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Many patients with pulmonary complaints fail to improve despite physicians’ best efforts. Sometimes, we ascribe this failure to lack of adherence with therapy, or to the severity of the condition

Many patients with pulmonary complaints fail to improve despite physicians’ best efforts. Sometimes, we ascribe this failure to lack of adherence with therapy, or to the severity of the condition. What we often fail to appreciate, however, is that sometimes the lack of improvement can be explained by the patients& psychological states.

Respiratory Medicine.

Background Dysfunctional respiratory symptoms (DRS) comprise a group of respiratory phenomena arising throughout a broad range of ages with a peak in prevalence in adolescence and young adulthood. The symptoms show a considerable overlap with symptoms of frequent somatic airway diseases, such as bronchial asthma, which impedes the diagnosis. A lack of awareness of DRS among physicians and caregivers imposes a great obstacle for diagnosing these entities as they do not belong to the portfolio of differential diagnoses as do relevant somatic diseases. Moreover, not all DRS phenomena are equally.

Recurrent respiratory tract infections are one of the most frequent reasons for pediatric visits and hospitalization. Other children are unfortunately unable to respond to even optimal vaccine stimulation. Causes of this pathology are multiple ranging from congenital to acquired and local to general. Immune deficiencies are considered as underlying conditions predisposing to this pathology.

Adverse respiratory effects. Lungs do not complete their growth until full adult stature is achieved in adolescence

Adverse respiratory effects. Upper respiratory infection Otitis media with effusion Tuberculosis Acute pulmonary haemorrhage Pneumonia Bronchiectasis Sudden infant death syndrome Changes in lung function Asthma, bronchospasm, allergies. 4. Use of biomass and solid fuels for household cooking and heating is associated with increases in acute respiratory infections – the leading cause of death in the world today. Lungs do not complete their growth until full adult stature is achieved in adolescence. References:,American Academy of Pediatrics Committee on Environmental Health.

Acute respiratory distress syndrome and pulmonary embolism are not characterized by absent breath sounds. Rationale: The most common initial symptom in pulmonary embolism is chest pain that is sudden in onset

Acute respiratory distress syndrome and pulmonary embolism are not characterized by absent breath sounds. An endotracheal tube that is inserted too far can cause absent breath sounds, but the lack of breath sounds most likely would be on the left side because of the degree of curvature of the right and left mainstem bronchi. Rationale: The most common initial symptom in pulmonary embolism is chest pain that is sudden in onset. The next most commonly reported symptom is dyspnea, which is accompanied by an increased respiratory rate. Other typical symptoms of pulmonary embolism include apprehension and restlessness, tachycardia, cough, and cyanosis.

Upper respiratory tract infection (URI) represents the most common acute . If symptoms do not improve in 3-5 days, broadening coverage to another antibiotic class may be considered.

Upper respiratory tract infection (URI) represents the most common acute illness evaluated in the outpatient setting. URIs range from the common cold-typically a mild, self-limited, catarrhal syndrome of the nasopharynx-to life-threatening illnesses such as epiglottitis. Symptom-based therapy represents the mainstay of URI treatment in immunocompetent adults, although antimicrobial or antiviral therapy is appropriate in selected patients (see Medication). Several URIs warranting special attention are described in this section.

Acute respiratory infection is an infection that may interfere with normal breathing. Learn the causes, risk factors, symptoms, and treatment. It usually begins as a viral infection in the nose, windpipe, or lungs. The symptoms you experience will be different if it’s a lower or upper respiratory infection. Symptoms can include: congestion, either in the nasal sinuses or lungs.

An upper respiratory tract infection (URTI) is an illness caused by an acute infection, which involves the upper respiratory tract, including the nose, sinuses, pharynx, or larynx

An upper respiratory tract infection (URTI) is an illness caused by an acute infection, which involves the upper respiratory tract, including the nose, sinuses, pharynx, or larynx. This commonly includes nasal obstruction, sore throat, tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, and the common cold. Most infections are viral in nature, and in other instances, the cause is bacterial. URTIs can also be fungal or helminthic in origin, but these are less common.

[ FreeCourseWeb.com ] Functional Respiratory Disorders: When Respiratory Symptoms Do Not Respond to Pulmonary Treatment
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English | ISBN: 1617798568 | 2012 | 362 pages | EPUB, PDF | 2 MB + 3 MB
Many patients with pulmonary complaints fail to improve despite physicians’ best efforts. Sometimes, we ascribe this failure to lack of adherence with therapy, or to the severity of the condition. What we often fail to appreciate, however, is that sometimes the lack of improvement can be explained by the patients` psychological states. The first section of Functional Respiratory Disorders: When Respiratory Symptoms Do Not Respond to Pulmonary Treatment will help clinicians recognize functional respiratory symptoms that can arise as a result of both organic and psychological causes. The second section of this book provides detailed discussions of such disorders, links to video examples of laryngoscopic evaluation of patients with vocal cord issues, case studies and quizzes. Examples and exercises that should strengthen the clinician’s confidence in identifying and treating these functional conditions are also provided. Finally, the third section of the book will help the clinician differentiate the patients for whom referral to a mental health provider is mandatory from those for whom other approaches may be useful. For the latter group, the book teaches clinicians to empower themselves by learning how to incorporate various therapies for functional disorders into their practice, including biofeedback, breathing techniques, basic cognitive behavioral therapy techniques, and hypnosis. Links are provided to instructive video examples of biofeedback, hypnosis, and speech therapy. Practical strategies for obtaining training in these modalities are provided in the appendix. Functional Respiratory Disorders: When Respiratory Symptoms Do Not Respond to Pulmonary Treatment is an important new book that will help clinicians consider the possible impact of functional contributions to the clinical presentation of every patient with respiratory symptoms and identified respiratory disease.
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Functional Respiratory Disorders- When Respiratory Symptoms Do Not Respond to Pulmonary Treatment FreeCourseWeb