respiratory complaints
Recently Published Documents


TOTAL DOCUMENTS

124
(FIVE YEARS 49)

H-INDEX

17
(FIVE YEARS 1)

2022 ◽  
Vol 33 (1) ◽  
pp. 18-24
Author(s):  
Eleanor Squires

Respiratory complaints are seen regularly in general practice. Eleanor Squires looks at the importance of advanced practitioners carrying out a systematic assessment and examination of a patient with respiratory symptoms The aim of this article is to explore the importance of carrying out a systematic assessment and examination of a patient with respiratory complaints. History taking using recommended acronyms will be discussed, along with a focus on the most common presentations. Finally, it will discuss a systematic examination of the patient.


Children ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 5
Author(s):  
Israel Amirav ◽  
Moran Lavie

The use of face masks as a means for preventing the spread of SARS-CoV-2 is now a common practice world-wide. Three children presented to our specialty clinic with respiratory complaints during protective face mask wearing. They were diagnosed as asthma and referred to our specialist clinic for further evaluation after asthma treatments were ineffective. Full details and a video clip demonstrating the effects of wearing the mask is presented for the first patient. The detailed evaluation confirmed the diagnosis of hyperventilation. Conclusions: In the current era of the daily use of masks, pediatricians should be aware of potential anxiety and hyperventilation while the mask is being worn, causing symptoms that mimic common respiratory disorders, such as asthma.


2021 ◽  
pp. 00479-2021
Author(s):  
Etienne-Marie Jutant ◽  
Olivier Meyrignac ◽  
Antoine Beurnier ◽  
Xavier Jaïs ◽  
Tai Pham ◽  
...  

RationaleThe characteristics of patients with respiratory complaints and/or lung radiologic abnormalities after hospitalisation for COVID-19 are unknown. The objectives were to determine their characteristics and the relationships between dyspnoea, radiologic abnormalities and functional impairment.MethodsIn the COMEBAC cohort study, 478 hospital survivors were evaluated by telephone 4 months after hospital discharge, and 177 who had been hospitalised in an intensive care unit (ICU) or presented relevant symptoms underwent an ambulatory evaluation. New-onset dyspnoea and cough were evaluated, and the results of pulmonary function tests, high-resolution computed tomography of the chest were collected.ResultsAmong the 478 patients, 78 (16.3%) reported new-onset dyspnoea, and 23 (4.8%) new-onset cough. The patients with new-onset dyspnoea were younger (56.1±12.3 versus 61.9±16.6 years), had more severe COVID-19 (ICU admission 56.4% versus 24.5%) and more frequent pulmonary embolism (18.0% versus 6.8%) (all p≤0.001) than patients without dyspnoea. Among the patients reassessed at the ambulatory care visit, the prevalence of fibrotic lung lesions was 19.3%, with extent <25% in 97% of the patients. The patients with fibrotic lesions were older (61±11 versus 56±14 years, p=0.03), more frequently managed in ICU (87.9 versus 47.4%, p<0.001), had lower total lung capacity (74.1±13.7 versus 84.9±14.8%pred, p<0.001) and diffusing lung capacity for carbon monoxide (DLCO) (73.3±17.9 versus 89.7±22.8%pred, p<0.001). The combination of new-onset dyspnoea, fibrotic lesions and DLCO <70%pred was observed in 8/478 patients.ConclusionsNew-onset dyspnoea and mild fibrotic lesions were frequent at 4 months, but the association of new-onset dyspnoea, fibrotic lesions and low DLCO was rare.


Metabolites ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 746
Author(s):  
Tanya L. Brown ◽  
Kimberly L. Nye ◽  
Brenda E. Porter

We were interested in elucidating the non-neurologic health of patients with autosomal recessive SLC13A5 Citrate Transporter (NaCT) Disorder. Multiple variants have been reported that cause a loss of transporter activity, resulting in significant neurologic impairment, including seizures, as well as motor and cognitive dysfunction. Additionally, most patients lack tooth enamel (amelogenesis imperfecta). However, patients have not had their overall health and growth described in detail. Here we characterized the non-neurologic health of 15 patients with medical records uploaded to Ciitizen, a cloud-based patient medical records portal. Ciitizen used a query method for data extraction. Overall, the patients’ records suggested a moderate number of gastrointestinal issues related to feeding, reflux, vomiting and weight gain and a diverse number of respiratory complaints. Other organ systems had single or no abnormal diagnoses, including liver, renal and cardiac. Growth parameters were mostly in the normal range during early life, with a trend toward slower growth in the few adolescent patients with data available. The gastrointestinal and pulmonary issues may at least partially be explained by the severity of the neurologic disorder. More data are needed to clarify if growth is impacted during adolescence and if adult patients develop or are protected from non-neurologic disorders.


Author(s):  
Vikas Reddy ◽  
Ankush Jajodia ◽  
Sunil Pasricha ◽  
Sumit Goyal ◽  
Sunil Puri

AbstractHere we present a rare case of spontaneous pneumomediastinum complicated with pneumorrhachis (PR) in a young man who is a known case of carcinoma rectosigmoid region. Our young male was diagnosed with novel coronavirus disease 2019 (COVID-19) and remained asymptomatic for any respiratory complaints. Though an association of pneumomediastinum has been reported in COVID 19 patients, to the best of our knowledge, this is the first report of PR in a COVID-19 oncological case. The role of a radiologist is to identify this condition as cases reported earlier may have serious neurological consequences. Pursuing the cause can be a diagnostic challenge but it reaps the clinical benefit in the appropriate management.


2021 ◽  
Vol 14 (10) ◽  
pp. e245233
Author(s):  
Diana Alexandra Pimenta ◽  
Filipa Lemos Aguiar ◽  
Beatriz Celeiros Fernandes ◽  
Rui Rolo

Pulmonary agenesis is defined as the complete absence of one or both lungs, including the bronchi, bronchioles, vasculature and lung parenchyma. Most of these malformations are detected in early childhood. A residual number remains asymptomatic and undiagnosed until adulthood. The clinical presentation is wide, ranging from asymptomatic to respiratory complaints like dyspnoea, respiratory distress and a history of recurrent lung infections. This case presents a 54-year-old woman with complaints of coughing, dyspnoea for medium exertion and wheezing for a couple of months. Based on the results of complementary diagnosis methods, right pulmonary agenesis was diagnosed without other malformations. Simultaneously, an asthma diagnosis was also performed. The treatment of pulmonary agenesis is symptomatic. Simultaneous cardiovascular malformations could require surgical interventions. This case demonstrates that pulmonary agenesis may remain undiagnosed, be identified incidentally, and have a good and long prognosis.


2021 ◽  
Vol 1 (S1) ◽  
pp. s19-s19
Author(s):  
Takaaki Kobayashi ◽  
Mohammed Alsuhaibani ◽  
Miguel Ortiz ◽  
Katherine Imborek ◽  
Stephanie Holley ◽  
...  

Background: Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 RNA can be detected by real-time reverse-transcription polymerase chain reaction (RT-PCR) for several weeks after infection. Discerning persistent RT-PCR positivity versus reinfection is challenging and the frequency of COVID-19 reinfections is unknown. We aimed to determine the frequency of clinically suspected reinfection in our center and confirm reinfection using viral whole-genome sequencing (WGS). Methods: The University of Iowa Hospitals and Clinics (UIHC) is an 811-bed academic medical center. Patients with respiratory complaints undergo COVID-19 RT-PCR using nasopharyngeal swabs. The RT-PCR (TaqPath COVID-19 Combo kit) uses 3 targets (ORF1ab, S gene, and N gene). We identified patients with previous laboratory-confirmed COVID-19 who sought care for new respiratory complaints and underwent a repeated SARS-CoV-2 test at least 45 days from their first positive test. We then identified patients with median RT-PCR cycle threshold (Ct) values. Results: During the study period, 13,603 patients had a SARS-CoV-2– positive RT-PCR. Of these, 296 (2.2%) had a clinical visit for new onset of symptoms and a repeated RT-PCR assay >45 days from the first test. Moreover, 29 patients (9.8%) had a positive RT-PCR assay in the repeated testing. Ct values were available for samples from 25 patients; 7 (28%) had Ct values. Conclusions: In patients with a recent history of COVID-19 infection, repeated testing for respiratory symptoms was infrequent. Some had a SARS-CoV-2–positive RT-PCR assay on repeated testing, but only 1 in 4 had Ct values suggestive of a reinfection. We confirmed 1 case of reinfection using WGS.Funding: NoDisclosures: None


2021 ◽  
Vol 15 (2) ◽  
pp. 239-247
Author(s):  
Gst. Kade Adi Widyas Pranata ◽  
Anak Agung Istri Wulan Krisnandari Dalem

Householder knowledge regarding third-hand tobacco smoke exposure and respiratory complaints in children Background: Third-hand smoke (THS) is very dangerous, especially for children because of its content, properties, and the ability to last a long time on the surface of objects for months. Parents or families do not seem to care and know this hidden danger since they think as long as they do not smoke in front of their children, it means there is no problem.Purpose: To identify the householder knowledge regarding third-hand tobacco smoke exposure and respiratory complaints in childrenMethod: This descriptive survey research with a cross-sectional approach was carried from August to November 2020 with householders of active smokers. The sampling technique was cluster sampling with a sample size of 561 respondents. The research instrument used the "Parent and Family Behavior Questionnaire against THS". Descriptive data analysis using SPSS 20 for Windows.Results: Most of householders with active smokers had poor knowledge of THS by 451 respondents (80.4%), respiratory complaints in children were reported in 475 (84.7%) cases and the correlation between knowledge of householders about THS and respiratory complaints in children obtained p-value 0.000Conclusion: Most of householders with active smokers had poor level of knowledge about THS and a significant relationship with respiratory complaints in childrenKeywords: Knowledge; Householder; Third-Hand Smoke; Respiratory Complaints; ChildrenPendahuluan: Third-hand smoke (THS) sangatlah berbahaya terutama bagi anak-anak karena kandungan, sifat dan kemampuan bertahan lama pada permukaan benda hingga berbulan-bulan. Orang tua ataupun keluarga tampaknya tidak cukup peduli dan mengetahui bahaya tersembunyi ini sejak mereka menganggap selama tidak merokok di depan anak, itu berarti tidak ada masalah.Tujuan: Untuk mengidentifikasi pengetahuan kepala rumah tangga tentang paparan THS dan keluhan pernapasan pada anak-anakMetode: Penelitian survei deskriptif dengan pendekatan cross sectional ini dilakukan pada bulan Agustus hingga November 2020 terhadap kepala rumah tangga yang merupakan perokok aktif. Teknik pengambilan sampel adalah cluster sampling dengan jumlah sampel 561 responden. Instrumen penelitian menggunakan “Kuesioner Perilaku Orang Tua dan Keluarga Terhadap THS”. Analisis data deskriptif menggunakan SPSS 20 for Windows.Hasil: Sebagian besar kepala rumah tangga perokok aktif memiliki pengetahuan buruk tentang THS sebesar 451 responden (80.4%), keluhan pernapasan pada anak dilaporkan terdapat 475 (84.7%) kasus dan korelasi antara pengetahuan kepala rumah tangga tentang THS dengan keluhan pernapasan pada anak diperoleh p-value 0.000Simpulan: Sebagian besar kepala rumah tangga yang merupakan perokok aktif memiliki tingkat pengetahuan buruk tentang THS dan memiliki hubungan yang signifikan dengan keluhan pernapasan pada anak 


Author(s):  
Joshua C Chen ◽  
Darren Wong ◽  
Sina Rabi ◽  
Scott Worswick ◽  
Brittney DeClerck ◽  
...  

Abstract Coccidioides immitis (and C. posadasii) are endemic fungi of the southwestern United States and northern Mexico. Uncomplicated, symptomatic Coccidioides infection most commonly causes a self-limited pneumonia; however, immunocompromised patients can manifest severe pneumonia with an additional risk of dissemination to bone, joints, soft tissues, and in the most severe the cases, the central nervous system. In the year 2020 clinicians are challenged with a previously unseen volume of acute respiratory complaints as a result of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic. We present a patient with respiratory failure secondary to SARS-CoV-2 who experienced prolonged hypoxia and neurologic deterioration, eventually leading to a diagnosis of occult disseminated coccidiomycosis involving meningitis, miliary-pattern pneumonia, and cutaneous lesions.


2021 ◽  
pp. 00126-2021
Author(s):  
Emmely W. de Roos ◽  
Lies Lahousse ◽  
Katia M.C. Verhamme ◽  
Gert-Jan Braunstahl ◽  
Johannes J.C.C.M. in ‘t Veen ◽  
...  

AimTo investigate occurrence and determinants of asthma exacerbations in an ageing general population.MethodsSubjects aged 45 years or above with physician-diagnosed asthma in the Rotterdam Study, a population-based prospective cohort from January 1991 to May 2018 were assessed for asthma exacerbations. Exacerbations were defined as acute episodes of worsening asthma treated with oral corticosteroids. Cox proportional hazards analysis was used to investigate risk factors for a future exacerbation.ResultsOut of 763 participants with asthma (mean age 61.3 years, 69.2% female), 427 (56.0%) experienced at least one exacerbation, in a mean follow-up time of 13.9 years. The mean annual exacerbation rate was 0.22. Most exacerbations occurred during winter months. Risk factors for exacerbations were a history of previous exacerbations (Hazard Ratio (HR) 4.25; CI 3.07–5.90, p<0.001)), respiratory complaints (HR 2.18; 1.48–3.21, p<0.001), airflow obstruction (HR 1.52; 1.07–2.15, p=0.019), obesity (HR 1.38; 1.01–1.87, p=0.040) and depressive symptoms (HR 1.55; 1.05–2.29, p=0.027). Compared to those not using respiratory medication, we observed higher HRs for those on short-acting beta2-agonists (SABA, i.e. rescue medication) only (HR 3.08, 95% CI 1.61–5.90, p=0.001) than those on controller medication (HR 2.50, 95% CI 1.59–3.92, p<0.001).ConclusionMany older adults with asthma suffer from at least one severe exacerbation. Previous exacerbations, use of SABA without concomitant controller medication, respiratory complaints, obesity, airway obstruction and depression are independent risk factors for exacerbations.


Sign in / Sign up

Export Citation Format

Share Document