Psychogenic hyperventilation was presumed to be present when an increased respiratory rate (>20 min) was documented at or before the ED visit and when somatic causes explaining the hyperventilation were absent. [ncbi.nlm.nih.gov]

A rationalisation of the 1350 boxes used throughout the book gives a simpler and clearer presentation of the various categories. [books.google.com]

Psychogenic hyperventilation was presumed to be present when an increased respiratory rate (>20 min) was documented at or before the ED visit and when somatic causes explaining the hyperventilation were absent. [emj.bmj.com]

Acute CPPD crystal arthritis (pseudogout) presents with severe acute or subacute pain, swelling, erythema, and warmth, of one or more joints and is usually self-limited. The presentation classically resembles an acute gout attack. [radiopaedia.org]

• Dyspnea

  The few studies that have addressed dyspnea during mechanical ventilation (MV) report moderate to severe dyspnea is common (47-62% incidence) and often linked to anxiety. 3-6 Moreover, clinicians systematically underestimate the intensity of dyspnea patients [ahcmedia.com]

  Keywords: Dyspnea, hyperventilation, panic, psychogenic, sighing How to cite this article: Sahasrabudhe TR. Psychogenic dyspnea. [mjdrdypu.org]

  When stress induces a need to take a deep breath, the deep breathing is perceived as dyspnea. The sensation of dyspnea creates anxiety, which encourages more deep breathing, and a vicious cycle is created. [unp.me]

  Symptoms and Signs of Hyperventilation Syndrome Patients with acute hyperventilation syndrome present with dyspnea sometimes so severe that they liken it to suffocation. [merckmanuals.com]

• Hyperpnea

  Synonyms Acidotic hyperventilation Hyperpnea Hyperventilation Intermittent hyperventilation O/E - hyperpnea O/E - hyperventilating Index to Diseases and Injuries References found for the code R06.4 in the Index to Diseases and Injuries: - Dyspnea (nocturnal [icdlist.com]

  Abstract The hyperventilation syndrome is generally considered an acute, transitory episode characterized by gross hyperpnea and culminating in frank tetany. [annals.org]

  In this article, mechanisms for OI having components of adrenergic hypofunction, adrenergic hyperfunction, hyperpnea, and regional blood volume redistribution are discussed. [pediatrics.aappublications.org]

• Tachypnea

  Topic Resources Hyperventilation syndrome is anxiety-related dyspnea and tachypnea often accompanied by systemic symptoms. Hyperventilation syndrome most commonly occurs among young women but can affect either sex at any age. [merckmanuals.com]

  […] breathing R06.02 Shortness of breath R06.03 Acute respiratory distress R06.09 Other forms of dyspnea R06.3 Periodic breathing R06.4 Hyperventilation R06.5 Mouth breathing R06.8 Other abnormalities of breathing R06.81 Apnea, not elsewhere classified R06.82 Tachypnea [icd10data.com]

  A breathing rate exceeding sixteen breaths per minute is characteristic of either hyperventilation or tachypnea (rapid shallow breathing). [medicalmarijuana.com]

• Yawning

  But signs may include: Shortness of breath, or feeling that you can’t get enough air A faster than normal heartbeat Feeling faint, dizzy, or lightheaded Pain or tightness in your chest Frequent yawn or sighs A numb, tingly feeling in your hands or feet [webmd.com]

  […] treatment for hyperventilation when the following symptoms occur: rapid, deep breathing for the first time hyperventilation that gets worse, even after trying home care options pain fever bleeding feeling anxious, nervous, or tense frequent sighing or yawning [healthline.com]

  If you try to expand your chest (like through yawning) you increase your risk for hyperventilation. [calmclinic.com]

  Frequent sighing respirations, 2-3 per minute and frequent yawning are noted. Chest wall tenderness, numbness, and tingling may be present. Characteristically, patients have multiple complaints without much supporting physical evidence of disease. [unp.me]

  […] dysphonia AdSD MTD Etiology Neurologic Functional, Compensatory, Psychologic Auditory-perceptual evaluation Quality of voice Strained voice with spastic voice break Strangulated and strained voice Speech Task specificity (Shout, cry, laugh, whisper, sing, yawn [jkslp.org]

• Carpopedal Spasm

  # Hyperventilation syndrome related to anxiety can cause alkalosis severe enough to cause carpopedal spasm. # A mild fairly well compensated respiratory alkalosis is the usual finding in pregnancy. # Any condition which decreases pulmonary compliance [ld99.com]

  Hyperventilation frequently causes numbness and or tingling and spasms in the hands and fingers. Carpopedal spasms are very common, therefore this is TRUE c. Hyperventilation may be a sign of head injury or diabetic problem or overdose. [emtcity.com]

  The diagnosis of hyperventilation syndrome should be considered in young patients without cardiac risk factors who present with chest pain, particularly if associated with paresthesias and carpopedal spasm. [unp.me]

  Hyperventilation syndrome related to anxiety can cause alkalosis severe enough to cause carpopedal spasm. A mild fairly well compensated respiratory alkalosis is the usual finding in pregnancy. [anaesthesiamcq.com]

  EFFECTS OF HYPOCAPNIA CNS increased neuromuscular irritability (eg paraesthesias such as circumoral tingling & numbness; carpopedal spasm) decreased intracranial pressure (secondary to cerebral vasoconstriction) inhibition of respiratory drive via the [lifeinthefastlane.com]

• Muscle Twitch

  Overbreathing can cause the calcium levels to drop in your blood, which may result in the following nervous system symptoms like numbness and tingling (usually in both arms or around the mouth), spasms or cramps of the hands and feet, and muscle twitching [emedicinehealth.com]

  Acute secondary hypocalcemia can result in carpopedal spasm, muscle twitching, prolonged QT interval, and positive Chvostek and Trousseau signs. Hypokalemia tends to be less pronounced than hypocalcemia but can produce generalized weakness. [unp.me]

  • Acute secondary hypocalcemia can result in carpopedal spasm, muscle twitching, a prolonged QT interval, and positive Chvostek and Trousseau signs. • Hypokalemia tends to be less pronounced than hypocalcemia but can produce generalized weakness. • [slideshare.net]

• Chvostek Sign

  Chvostek's sign is also due to hypocalcaemia. Flick behind the ear, just in front of the mastoid bone where the facial nerve emerges. The hypersensitive facial nerve makes the muscles of the face twitch. [patient.info]

  […] cuff. 30. • Chvostek’s sign is neither sensitive nor specific for hypocalcemia, since it is absent in about one third of patients with hypocalcemia and is present in approximately 10% of persons with normal calcium levels. • Trousseau’s sign is more [slideshare.net]

• Chronic Anxiety

  The syndrome mainly affects people with generalised anxiety disorder or sometimes chronic fatigue syndrome. [medical-dictionary.thefreedictionary.com]

  Acute or chronic anxiety is usually considered the predominant primary causal factor of the hyperventilation syndrome. [link.springer.com]

• Dizziness

  Overview and history taking of dizziness. Res Vestibul Sci 2005;4:67-73. 3. Lee H. Non-vestibular dizziness. Res Vestibul Sci 2012;11(suppl 1):S113-S117. 4. Bisdorff A, Von Brevern M, Lempert T, Newman-Toker DE. [jkna.org]

  […] up" that they are dizzy. [dizziness-and-balance.com]

  Only when we know the real cause, we can heal the root and there for automatically liberate ourselves from every other burnout-symptom too, like f.e. dizziness, tingling in the lips hands or feet, headache, weakness, fainting and seizures. [youtube.com]

  The most common symptom was fear (586, 95.1%), followed by paraesthesia (379, 61.5%) and dizziness (306, 49.7%). [ncbi.nlm.nih.gov]

• Paresthesia

  […] usually part of a generalized personality dysfunction, chiefly anxiety neurosis or hysteria.4 Patients with this disorder overbreathe for short periods of time, during which they are aware of dyspnea, chest discomfort, palpitation, lightheadedness, paresthesias [jamanetwork.com]

  The respiratory alkalosis leads to changes in the way the nervous system fires and leads to the paresthesia, dizziness, and perceptual changes that often accompany this condition. [en.wikipedia.org]

• Agitation

  It is accompanied by agitation and a sense of terror or by symptoms of chest pain, paresthesias (peripheral and perioral), peripheral tetany (eg, stiffness of fingers or arms), and presyncope or syncope or sometimes by a combination of all of these findings [merckmanuals.com]

  Clinical History Patients with acute hyperventilation syndrome (HVS) may present with great agitation and anxiety. [unp.me]

  Signs and Symptoms OF XANAX addiction Mood symptoms • Depression • Anxiety • Mood swings • Hyperactivity • Rage • Agitation • Mania • Restlessness 57. [slideshare.net]

• Giddiness

  […] rebreathing into a paper bag, because of the danger of hypoxia. hyperventilation syndrome a complex of symptoms that accompany hypocapnia caused by hyperventilation, including palpitation, a feeling of shortness of breath or air hunger, lightheadedness or giddiness [medical-dictionary.thefreedictionary.com]

  It is accompanied by giddiness, ringing in ears, severe fatigue, and finger spasms. [mjdrdypu.org]

  • These cycles regulate the amount of oxygen you take in so that you do not experience the fainting, tingling, and giddy sensations that are sometimes associated with overbreathing. 48. [slideshare.net]

• Hyperreflexia

  Exhibits possible signs of upper motor neuron dysfunction, such as Babinski reflex or hyperreflexia. -Loses reflexes with deep or prolonged coma. [quizlet.com]

ADLs Inability to Initiate Meaningful Activities Anxiety Spatial Disorientation Rejection of Care Food Refusal Insomnia Apathy and Agitation Elopement and Interference with Others References Introduction Epidemiology Challenges in Geriatric Psychiatry WorkUp [books.google.com]

Can anyone suggest further workup? Thank you. Thread Starter #2 Correction/Addition: EKG reveals mild right axis deviation likely due to hyperinflation (also incomplete RBBB as incidental finding). [forums.studentdoctor.net]

Approach Considerations • Patients with a history of HVS who have undergone an appropriate workup at some earlier time may not need any further laboratory evaluation in the setting of a recurrence. [slideshare.net]

[…] procedures that may be helpful in specific scenarios include the following: Fluorescein staining and slit-lamp examination of the cornea for keratitis Flexible fiberoptic bronchoscopy with bronchoalveolar lavage or bronchial brushing Thoracocentesis See Workup [emedicine.medscape.com]

• Hypocapnia

  === Effects of Hypocapnia 1. [ld99.com]

  Whereas high lactates are usually associated with acidosis and an increased risk of poor outcome, in patients with psychogenic hyperventilation, high lactates are associated with hypocapnia and alkalosis. [ncbi.nlm.nih.gov]

  Full text ABSTRACT Hyperventilation is accompanied by respiratory alkalosis and hypocapnia. [medigraphic.com]

  EFFECTS OF HYPOCAPNIA CNS increased neuromuscular irritability (eg paraesthesias such as circumoral tingling & numbness; carpopedal spasm) decreased intracranial pressure (secondary to cerebral vasoconstriction) inhibition of respiratory drive via the [lifeinthefastlane.com]

Physical Therapy Surgery References Introduction Effects of Ageing and Related Diseases on Endocrine Diseases The Hormonal Fountain of Youth References Introduction Water Homeostasis in the Elderly Workup and Treatment of Hyponatraemia Workup and Treatment [books.google.com]

MD have any information on how Vidaza helps MDS syndrome. 2nd treatment and he is feeling a little weak and nauseous. Does it get better as treatment goes on??? Any research on how it helps MDS patients. Appreciate ... [healthcaremagic.com]

Supportive counseling Sometimes psychiatric or psychologic treatment Treatment is reassurance. Some physicians advocate teaching the patient maximal exhalation and diaphragmatic breathing. [merckmanuals.com]

The treatment of CPPD is similar to the treatment of acute gout attacks with anti-inflammatory medication. Uric acid-lowering drugs are not prescribed. [my.clevelandclinic.org]

International experts provide you with the latest on epidemiology, diagnosis, investigations, management, and prognosis for a full range of pediatric kidney disorders. [books.google.de]

Prognosis NA Special considerations for nursing and allied health professionals. NA What's the evidence? Abelow, B. Understanding Acid-Base. 1998. [clinicaladvisor.com]

Etiology Hypoxemia-Induced Hyperventilation Mechanism Hypoxemia stimulation of Peripheral Chemoreceptors (in Carotid Bodies) : however, the degree of hypoxemia-induced increase in VE is modulated by co-existing pCO2 and pH, mechanics of the lung and chest [mdnxs.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

The most likely etiology of the patient's knee pain is characterized by which finding? Review Topic | Tested Concept QID: 1398 [orthobullets.com]

[…] of undetermined etiology)으로 나누었다[19]. [e-jsm.org]

Pathogenesis and etiology of calcium pyrophosphate crystal deposition disease. http://www.uptodate.com/home. Accessed May 14, 2015. Becker MA, et al. Treatment of calcium pyrophosphate crystal deposition disease. http://www.uptodate.com/home. [mayoclinic.org]

Homes Successful Ageing Future Research Introduction Developments in the UK 20052010 Services Patients Views and Involvement Additional Responsibilities for Geriatric Psychiatry Services Other Issues An International Perspective References Introduction Epidemiology [books.google.com]

International experts provide you with the latest on epidemiology, diagnosis, investigations, management, and prognosis for a full range of pediatric kidney disorders. [books.google.de]

Richette P, Bardin T, Doherty M; An update on the epidemiology of calcium pyrophosphate dihydrate crystal deposition disease. Rheumatology (Oxford). 2009 Jul48(7):711-5. Epub 2009 Apr 27. [patient.info]

Pain Psychogenic Fever Stroke Meningitis, encephalitis Tumor, trauma Drugs: central nervous system stimulants Hypoxia Pulmonary disease Cardiac failure Shock Severe anemia Altered metabolism Sepsis Liver failure Physiological Pregnancy High altitude Epidemiology [clinicaladvisor.com]

Chapters about glomerulonephritis, nephrotic syndrome, and tubular disorders provide an orientation in the pathophysiology, differential diagnosis, and treatment of these heterogeneous disease entities. [books.google.de]

Pathophysiology Pulmonary causes Pneumonia Pneumothorax Pulmonary embolism «Pulmonary embolism»2 Asthma and chronic obstructive pulmonary disease (COPD) Pulmonary parenchymal diseases Other causes Psychological distress, panic disorder «Anxiety disorder [ebm-guidelines.com]

The pathophysiology of hyperventilation disorders. Chest. 1996;109:516–534. Nardi AE, Freire RC, Zin, WA. Panic disorder and control of breathing. [5minuteconsult.com]

[…] of the Ageing Bladder Special Disease States Pharmacology as it Relates to the Ageing Bladder Surgical Disease of the Ageing Bladder Conclusion References Introduction Benign Prostatic Hyperplasia Prostate Cancer Prostatitis References Introduction Pathophysiology [books.google.com]

However, the underlying pathophysiology has not been clearly elucidated. [emedicine.medscape.com]

Experts do not know how to prevent these crystals. If CPPD is due to some other medical problem, treatment of that condition may sometimes prevent CPPD from getting worse. [rheumatology.org]

Intensive efforts should be made to diagnose psychogenic and functional symptoms, because this will reduce or eliminate harm, prevent stigmatization and fixation of symptoms and disease, allow an untroubled life (including sports), and prevent patients [ncbi.nlm.nih.gov]

Drying your ears after swimming can also help prevent swimmer’s ear. [healthline.com]

Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. ‎ [books.google.es]