#COPD diagnosis

[emed123]

Explore cutting-edge COPD treatment options. Stay informed with new developments in COPD care.

[stellarvisionary]

Not me lying to my dear, sweet, anti-vaxx mother about my Medicare billing statement, about the two additional COVID shots that I've had in the past two years, after she strongly objected to my first shot in 2021 🤣💉💉

[hemanthsworld]

Ultimate Guide to Respiratory Tract Infections: Symptoms, Diagnosis, and Evidence-Based Treatments for URTIs and LRTIs

Upper Respiratory Tract Infections (URTIs) Introduction Respiratory tract infections (RTIs) encompass a wide range of conditions affecting the upper and lower respiratory tracts. They are common ailments that cause significant global morbidity and economic loss. This comprehensive guide covers everything you need to know about RTIs, from symptoms and diagnosis to evidence-based treatments and…

[lalithacsh]

Copd Awareness: Types, Causes, Symptoms, and Prevention Tips

Delve into COPD Awareness: Chronic lung diseases like emphysema & chronic bronchitis caused by smoking. Symptoms include coughing & shortness of breath.

To Know More: https://lalithachestandskinhospital.com/blog/copd-awareness-types-causes-symptoms-and-prevention-tips/

[andhumanslovedstories]

Have you seen the terrifying animal-shaped kids' exam tables, and if so what is your opinion as a medical professional

i.e. should every hospital room have vaguely uncomfortable animal sculpture furniture perhaps

I have never seen or heard of them, lemme google them real quick

THEY SHOULD BE MANDATORY. THAT IS WHAT YOU SHOULD BE SITTING ON AS YOU GET YOUR COPD DIAGNOSIS.

[covid-safer-hotties]

Also preserved on our archive

Another perfect example of how masking to help prevent covid keeps us *all* safer from *all* airborne illness.

by Tamara Schneider

Lingering respiratory viruses set the stage for chronic lung disease, mouse study shows

Doctors have long known that children who become seriously ill with certain respiratory viruses such as respiratory syncytial virus (RSV) are at elevated risk of developing asthma later in life. What they haven’t known is why.

A new study by researchers at Washington University School of Medicine in St. Louis may have solved the mystery. The study, in mice, shows that respiratory viruses can hide out in immune cells in the lungs long after the initial symptoms of an infection have resolved, creating a persistently inflammatory environment that promotes the development of lung disease. Further, they showed that eliminating the infected cells reduces signs of chronic lung damage before they progress to a full-blown chronic respiratory illness.

The findings, published Oct. 2 in Nature Microbiology, point to a potential new approach to preventing asthma, chronic obstructive pulmonary disease (COPD) and other chronic lung diseases by eradicating the persistent respiratory viruses that fuel these conditions.

“Right now, children who have been hospitalized for a respiratory infection such as RSV are sent home once their symptoms resolve,” said senior author Carolina B. López, PhD, a professor of molecular microbiology and a BJC Investigator at WashU Medicine. “To reduce the risk that these children will go on to develop asthma, maybe in the future we will be able to check if all of the virus is truly gone from the lung, and eliminate all lingering virus, before we send them home.”

About 27 million people in the U.S. are living with asthma. Many factors influence a person’s likelihood of developing the chronic breathing illness, including living in a neighborhood with poor air quality, having exposure to cigarette smoke and being hospitalized for viral pneumonia or bronchitis while young. Some researchers — López included — suspected that the link between serious lung infection and subsequent asthma diagnosis was due to lingering virus in the lungs that causes ongoing damage, but a direct link between the ongoing presence of virus and chronic lung disease has not been previously shown.

López and first author Ítalo Araújo Castro, PhD, a postdoctoral researcher in her lab, developed a unique system involving a natural mouse virus known as Sendai virus, and fluorescent markers of infection. Sendai is related to human parainfluenza virus, a common respiratory virus that, like RSV, has been linked to asthma in children. Sendai behaves in mice in very much the same way that human parainfluenza virus behaves in people, making it an excellent model of the kinds of infections that could lead to chronic lung disease.

Using the fluorescent trackers, the researchers could observe signs of the virus throughout infection. After about two weeks, the mice recovered, but viral RNA and protein were still detectable several weeks later in their lungs, hidden away in immune cells.

“Finding persistent virus in immune cells was unexpected,” López said. “I think that’s why it had been missed before. Everyone had been looking for viral products in the epithelial cells that line the surface of the respiratory system, because that’s where these viruses primarily replicate. But they were in the immune cells.”

Moreover, the presence of the virus changed the behavior of the infected immune cells, causing them to become more inflammatory than the uninfected immune cells. Persistent inflammation sets the stage for chronic lung disease to arise, the researchers said. Indeed, seven weeks after infection, the mice’s lungs exhibited inflammation of air sacs and blood vessels, abnormal development of lung cells and excess immune tissue — all signs of chronic inflammatory lung damage, even though the mice appeared outwardly to have recovered. Once the infected immune cells were eliminated, the signs of damage diminished.

“We use a perfectly matched virus-host pairing to prove that a common respiratory virus can be maintained in immunocompetent hosts for way longer than the acute phase of the infection, and that this viral persistence can result in chronic lung conditions,” Castro said. “Probably the long-term health effects we see in people who are supposed to be recovered from an acute infection are actually due to persistence of virus in their lungs.”

The findings point to new ways to think about preventing chronic lung diseases, the researchers said.

“Pretty much every single child gets infected with these viruses before the age of 3, and maybe 5% get serious enough disease that they could potentially develop persistent infection,” López said. “We’re not going to be able to prevent children from getting infected in the first place. But if we understand how these viruses persist and the effects that persistence has on the lungs, we may be able to reduce the risk of serious long-term problems.”

Study: Castro IA, Yang Y, Gnazzo V, Kim DH, Van Dyken SJ, López CB. Murine parainfluenza virus persists in lung innate immune cells sustaining chronic lung pathology. Nature Microbiology. Oct. 2, 2024. DOI: 10.1038/s41564-024-01805-8

www.nature.com/articles/s41564-024-01805-8 (PAYWALLED)

[cripplecharacters]

Hiyaa lovely mods!

First of all, thank you for making this blog! I have read a lot of the posts you have linked in the FAQ, but still have some questions I need help with.

I am visually impaired myself, and am autistic, but I'm not physically disabled, which is why I want to make sure I do proper research (which I will do myself, but I've found that I need some pointers) for a character I'm writing.

It is an Arcane fanfic, the character in question is Viktor. He was born with a limp and chronically ill due to growing up in 'a toxic atmosphere', which was caused by fissures (in Zaun). In my fic he will be a veterinarian, but he will (still) be using a cane, and occasionally crutches or a wheelchair for low spoons/pain days. (I haven't been able to completely specify what diagnosis he has in my fic that matches canon, but I refuse to make him able-bodied.) I have tried to find the name/type of a (manual) wheelchair that has a feature to push the user up to stand (for brief periods) after fastening the legs, but so far I haven't been able to find an answer. Since he'll have to go out on calls sometimes to ranches/farms, he needs to be able to treat large animals too, even on days where his cane or crutches aren't enough.

Could you possibly point me in the right direction so I can continue doing research? Either way, I thank you for your time to read this and for all the work you all do! <3

Kind regards, Jeem

Hello, thank you for your ask! The type of wheelchair you’re looking for is called a manual standing wheelchair or a manual wheelchair with power stand up. Here are two sites that sell them if you need references [x] [x] (NOTE: I myself have not verified if these websites are safe to buy from, but they are safe to visit and have good photos!)

As for a starting place for deciding his disabilities, you can try looking up side effects of long term exposure to pollutants or radiation (just make sure what you’re reading is about the symptoms of chronic/long term exposure instead of acute).

Some common symptoms are:

- cancer

- asthma

- COPD

- cardiovascular disease

- issues with the kidney, lungs, brain, reproductive system and/or hormones

- immunodeficiency

And more!

And since I know a bit about Arcane, I’d like to mention that Viktor has hypertropia, which is when one eye points upward. It’s a small design detail so I understand a lot of fans missing it, but I just wanted to point it out because I appreciate it and hope any Arcane fans following consider adding it to their stories!

Here are two screenshots that I think show it well :] (smiley face

If you need any more help feel free to ask again!

Have a nice day!

Mod Rot

[creations-by-chaosfay]

WOOOOT! I'm getting into pulmonary therapy almost two months earlier than planned! It was originally schedule for October 23rd, but I'm on the waiting list and someone cancelled their appointment. It's in just a few days! As for what it is, my asthma has been a nightmare, and the asthma specialist I've been seeing doesn't know what more they can do for me seeing as I'm allergic to one of the ingredients (milk protein, which is used to mask the flavor of the medicine) in the COPD medication she wants me to use. It makes my eczema flare up like fireworks on New Years Eve. She suggested and immunosuppressant, which I'm strongly opposed to seeing as I already get sick with extreme ease. The therapy is going to help me figure out how to basically breathe again. My doctor thinks I may also have reduced lung capacity due to the covid infection I had in 2022. Fun times!

Next week is going to be packed with doctor appointments now. Let's see, I have pulmonary therapy, an appointment with my PCP, and my twice monthly therapy. The following week, I'm getting an ECHO and EKG on the same day, and will leave with very angry skin because I'm allergic to adhesives. I'm still waiting for a PT clinic to contact me about the referral my doctor sent out when she diagnosed me with hEDS.

The place I had gone to for PT before the diagnosis is horrible. The doctor I was assigned to was an absolute nightmare, and the PT specialist was less than helpful. That doctor diagnosed me as hypermobile, but wouldn't say anymore "because that's not what this appointment is for." She spoke to me for less than ten minutes, told me I'm just imagining the pain in my wrists, informed me I must be incorrect about the ligament removal" in my right wrist "because that's not how things are done," and I need to give up my hobbies if I don't want to have problems.

Y'all, I gave up drawing, jewelry making, calligraphy, and writing by hand because of my right wrist. I'm not giving up making quilts nor playing video games, and need a keyboard I can physically split and set up at angles most favorable to me. A friend has helped me with the latter, but it's out of my budget for now.

Busy busy busy!

[strangeauthor]

while idk if they're Offensive all the time some of the other personality disorder names piss me the hell off. Like actually "histrionic" sucks it's literally "wow ur overreacting" stupid disorder name. BPD- the borderline is bc it was seen as being on "The Borderline Between Psychotic and Neurotic" like. What. also looking up differences between OCD and COPD is. Quote from a website "The primary difference is that OCD includes obsessions/compulsions, while OCPD does not" THEN WHY IS IT CALLED OBSESSIVE COMPULSIVE PERSONALITY DISORDER. Anyway probably less stupid but more confusing is the disorders beginning with the Schizo prefix. Schizophrenia - generally known as a psychosis disorder, also has negative symptoms like flat affect/anhedonia/etc. Schizoaffective - generally seem to be defines as schizophrenia in conjunction with a mood disorder. Schizotypal PD - generally lacks hallucinations or delusions, but still have negative symptoms and "odd beliefs" that may not align with reality. Schizoid personality disorder: this one's just social it's literally just social. Also one of the core diagnostic criteria is asexuality (or some places say "lack of interest in sexual relationships" like can we please just redo this whole shit. Also schizoid USED to be synonymous with schizophrenia but now it refers to the more social disorder. (it's a little funny when ppl try to use "schizoid" as an insult similar to psychotic bc it's much closer to saying antisocial.) WAIT I FORGOT ASPD.... CRIME DISORDER tho that's more diagnosis than name. Personality disorder names/diagnoses are just a mess we gotta start over (also in other countries personality disorders have been like re categorized with new names in the International Classification of Diseases, being more... Umbrella terms now?? It's something idk) sorry for this long fuckin rant I gt fixated on Schizoid personality disorder bc Mental Illness and now my brain is full of ????

signed cause that was some TRUE SHIT you said!!!!

[not-poignant]

Health update!

So for those following health stuff, I got some great news today. I don't have COPD or Pulmonary Hypertension.

I did find out that my lungs are smaller than the average population (maybe about 90% the size) so they're working a bit harder than everyone else's and that's part of why I've been prone to pneumonia (which I started getting as a teen) and chronic bronchitis.

I also have a new trial medication to start, and some bloodtests to get. But my lungs overall are doing really well and I don't have to see the lung specialist again unless things get suddenly worse.

We've been staring down a possible diagnosis that would give me 2-5 years left to live for 6 months now, and getting a reprieve has been a huge relief and in its own way kind of exhausting.

But good good good news, and that makes me super happy <333

[twisted-tales-told]

before I come apart

what is this about? 😍

HI GIRLIE!!!

This ask game

So before I come apart is a marauders au that is very very close to my heart. It is also extremely heavy, so I’ve put the summery under the cut!

I’ve been working on it for about two years in bits and pieces, but it will take me a long time before I’m comfortable posting it just because of how personal it is to me! That being said I do love talking abt it because there is a lot of love in my heart for this project.

Regulus Black runs away from home during his third year of university after [redacted] traumatic event, and flees to his brothers apartment.

There, he has to soothe all the bridges he burned years ago and ends up re-kindling his budding romance with his high school partner (now firefighter) James Potter, but shortly after this James is diagnosed with COPD, Chronic obstructive pulmonary disease.

This fic is an extremely healing/difficult one for me to write because im basically processing my mother’s diagnosis of COPD through it.

This fic is a tribute to how life changes when a loved one is diagnosed with a terminal illness. It’s a love letter to travel, art, and all the beauties we have on this earth. It is about the terror of loving, and the broken bones left by trauma.

[expertacademicassignmenthelp]

14 Common Lung Diseases

 Introduction

Lung diseases represent some of the most severe health threats globally. The rise of industrialization, environmental pollution, and tobacco usage significantly contribute to the prevalence of these diseases. This article, outlines the most common lung diseases, their symptoms, causes, and treatments.

1. Pneumonia

Pneumonia is an inflammation of the lung parenchyma caused by bacteria, viruses, fungi, or other pathogens. It poses a significant risk to the elderly, immunocompromised individuals, and those with chronic conditions but can also affect healthy individuals. Pneumonia can be classified based on the causative agent, such as bacterial pneumonia (e.g., Streptococcus pneumoniae), viral pneumonia (e.g., influenza virus), or fungal pneumonia (e.g., Pneumocystis jirovecii).

Symptoms

Fever

Cough with sputum

Chest pain

Shortness of breath

Fatigue

Sweating and shaking chills

Nausea, vomiting, or diarrhea (less common)

Diagnosis Diagnosis of pneumonia typically involves a combination of patient history, physical examination, chest X-rays, and sputum cultures. Blood tests may also be conducted to identify the causative agent.

Treatment Depending on the cause, treatments may include:

Antibiotics for bacterial pneumonia.

Antiviral medications for viral pneumonia.

Antifungal therapies for fungal pneumonia. Supportive care such as rest, fluids, and over-the-counter medications to reduce fever and manage pain can also alleviate symptoms. In severe cases, hospitalization may be required to provide intravenous antibiotics, oxygen therapy, or mechanical ventilation.

2. Bronchitis

Bronchitis involves the inflammation of the bronchial tubes, which carry air to and from the lungs. It can be acute, often following colds or the flu, or chronic, usually resulting from smoking or long-term exposure to irritants like pollution or dust.

Symptoms

Persistent cough (productive or dry)

Sputum production (clear, white, yellowish-gray, or green)

Fatigue

Shortness of breath

Slight fever and chills

Chest discomfort

Diagnosis Diagnosis typically involves a physical examination, where a doctor listens to the patient’s lungs with a stethoscope. Additional tests, such as a chest X-ray, sputum tests, or pulmonary function tests, may be conducted to rule out other conditions like pneumonia or asthma.

Treatment

Acute bronchitis: Symptomatic treatment includes rest, fluids, and over-the-counter pain relievers and cough medications. Inhalers or nebulizers may be prescribed to ease breathing.

Chronic bronchitis: Management may involve bronchodilators, steroids, and pulmonary rehabilitation. Smoking cessation and avoiding lung irritants are crucial for treatment.

3. Chronic Obstructive Pulmonary Disease (COPD)

COPD is a progressive, irreversible disease characterized by chronic inflammation of the airways, primarily due to smoking, environmental pollutants, or long-term exposure to respiratory irritants. COPD includes chronic bronchitis and emphysema, conditions that often coexist and lead to airflow obstruction.

Symptoms

Chronic cough

Sputum production

Shortness of breath, especially during physical activities

Wheezing

Chest tightness

Frequent respiratory infections

Fatigue

Unintended weight loss (in advanced stages)

Diagnosis COPD is diagnosed through a combination of patient history, physical examination, and spirometry, a test that measures the amount of air a person can exhale and how quickly they can do so. Chest X-rays, CT scans, and arterial blood gas analysis may also be used.

Prevention and Treatment Preventive measures include:

Smoking cessation

Vaccinations (influenza and pneumococcal vaccines)

Reducing exposure to lung irritants

Treatments involves;

Bronchodilators to relax the muscles around the airways

Inhaled steroids to reduce airway inflammation

Pulmonary rehabilitation programs

Oxygen therapy for severe cases

Surgery (e.g., lung volume reduction surgery or lung transplant) in advanced cases

4. Lung Cancer

Lung cancer involves the uncontrolled growth of malignant cells in the lung tissues. Major risk factors include smoking, exposure to secondhand smoke, exposure to carcinogens (e.g., asbestos, radon), and genetic predisposition.

Types

Small cell lung cancer (SCLC): Often linked to heavy smoking, SCLC is aggressive and spreads quickly.

Non-small cell lung cancer (NSCLC): More common and includes subtypes such as adenocarcinoma, squamous cell carcinoma, and large cell carcinoma.

Symptoms

Persistent cough

Chest pain

Weight loss

Hemoptysis (coughing up blood)

Shortness of breath

Hoarseness

Bone pain (in advanced stages)

Headache (if cancer spreads to the brain)

Diagnosis Diagnosis involves imaging tests (chest X-rays, CT scans, PET scans), sputum cytology, and tissue biopsy. Molecular testing may be done to identify specific genetic mutations that can be targeted with specific treatments.

Treatment

Surgery to remove the tumor or part of the lung

Chemotherapy to kill cancer cells

Radiation therapy to destroy cancer cells or shrink tumors

Targeted drug therapies to attack specific genetic changes in cancer cells

Immunotherapy to help the immune system fight cancer

5. Pleurisy

Pleurisy, or pleuritis, is the inflammation of the pleura, the tissue lining the lungs and chest cavity. It can be caused by infections (viral, bacterial, or fungal), injuries, autoimmune diseases (e.g., lupus, rheumatoid arthritis), or other underlying conditions.

Symptoms

Sharp, stabbing chest pain that worsens with breathing, coughing, or sneezing

Shortness of breath

Cough

Fever (if infection is present)

Diagnosis Diagnosis involves a physical examination, chest X-rays, ultrasound, CT scans, and blood tests to identify the underlying cause. Thoracentesis, a procedure to remove and analyze pleural fluid, may be performed.

Treatment Treatment depends on the underlying cause and may include:

Antibiotics for bacterial infections

Antiviral medications for viral infections

Anti-inflammatory medications (e.g., NSAIDs) to reduce pain and inflammation

Pain management with medications

Thoracentesis to drain excess fluid from the pleural space

6. Pulmonary Embolism

A pulmonary embolism (PE) occurs when a blood clot, usually originating in the legs (deep vein thrombosis), travels to the lungs, blocking blood flow and causing tissue damage. Risk factors include prolonged immobility, surgery, cancer, and certain genetic conditions.

Symptoms

Sudden shortness of breath

Chest pain (may be sharp and worsen with deep breathing or coughing)

Cough (sometimes with bloody sputum)

Rapid or irregular heartbeat

Lightheadedness or dizziness

Leg pain or swelling (if DVT is present)

Diagnosis: Diagnosis involves imaging tests such as chest X-rays, CT pulmonary angiography, and ventilation-perfusion (V/Q) scans. D-dimer blood tests and ultrasound of the legs may also be conducted.

Treatment Immediate treatment includes:

Anticoagulants (blood thinners) to prevent further clotting

Thrombolytics (clot-dissolving medications) for severe cases

Surgical or catheter-based procedures to remove the clot

Long-term anticoagulation therapy to prevent recurrence

7. Pulmonary Edema

Pulmonary edema is the accumulation of fluid in the lung alveoli, making breathing difficult. It can result from heart failure (cardiogenic pulmonary edema), acute respiratory distress syndrome (ARDS), or exposure to high altitudes (non-cardiogenic pulmonary edema).

Symptoms

Difficulty breathing (dyspnea), especially when lying down

Rapid heartbeat (tachycardia)

Wheezing or gasping for breath

Coughing up frothy, pink-tinged sputum

Excessive sweating

Cyanosis (bluish skin or lips)

Diagnosis Diagnosis involves physical examination, chest X-rays, and blood tests. Echocardiography and pulmonary artery catheterization may be used to determine the underlying cause and severity.

Treatment Treatment involves addressing the underlying cause and may include:

Diuretics to remove excess fluid

Medications to improve heart function (for cardiogenic pulmonary edema)

Supplemental oxygen or mechanical ventilation

Treating underlying conditions such as infections or high altitude exposure

8. Pulmonary Fibrosis

Pulmonary fibrosis is the thickening and scarring of lung tissue, leading to reduced oxygen absorption. Causes include chronic exposure to environmental pollutants, infections, genetic factors, and autoimmune diseases (e.g., scleroderma).

Symptoms

Shortness of breath (dyspnea)

Persistent dry cough

Fatigue

Unexplained weight loss

Aching muscles and joints

Clubbing (widening and rounding) of the fingertips or toes

Diagnosis Diagnosis involves a combination of patient history, physical examination, imaging tests (chest X-rays, high-resolution CT scans), pulmonary function tests, and sometimes lung biopsy. Blood tests may be used to identify underlying autoimmune diseases.

Treatment While there is no cure for pulmonary fibrosis, treatments focus on symptom management and slowing progression:

Medications such as pirfenidone and nintedanib to slow disease progression

Oxygen therapy

Pulmonary rehabilitation

Lung transplant in severe cases

9. Pneumoconiosis

Pneumoconiosis is a lung disease caused by inhaling dust particles, such as asbestos, silica, or coal dust, leading to lung scarring. It is a type of occupational lung disease commonly seen in miners, construction workers, and industrial workers.

Symptoms:

Chronic cough

Shortness of breath

Chest tightness

Progressive loss of lung function

Diagnosis: Diagnosis involves a detailed occupational history, physical examination, chest X-rays, and CT scans. Pulmonary function tests may also be conducted to assess the extent of lung damage.

Treatment Treatment includes:

Avoiding further exposure to dust

Medications to manage symptoms, such as bronchodilators and corticosteroids

Respiratory therapies

Pulmonary rehabilitation

10. Pulmonary Arterial Hypertension (PAH)

PAH is a form of high blood pressure affecting the arteries in the lungs and the right side of the heart. It can be idiopathic, familial, or associated with other conditions such as connective tissue diseases, congenital heart disease, or chronic liver disease.

Symptoms

Breathing difficulties (dyspnea), especially during physical activities

Dizziness or fainting (syncope)

Chest pain

Fatigue

Swelling in the ankles, legs, and abdomen (edema)

Cyanosis (bluish lips and skin)

Diagnosis Diagnosis involves echocardiography, right heart catheterization, chest X-rays, and CT scans. Blood tests and pulmonary function tests may also be conducted to assess lung and heart function.

Treatment Treatment strategies include:

Medications to relax blood vessels and improve blood flow, such as endothelin receptor antagonists, phosphodiesterase-5 inhibitors, and prostacyclin analogs

Diuretics to reduce fluid retention

Oxygen therapy

Anticoagulants to prevent blood clots

In severe cases, surgical procedures such as atrial septostomy or lung transplant

11. Cystic Fibrosis

Cystic fibrosis (CF) is a genetic disorder caused by mutations in the CFTR gene, leading to thick, sticky mucus buildup in the lungs and other organs. This results in frequent infections, respiratory issues, and digestive problems.

Symptoms

Persistent cough with thick mucus

Recurrent lung infections

Wheezing or shortness of breath

Poor growth and weight gain in children

Salty-tasting skin

Severe constipation

Frequent greasy, bulky stools

Diagnosis Diagnosis involves genetic testing, sweat chloride tests, and newborn screening. Pulmonary function tests, chest X-rays, and sputum cultures may also be conducted to assess lung health.

Treatment Management includes:

Medications to thin mucus, antibiotics to treat infections, and bronchodilators to open airways

Chest physiotherapy to clear mucus

Enzyme supplements and high-calorie diets to manage digestive issues

Newer therapies targeting the underlying genetic defect, such as CFTR modulators

12. Respiratory Distress Syndrome (RDS)

RDS primarily affects premature infants due to a lack of surfactant, a substance necessary to keep the lungs open and facilitate gas exchange. Risk factors include premature birth, maternal diabetes, and multiple births.

Symptoms

Rapid, shallow breathing

Grunting sounds while breathing

Nasal flaring

Chest retractions (pulling in of the chest muscles)

Cyanosis (bluish color of the skin and mucous membranes)

Diagnosis Diagnosis involves clinical assessment, chest X-rays, and blood gas analysis to measure oxygen and carbon dioxide levels. Prenatal tests can also help identify at-risk pregnancies.

Treatment Treatment includes:

Surfactant replacement therapy to improve lung function

Mechanical ventilation or continuous positive airway pressure (CPAP) to support breathing

Oxygen therapy

Supportive care such as fluids and nutrition

13. Sarcoidosis

Sarcoidosis is characterized by the growth of granulomas (small clusters of inflammatory cells) in the lungs and other organs, likely as an immune response to unknown triggers. The exact cause remains unclear, but genetic and environmental factors are believed to play a role.

Symptoms

Dry cough

Shortness of breath

Chest pain

Fatigue

Fever

Swollen lymph nodes

Skin lesions (e.g., erythema nodosum)

Diagnosis Diagnosis involves a combination of patient history, physical examination, chest X-rays, CT scans, and pulmonary function tests. Biopsy of affected tissues may be performed to confirm the presence of granulomas.

Treatment While sarcoidosis is often self-limiting and may resolve without treatment, severe cases may require:

Corticosteroids to reduce inflammation

Immunosuppressive medications (e.g., methotrexate, azathioprine)

Antimalarial drugs (e.g., hydroxychloroquine) for skin lesions

Regular monitoring and follow-up care to manage chronic cases

14. Asthma

Definition and Causes: Asthma is a chronic inflammatory condition of the airways, causing episodes of wheezing, coughing, and chest tightness, often triggered by allergens, exercise, cold air, or respiratory infections. Genetic and environmental factors contribute to its development.

Symptoms

Wheezing

Shortness of breath

Chest tightness

Coughing, especially at night or early morning

Increased mucus production

Diagnosis: Diagnosis involves a detailed medical history, physical examination, and lung function tests (spirometry, peak flow measurement). Allergy testing and chest X-rays may also be conducted to identify triggers and rule out other conditions.

Treatment Management includes:

Avoiding known triggers

Inhalers (bronchodilators for quick relief, corticosteroids for long-term control)

Long-term control medications (e.g., leukotriene modifiers, long-acting beta agonists)

Immunotherapy (allergy shots) for severe allergies

Asthma action plans to manage symptoms and prevent attacks

Conclusion

Lung diseases encompass a wide range of conditions, each with distinct causes, symptoms, and treatments. Preventive measures such as avoiding smoking, reducing exposure to environmental pollutants, and timely vaccinations can significantly reduce the risk of developing many of these diseases. Early diagnosis and appropriate management are crucial in improving outcomes and quality of life for individuals affected by lung diseases. For personalized medical advice and treatment, consult with healthcare professionals.

Medical students encounter significant academic challenges during their studies, balancing coursework, clinical rotations, research, and personal commitments. Expert Academic Assignment Help offers tailored assistance to meet their needs, providing study materials, tutoring, assignment help, and exam preparation. Beyond academics, it fosters a supportive environment for mentorship and guidance. In essence, Expert Academic Assignment Help is a valuable resource for medical students, empowering them to excel academically and develop into competent healthcare professionals. Email us: expertassignment46@gmail.com for professional guidance.

[moiorchidea]

im doing better at getting a copd diagnosis than i am at getting my degree

[wanderlustt-101tn]

Dysautonomia;

Dysautonomia is a medical condition that affects the Autonomic Nervous System, which is responsible for regulating the automatic functions of the body, such as heart rate, blood pressure, digestion, kidney function, and more. People with dysautonomia may experience difficulty in controlling these systems, leading to symptoms like lightheadedness, fainting, abnormal heart rates, and unstable blood pressure. Dysautonomia can manifest in different forms.

Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects an estimated 1 out of 100 teenagers, and including adult patients, it impacts a total of 1,00,000 to 3,000,000 Americans. POTS can cause various symptoms such as lightheadedness, fainting, rapid heartbeat, chest pains, shortness of breath, upset stomach, shaking, exercise intolerance, heat intolerance, temperature sensitivity, and more. Although POTS affects women more commonly, men can also get it. Despite appearing healthy on the outside, researchers compare the disability seen in POTS to the disability seen in conditions such as COPD, congestive heart failure, and kidney disease.

Dysautonomia and POTS can be challenging to treat, and the effectiveness of treatment may vary depending on the expertise of your local medical staff. There are some home remedies that may help alleviate some of the symptoms and triggers associated with these conditions. However, it is important to understand that these remedies may not completely cure Dysautonomia or POTS, and their effectiveness may vary from person to person.

Pots is supposed to be more common than MS or Parkinson’s so why is that some have never heard of it ?

It can take an average of 4-7 years to get proper diagnosis. Because of being misdiagnosed or how most symptoms can be linked to other illnesses. Lots of tests is involved and it just becomes and exhausting time period of wanting answers and fighting to be seen or heard by others.

Pots affects everyone differently so not all pots patients will faint and just because pots is postural doesn’t mean lying down will make symptoms better.

Did you know there are 15 different types of Dysautonomia and all should be taken seriously! No matter how it affects the person it’s a serious illness and it should never be brushed off!! Not only does the illness bring a variety of symptoms but also impacts your life in ways you’d never imagined.

* some of the different types of Dysautonomia 🩵🩵

We shouldn’t have to look sick to get the proper care, treatment and support!

I’m finally comfortable sharing my pots journey and even though I’m nervous and scared about it I can’t wait because while I’m sharing my story I plan to raise awareness on not only pots but als as well. Another illness/disease that impacted my life. I plan to share how much my life has changed since I was diagnosed with pots. I also hope this reaches other chronic illnesses warriors and can show that you can still have a beautiful life even though we have a certain illness.

If you want to know more

intsagram: rebeljennigaines_

TikTok: jennigaines101

February 24th I’ll be participating in my first ever polar plunge and leading up to the big day I plan on sharing my pots journey and how this illness has affected my life! If you have any questions feel free to ask.

🩵🩵🫶🏻💪🏻 no one fights alone!

[mcatmemoranda]

Patient is a [ ] yo male/female presenting to the clinic for a preoperative evaluation.

Procedure [ ]

Scheduled date of procedure [ ]

Surgeon performing procedure requesting consultation for preop is [ ] and can be contacted at [ ]

This patient is/is not medically optimized for the planned surgery, see below for details.

EKG collected in office, interpreted personally and under the direct supervision of attending physician as follows- sinus rate and rhythm, no evidence of ischemia or ST abnormalities, no blocks, normal QTc interval.

The following labs are to be completed prior to surgery, and will be evaluated upon completion. Procedure is to be performed as scheduled barring any extraordinary laboratory derangements of concern.

Current medication list has been thoroughly reviewed and should not interfere with surgery as written.

Patient has no prior history of adverse reactions to anesthesia, problems with airway management, difficult IV access, prolonged emergence, or postoperative nausea/vomiting.

Airway Mallampati score: This patient is a Grade based on the criteria listed below

-Grade I Tonsillar pillars, soft palate, entire uvula

-Grade II Tonsillar pillars, soft palate, part of uvula

-Grade III Soft palate, base of uvula

-Grade IV Hard palate only, no uvula visualized

Patient is a low/medium/high risk for this low/medium/high risk surgical procedure.

Will send documentation of this preoperative visit to surgeon [ ].

**** ADDITIONAL INFORMATION****

Patient Risk for Elective Surgical Procedure as Determined with the Criteria Below:

1- Very Low Risk

No known medical problems

2- Low Risk

Hypertension

Hyperlipidemia

Asthma

Other chronic, stable medical condition without significant functional impairment

3- Intermediate Risk

Age 70 or older

Non-insulin dependent diabetes

History of treated, stable CAD

Morbid obesity (BMI > 30)

Anemia (hemoglobin < 10)

Mild renal insufficiency

4- High Risk

-Chronic CHF

-Insulin-dependent diabetes mellitus

-Renal insufficiency: creatinine > 2

-Moderate COPD: FEV1 50% to 70%

-Obstructive sleep apnea

-History of stroke or TIA

-Known diagnosis of dementia

-Chronic pain syndrome

5- Very High Risk

-Unstable or severe cardiac disease

-Severe COPD: FEV1 < 50% predicted

-Use of home oxygen

-Pulmonary hypertension

-Severe liver disease

-Severe frailty; physical incapacitation

Surgical Risk Score Determined as Below:

1- Very Low Risk

Procedures that usually require only minimal or moderate sedation and have few physiologic effects

-Eye surgery

-GI endoscopy (without stents)

-Dental procedures

2- Low Risk

Procedures associated with minimal physiologic effect

-Hernia repair

-ENT procedures without planned flap or neck dissection

-Diagnostic cardiac catheterization

-Interventional radiology

-GI endoscopy with stent placement

-Cystoscopy

3- Intermediate Risk

Procedures associated with moderate changes in hemodynamics, risk of blood loss

-Intracranial and spine surgery

-Gynecologic and urologic surgery

-Intra-abdominal surgery without bowel resection

-Intra-thoracic surgery without lung resection

-Cardiac catheterization procedures including electrophysiology studies, ablations, AICD, pacemaker

4- High Risk

Procedures with possible significant effect on hemodynamics, blood loss

-Colorectal surgery with bowel resection

-Kidney transplant

-Major joint replacement (shoulder, knee, and hip)

-Open radical prostatectomy, cystectomy

-Major oncologic general surgery or gynecologic surgery

-Major oncologic head and neck surgery

5- Very High Risk

Procedures with major impact on hemodynamics, fluid shifts, possible major blood loss:

-Aortic surgery

-Cardiac surgery

-Intra-thoracic procedures with lung resection

-Major transplant surgery (heart, lung, liver)

High risk surgery: yes/no

Hx of ischemic heart disease: y/n

Hx of CHF: y/n

Hx of CVA/TIA: y/n

Pre-op tx with insulin: y/n

DM/how are blood sugars?

Pre-op Cr >2mg: y/n

OTHER EVALUATIONS BASED OFF PATIENT HISTORY SEE BELOW:

1. CARDIAC EVALUATION

A. Ischemic Cardiac Risk- Describe any history of cardiovascular disease and list the cardiologist/electrophysiologist. For CAD, report the results of the most recent stress test or cardiac cath, type of procedures or type of stents, date of MI, and recommendations for perioperative management. Include antiplatelet management. Continue baby aspirin for patients with cardiac stents - unless having neurosurgery, then coordinate with surgeon.

B. Ventricular function - include most recent echocardiogram evaluation ideally performed within the past 2 years

C. Valvular heart disease- include most recent echocardiogram, type of prosthetic valve

D. Arrhythmias - include any implanted devices and recent interrogation report, contact electrophysiology about device management during the surgery and include recommendations provided. For A-Fib, include CHA2DS2-VASc score

E. Beta blockade - All patients on chronic beta blockers should have these medications continue throughout the perioperative period unless there is a specifically documented contraindication.

F. Hypertension - Other than for cataract surgery, ACEI inhibitors and ARBs should be held for 24hours prior to surgery and diuretics should be held the morning of surgery

G. Vascular disease - include antiplatelet management and dates of strokes

2. PULMONARY EVALUATION

A. COPD/Asthma - include any recent exacerbations, intubations, chronic O2 use, amount of rescue inhaler use

B. OSA risk - STOPBANG score - address severity of sleep apnea and CPAP use

3. HEMATOLOGIC EVALUATION

A. Bleeding Risk - assess the bleeding risk and history for every patient

B. VTE Prophylaxis/Thrombotic risk - estimate risk and provide recommendations

C. Anticoagulation management - include pre-op and post-op medication instructions

D. Anemia - pre-op treatment plan

D. Oncology - history and treatments

4. ENDOCRINE EVALUATION

A. Diabetes mellitus - include type, medication use, recent A1c, pre-op and post-op management instructions

B. Adrenal insufficiency risk - assess for prolonged steroid use in the last year

5. RENAL EVALUATION

A. CKD - include stage, baseline labs

B. ESRD - include dialysis schedule, type, access, dry weight, location of dialysis. Generally, surgery should not be scheduled on a dialysis day.

C. Electrolyte abnormalities

6. GI EVALUATION

A. Liver disease - including MELD score and Child-Pugh classification

7. OTHER relevant comorbidities or anesthesia considerations

[substance abuse, chronic pain, delirium risk, PONV (post-operative nausea and vomiting) risk, psych disorders, neurologic disorders, infectious disease, etc.]

[borderlinegamer]

Fri, Sep 8 2023

I'm having lots of anxiey and sadness today. We are financially crippled at the moment due to my BPD, depression and PTSD. I can't work at all because we are on state insurance and my husband makes just the limit. If I lose my insurance I lose my therapy and meds. We keep having car problems because we bought a junker with a tear away bumper because my narcissist dad, who was a mechanic for 10 years, refused to check it out beyond just looking at the outside and said it was fine. He's going through a divorce after a "COPD diagnosis" that turned out he 'misunderstood' and it's actually "pop corn lung". He lies incessantly.

He's became unhealthy obsessed with tarot since my stepmom moved out. It's making him even more paranoid than before. I'm 25 turning 26 in November and I'm so disappointed in myself for still being stuck around this type of shit. I'm realizing how bad my childhood actually was and I don't even want to be here. I can't imagine another 10 years of this let alone 30+. I wish I was never born tbh or born to a rich family because if I suffered at least I could have done it on a beach or in a nice car or house. Why did I get the white trash, lives in squaller and refuses to even fill out a simple FASFA sheet so your 18 year old can make a better life for themselves. I know it's generational but wtf did I do to deserve this kinda life.

He keeps threatening to end himself if I don't testify to the years of abuse my step mom put me through so he can win full custody of my brother *he refuses to acknowledge that he's also an abusive problem* and if he loses custody of my teenage brother because of that. He said he bought bullets to do it clean so his head isn't messed up. He showed them to my 20 yr old brother. He said it yesterday while on the phone with my husband. He has said shit like this to us for as long as I can remember. Step mom isn't a better option tho, she hits my brother with hangers when he doesn't cooperate to take his seizure and depression medicine. He has autism as well. She used to "spank" me and my other brother with belts and miss and leave welts down our backs and say it was our fault for moving around.

I'm trying to heal and it's fucking hard man. Lamictal is making it a little more bearable, though. I feel like it might change my life if I keep doing the work.

I'm manifesting one day when I cry over this stuff while looking back, it'll be in a tesla with a nice clean house, able to take vacations and see a fertility specialist and give my kids a life free from all the bullshit I've endured. One fucking day. 🙏🏻