath ◽

Severe Liver ◽

Obstructive Pulmonary Disease ◽

Cardiac Pathology

The article presents modern data on the causes of platypnea, methods of its diagnosis and treatment. The data on the development of platypnea syndrome are given not only in cardiac pathology, but also in severe liver diseases with the development of hepatopulmonary syndrome and chronic obstructive pulmonary disease of a severe course.

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Neurocysticercosis presenting as bipolar disorder: a case report

General Psychiatry ◽

10.1136/gpsych-2021-100663 ◽

2021 ◽

Vol 34 (6) ◽

pp. e100663

Author(s):

Surbhi Batra ◽

Sumit Kumar ◽

Lokesh Singh Shekhawat

Keyword(s):

Bipolar Disorder ◽

Case Report ◽

Depressive Symptoms ◽

Affective Disorder ◽

Postpartum Period ◽

Bipolar Affective Disorder ◽

Taenia Solium ◽

Manic Episode ◽

Symptoms And Signs ◽

Rule Out

Neurocysticercosis is the most common neuro-parasitosis caused by the larval stage of Taenia solium. The most common manifestations include seizures and hydrocephalus. Psychiatric abnormalities are relatively rare but depressive symptoms are frequent in patients with neurocysticercosis. However, mania as a presentation is relatively rare. Pregnancy and the postpartum period are relatively vulnerable times and they can lead to reactivation of existing neurocysterci lesions. We are discussing the case of a 23-year-old female patient with neurocysticercosis leading to the reactivation of lesions in the peripartum and postpartum period leading to bipolar affective disorder. Improvement in the patient was seen with a combination of antipsychotics, antihelmintics, antiepileptics and steroids, along with improved radiological signs of neurocysterci lesions. Although neurocysticercosis is a common illness, its prevalence presenting as a manic episode is merely 2.6% and, hence, missed easily. Therefore, it is important to rule out organic aetiology in patients even with a classic presentation of bipolar affective disorder and those having any other neurological symptoms and signs.

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Teething Problems and Parental Beliefs in Nigeria

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-10-4-75 ◽

2009 ◽

Vol 10 (4) ◽

pp. 75-82 ◽

Cited By ~ 3

Author(s):

Foluso J. Owotade ◽

Morenike O. Folayan ◽

Temitope A. Esan ◽

Elizabeth O. Oziegbe ◽

Comfort A. Adekoya-Sofowora

Keyword(s):

Signs And Symptoms ◽

Cross Sectional Study ◽

Parental Beliefs ◽

Cross Sectional ◽

Socioeconomic Class ◽

Low Socioeconomic ◽

Significant Difference ◽

And Gender ◽

Symptoms And Signs ◽

Rule Out

Abstract Aim To determine signs and symptoms associated with teething, parental beliefs about teething, and the effects of socioeconomic status on teething in Nigerian children. Methods and Materials A cross-sectional study consisting of 1,013 mothers of children between the ages four to 36 months who visited the immunization clinics at the Community Health Centres in Ife Central and Ife East Local Government Areas. Data was analyzed using STATA (Intercooled release 9) for Windows. Results A total of 765 mothers (75.5%) reported systemic signs and symptoms in their children. Fever (51.8%), diarrhea (12.5%), and vomiting (2.9%) were the most prevalent symptoms and signs reported. Teething problems were reported by 60% of mothers from a high socioeconomic class, as well as 76.7% and 77.9% from middle and low socioeconomic classes, respectively. Interestingly, 65.5% of mothers believed teething should be accompanied with systemic signs and symptoms such as fever (42.1%), diarrhea (13.9%), and vomiting (0.6%). No significant difference was noted between breastfeeding status, gender of the child, and reported systemic signs and symptoms noticed by the mothers. Conclusion Most mothers in the study reported signs and symptoms adduced to teething in their children irrespective of their beliefs. Fever ranked highest of the signs and symptoms reported. Mothers of children from the high socioeconomic class reported fewer teething symptoms. Breastfeeding status and gender of the child had no effect on teething problems in the children studied. Clinical Significance Most signs and symptoms adduced to teething by parents may actually be due to underlying infections. Thus, there is a need to rule out occult infection during the tooth eruption period. Citation Oziegbe EO, Folayan MO, Adekoya-Sofowora CA, Esan TA, Owotade FJ. Teething Problems and Parental Beliefs in Nigeria. J Contemp Dent Pract 2009 July; (10)4:075-082.

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Overdose

Acute Care Casebook ◽

10.1093/med/9780190865412.003.0028 ◽

2018 ◽

pp. 140-145

Author(s):

Evie Marcolini ◽

Anthony Tomassoni

Keyword(s):

Anion Gap ◽

Diagnosis And Treatment ◽

Deep Breathing ◽

Shortness Of Breath ◽

Cardiovascular Instability ◽

Life Threatening ◽

Timely Fashion ◽

Salicylate Intoxication

Salicylate intoxication can be fatal if not recognized and treated in a timely fashion. Presentation may be subtle, and complaints of tinnitus or observation of Kussmaul respirations (rapid, deep breathing secondary to acidosis) may be the clinician’s leading cues. Other signs may include hyperthermia, nausea, vomiting, shortness of breath, confusion, diaphoresis, cardiovascular instability, and/or anion gap acidosis. Salicylate intoxication may be mistaken for sepsis, pneumonia, or ketoacidosis. Exposure may be chronic or acute - either can be deadly. Understanding the mechanisms of salicylate toxicity will guide diagnosis and treatment. Deciding whether or not to intubate and /or dialyze the patient are often critical determinanants of outcome. This chapter reviews recognition and management of this rare but potentially life-threatening toxicity.

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