Presentation
Here, we present a case of a 3-month-old former full term male infant with no history of RDS or mechanical ventilation who presented with focal cystic lung disease associated with spontaneous tension pneumothorax. [ncbi.nlm.nih.gov]
Abstract Obstructive pulmonary emphysema is a common disorder which presents many problems to the practicing physician and the investigator. [annals.org]
Entire Body System
- Weight Loss
Nutritional Support: since emphysema may cause malnutrition and weight loss. Medications Antibiotics: For bacterial infections. Bronchodilators: Either oral or inhaled. These are the mainstay of treatment. [integrisok.com]
Weight management Being overweight can make it harder to breathe. A weight loss plan may be needed. Some find it hard to eat well with COPD. It can lead to unhealthy weight loss. Nutrition support may help. [wnyurology.com]
loss Diagnosing Emphysema The doctor will ask about your symptoms and medical history, and perform a physical exam. [umms.org]
Weight loss, which is common in patients with advanced emphysema, can be caused by inadequate food intake in individuals too short of breath to eat. [columbiasurgery.org]
- Hypoxemia
This V/Q mismatch results in rapid circulation in a poorly ventilated lung, leading to hypoxemia and polycythemia. Eventually, hypercapnia and respiratory acidosis develop, leading to pulmonary artery vasoconstriction and cor pulmonale. [emedicine.com]
In more advanced cases, when the patient already has a persistent hypoxemia (low blood oxygen), the use of supplemental oxygen is indicated. [tabletsmanual.com]
On admission, he had intense tachypnea (32 breaths per minute) due to severe hypoxemia (38.5mmHg) and a heart rate of 90 beats per minute. [archbronconeumol.org]
For patients with advanced COPD, gas exchange abnormalities usually result in hypoxemia and hypercapnia. [jtd.amegroups.com]
Interventions include: smoking cessation oxygen therapy (in chronic hypoxemia) symptom and exacerbation control short and long-acting beta-2 agonists inhaled anticholinergics inhaled glucocorticoids antibiotics pulmonary rehabilitation In patients with [radiopaedia.org]
- Fever
[…] carries venous blood from the right ventricle of the heart and divides into the right and left pulmonary arteries pulmonary circulation circulation of blood between the heart and the lungs Salmonella typhosa a form of salmonella that causes typhoid fever [vocabulary.com]
Antibiotics Since patients with emphysema are at risk for infections like pneumonia, antibiotics may be prescribed when the usually clear sputum changes color, or when the patient presents with systemic signs of an infection (fever, chills, weakness). [medicinenet.com]
However, fever (40.0°C), hypoxemia, tachycardia, shortness of breath, and abdominal pain developed on day 13. [nejm.org]
Symptoms include a high fever, faintness and dizziness, and changes in consciousness. Without prompt treatment, septic shock can occur. This can be fatal. Antibiotics can treat many cases of sepsis effectively, but they need to be delivered fast. [medicalnewstoday.com]
- Weakness
Results: Except for the right middle lobe and the right upper lobe, respectively, all the quantitative CT measurements showed weak to moderate negative correlations with diffusing capacity (DLco) (r = -0.35 to -0.61, p < 0.05) and weak positive correlations [ncbi.nlm.nih.gov]
Diagnosis Auscultation and especially a chest radiograph can show a distended chest, a long breathing time with a weak inspiration that is accompanied by snoring. [health.ccm.net]
Antibiotics Since patients with emphysema are at risk for infections like pneumonia, antibiotics may be prescribed when the usually clear sputum changes color, or when the patient presents with systemic signs of an infection (fever, chills, weakness). [medicinenet.com]
The potential side effects of long term systemic steroid use include osteoporosis, diabetes, weight gain, cataracts, muscle weakness, cataracts, and hypertension. [columbiasurgery.org]
- Underweight
Other treatments People with emphysema are often underweight. Eating foods rich in vitamins A, C, and E, like fruits and vegetables, is recommended to improve your overall health. [healthline.com]
Being overweight or underweight can affect your health Other types of oral and inhaled medicines that are used to treat symptoms such as coughing and wheezing Oxygen therapy from portable containers. [healthcare.ascension.org]
Respiratoric
- Cough
Smoking cigarettes Long-term second-hand or passive smoke exposure Family members with emphysema Exposure to pollutants at work History of frequent childhood lung infections Age: 50 or older Symptoms of Emphysema Early symptoms include: Coughing in the [umms.org]
We present the case of a 6-year-old white boy with chronic cough and dyspnea on exertion. [ncbi.nlm.nih.gov]
The most frequent cause is the violent strain attending the paroxysm of coughing in bronchitis, whooping-cough, or asthma. [henriettes-herb.com]
Typical signs are a tickle in the throat, cough or rhinitis. In adults it tends to occur once or twice a year, usually in autumn and winter. [pari.com]
- Dyspnea
Feasibility, safety, and efficacy were analyzed by means of pulmonary function testing, 6-min walk test, dyspnea score, BODE (body mass index, air-flow obstruction, dyspnea, and exercise capacity) index, and St George's Respiratory Questionnaire. [ncbi.nlm.nih.gov]
At first the lips and fingers become blue, but as compensation gives way, or when the dyspnea is severe, the face becomes puffy and very blue. Cough . [henriettes-herb.com]
- Respiratory Distress
This patient was a normal full-term baby with no respiratory distress symptom and no experience of assisted mechanical ventilation. [ncbi.nlm.nih.gov]
- Barrel Chest
[…] size (barrel chest) Increased risk of serious lung infections Enlargement of the right chamber of the heart and possibly heart failure Coughing up thick and/or bloody mucus Swelling in the legs Weight loss Diagnosing Emphysema The doctor will ask about [umms.org]
In addition to shortness of breath, patients with emphysema may suffer from wheezing, coughing, a tight feeling in the chest, fatigue, difficulty sleeping and a barrel-chested appearance. [uhhospitals.org]
Other common signs and symptoms of emphysema include: Tightness in the Chest Fatigue Chronic Cough Expanded Chest or "Barrel Chest" Clubbing of the Fingers May be Noticed as Emphysema Progresses Collapsed Lung What Leads to Emphysema Long-term regular [1stclassmed.com]
- Tachypnea
We report the case of 2-week-old female infant with cystic lung disease who presented with mild tachypnea and had no history of mechanical ventilation. [ncbi.nlm.nih.gov]
On admission, he had intense tachypnea (32 breaths per minute) due to severe hypoxemia (38.5mmHg) and a heart rate of 90 beats per minute. [archbronconeumol.org]
He was admitted to the neonatal intensive care unit with tachypnea and recessions, for which he was started on 5 cm nasal continuous positive airway pressure (CPAP). [omjournal.org]
Signs of emphysema include: tachypnea absence of cyanosis pursed-lip breathing, tripod position chest hyperinflation "barrel chest" reduced breath sounds hyper-resonant to percussion cor pulmonale (late) Emphysema is one of a heterogeneous group of pathological [radiopaedia.org]
Gastrointestinal
- Abdominal Rigidity
Clinical symptoms that include abdominal rigidity, absent bowel sounds, and signs of sepsis suggest abdominal viscus injury. Pneumothorax is dissection of air into the pleural space; sufficient accumulation of air causes tension pneumothorax. [msdmanuals.com]
Cardiovascular
- Hypertension
We describe the combined use of inhaled nitric oxide and heliox (79% helium and 21% oxygen) as a rescue therapy for a critically ill infant with localized interstitial pulmonary emphysema and pulmonary hypertension. [ncbi.nlm.nih.gov]
The presence of pulmonary hypertension at diagnosis was a critical determinant of prognosis. [erj.ersjournals.com]
Keywords : Pulmonary emphysema; Pulmonary fibrosis; Lung Diseases, interstitial; Anoxia; Hypertension, pulmonary. [scielo.br]
CPFE and pulmonary hypertension Pulmonary hypertension (PH) appears to be more frequent and severe in CPFE patients than in patients with IPF alone [2, 23–25]. [copdrp.biomedcentral.com]
[…] compared to individuals with IPF.5 Hirano describes the case of a 65-year-old with pulmonary artery hypertension, diagnosed on chest CT with an enlarged pulmonary artery. [journal.copdfoundation.org]
- Heart Failure
Heart failure and chronic obstructive pulmonary disease: An ignored combination? Eur J of Heart Fail. 2006;8(7):706-711. Back To Top [appliedradiology.com]
Abstract Chronic obstructive pulmonary disease (COPD) and chronic cardiovascular disease, such as coronary artery disease, congestive heart failure, and cardiac arrhythmias, have a strong influence on each other, and systemic inflammation has been considered [ncbi.nlm.nih.gov]
Other findings include wheezing, cough, chest pain, cyanosis, and increased heart rate. Emphysema is a chronic medical condition. [visualdx.com]
[…] and possibly heart failure Coughing up thick and/or bloody mucus Swelling in the legs Weight loss Diagnosing Emphysema The doctor will ask about your symptoms and medical history, and perform a physical exam. [umms.org]
- Cyanosis
Other findings include wheezing, cough, chest pain, cyanosis, and increased heart rate. Emphysema is a chronic medical condition. [visualdx.com]
This compares with the hypercapnoea and cyanosis of chronic bronchitis with patients referred to as "blue bloaters". In practice, features of these two syndromes coexist as chronic obstructive pulmonary disease. [radiopaedia.org]
Cyanosis .—As the disease progresses and the right ventricle becomes involved, the patient takes on a cyanotic appearance. [henriettes-herb.com]
Skin
- Blister
The physician may observe blisters in the lungs and bulging of the accessory muscles of the respiratory system. [medical-dictionary.thefreedictionary.com]
Beware: there are other diseases that can mimic bullous lung disease: The differential diagnosis of bullous lung disease is relatively broad since it includes any disease that can form air-filled spaces within lung parenchyma: Blebs: Effectively "blisters [clinicaladvisor.com]
Musculoskeletal
- Osteoporosis
This finding adds to recent observations of associations between emphysema and comorbidities of COPD, including osteoporosis and lung cancer, which are independent of the traditional measure of reduced FEV₁. [ncbi.nlm.nih.gov]
The potential side effects of long term systemic steroid use include osteoporosis, diabetes, weight gain, cataracts, muscle weakness, cataracts, and hypertension. [columbiasurgery.org]
The most common are: Depression Heart failure Osteoporosis Pulmonary hypertension Pneumothorax Lung cancer Anemia Spirometer As COPD destroys lungs tissue and impedes the elimination of air breathed in addition to hyperinflation, air bubbles begin to [tabletsmanual.com]
Need for breathing machine and oxygen therapy Right-sided heart failure or cor pulmonale (heart swelling and heart failure due to chronic lung disease) Pneumonia Collapsed lung (pneumothorax) Severe weight loss and malnutrition Thinning of the bones (osteoporosis [medlineplus.gov]
Neurologic
- Asthenia
Other common signs and symptoms of respiratory tract, such as cough, wheezing, perioral cyanosis, asthenia and so on, may also appear in some patients. [jtd.amegroups.com]
Workup
PIE is a radiographic and pathologic diagnosis (see image below and Workup). The introduction of surfactant and newer ventilator modalities has decreased the incidence of PIE. [emedicine.medscape.com]
Developments in the 20th century included the widespread use of spirometry (see Workup ), recognition of airflow obstruction as a key factor in determining disability, and the improvement of pathologic methods to assess emphysema. [emedicine.com]
The laboratory workup of a patient with bullous emphysema is not standardized, but it may include the following considerations: Particularly in those with disease onset at a young age ( alpha-1 antitrypsin level and phenotype may be considered in basilar-predominant [clinicaladvisor.com]
Serum
- Hypercapnia
Eventually, hypercapnia and respiratory acidosis develop, leading to pulmonary artery vasoconstriction and cor pulmonale. [emedicine.com]
This compares with the hypercapnia and cyanosis of chronic bronchitis with patients referred to as "blue bloaters". In practice, features of these two syndromes coexist as chronic obstructive pulmonary disease. [radiopaedia.org]
Ventilation of these intrapulmonary emphysematous spaces is, in fact, largely ineffective and may cause hypercapnia. [fondazionecarrel.org]
As a result of the progressive damage to alveoli, people with emphysema will experience a decreased level of oxygen in the blood (hypoxemia) combined with an increased level of carbon dioxide in the blood (hypercapnia). [verywellhealth.com]
ABG can evaluate for hypercapnia in those with severe respiratory impairment; hypercapnia increases risks of operative intervention and may alter medical management. [clinicaladvisor.com]
P Wave
- P Pulmonale
With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3. [lifeinthefastlane.com]
Treatment
WILBUR SHUFF UNDERGOES TREATMENT FOR EMPHYSEMA. POLLUTED AIR IS AN ACUTE PROBLEM FOR HIM - NARA - 545478.jpg 2 016 × 3 000; 939 KB FORMER MACHINIST MR. WILBUR SHUFF UNDERGOES TREATMENT FOR EMPHYSEMA. [commons.wikimedia.org]
The independent lung respiratory treatment lasted 35 and 25 days, respectively: to our knowledge, these are among the longest-lasting independent respiratory treatments reported. [ncbi.nlm.nih.gov]
Prognosis
After discussing with his parents the grave prognosis for neonatal Marfan syndrome, he was discharged home with oxygen treatment and died at home at age 4.5 months. [ncbi.nlm.nih.gov]
Life Expectancy Some information is available on prognosis in COPD patients, but it is limited. Traditionally, prognosis has been reported based on the FEV1, which is a part of PFT. [netwellness.org]
Etiology
The possible etiologies of emphysema in this syndrome are discussed. [ncbi.nlm.nih.gov]
The etiological diagnosis is of basic importance in patients with emphysema because the distinction between primary and secondary types decides the plan of treatment. [jamanetwork.com]
Etiology ARCL1 is genetically heterogeneous and, although the etiology remains unknown in the majority of cases, mutations have been identified in some patients in the FBLN5 (14q31) and EFEMP2 (11q13) genes, encoding the extracellular matrix proteins [orpha.net]
[…] other possible etiologies, e.g. an immunocompromised patient (Figure 6). [appliedradiology.com]
[…] progressive process manifested clinically by dyspnea, which most commonly makes its appearance in middle-aged or elderly males who have had no previous localized or diffuse chronic pulmonary disease and which has generally been regarded as of unknown etiology [nejm.org]
Epidemiology
Details about this forecast and other discussions of sepsis epidemiology can be found in the EpiCast Report: Sepsis and Septic Shock – Epidemiology Forecast to 2026 and the EpiCast Model: Sepsis and Septic Shock – Epidemiology Forecast to 2026. [hospitalmanagement.net]
Clinical trials (epidemiology) (76) Epidemiologic studies (138) Population trends Screening (epidemiology) (66) Survey techniques Therapeutic trials (1) Time-to-event methods Ethics Artificial and donated transplantation (9) Assisted dying Bioethics [ep.bmj.com]
Glomerular filtration rates (eGFRs) were estimated using the method of the Chronic Kidney Disease Epidemiology Collaboration. Quantitative determinants of emphysema and airway dimension were measured from multidetector chest CT scans. [ncbi.nlm.nih.gov]
Berlin, Germany; 2Department of Internal Medicine/Infectious and Respiratory Disease, Charité Universitätsmedizin Berlin, Berlin, Germany; 3Institute for Medical Image Computing, Fraunhofer MEVIS, Bremen, Germany; 4Institute of Biometrics and Clinical Epidemiology [dovepress.com]
Pathophysiology
Functional information of the lungs is important to understand the pathophysiology of emphysema and that of chronic obstructive pulmonary disease. [ncbi.nlm.nih.gov]
Chronic obstructive pulmonary disease (COPD) is a mixture of three separate disease processes that together form the complete clinical and pathophysiological picture. These processes are chronic bronchitis, emphysema and, to a lesser extent, asthma. [emedicine.com]
Fraunhofer MEVIS, Bremen, Germany; 4Institute of Biometrics and Clinical Epidemiology, Charité Universitätsmedizin Berlin, Berlin, Gemany Purpose: Quantitative analysis of CT scans has proven to be a reproducible technique, which might help to understand the pathophysiology [dovepress.com]
Prevention
The alveolar capillary network could initially prevent enlargement of the fenestrae, and the thick elastic fibers constituting the alveolar framework could secondarily prevent destruction of the alveolar wall structure. © 2014 Wiley Periodicals, Inc. [ncbi.nlm.nih.gov]
How can I prevent pulmonary interstitial emphysema? Preventing preterm birth may help prevent PIE. [lluch.org]
COPD (chronic obstructive pulmonary disease) is a common preventable and treatable disease of the lungs. [uofmhealth.org]
Treatments include inhalers, oxygen, medications and sometimes surgery to relieve symptoms and prevent complications.* *Courtesy: National Institutes of Health Find a Pulmonary Specialist [healthcare.utah.edu]