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Breathing Difficulty?
O2 was high and good to go
BP was 153/100
Pulse was normal 72
Patient was primary complaint that he felt not enough air pass through his lungs. Seemed like he was medically inclined due to his position was a medical intern.
Frail body and preety slim and says has never have previous history of bronchitus,asthma, and or allergic reaction to the air.
Just intrested what could this be?
Replies to This Discussion
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Permalink Reply by Mike Schlags (Captain Busy) Retd on
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chest xray could confirm possible pneumonia, any masses causing issues with the breathing could be seen using xray, or how about anxiety? medical student, high maintenance type stressing out about something? without diagnostic tools and things like age, history, etc. it's a difficult call to make online...
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Permalink Reply by John Crabbe on
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Best thing to obtain on any difficulty breathing patient is LUNG SOUNDS. That can be a big indicator of what is going on and as to what the treatment will be. Another help is a medical history. Another vital we don't see here is respiratory rate, a person who is hyperventilating can have a high O2 sat, but may feel like they are not passing enough air.
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Permalink Reply by Alexander Korsunsky on
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sorry that was my bad
Breathing rate: Pretty slow but that was because the pt. was taking long breaths
Medical History: none it is very sad
Age: teen years 16-19
Lung sound: No real sign sounded smooth not harsh and no coughing.
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allergic reaction to the air.
Just noticed this, I would hope nobody has an allergic reaction to air. I'm guessing you mean seasonal allergies.
Pretty slow doesn't really give a number, 12 to 20 breaths per minute is normal. Lung sounds I have never heard termed as "smooth", there is "clear" where you can hear inspiration and exhalation clearly. There is wheezing, which can be inspiratory or expiratory, this is a higher pitched sound, liken it to releasing air slowly from a balloon. Most asthma (COPD) type of conditions present with expiratory wheezing.
There is rales or crackles, this is when you hear air passing through fluid, mostly seen in pt's with congestive heart failure (CHF). However, if there is a lot of fluid build up a pt can present with wheezing as well, commonly seen in pt's with both CHF and COPD.
Then you have rhonchi, which is similar to rales, but is typically on one side or area which is indicitive of an infection like pneumonia, etc. This is more seen in the elderly or immunocompromised, or if the pt has already been previously diagnosed with an infection.
There are upper airway contrictions as well, like stridor. This is like a "barking" type of cough, usually seen in small children. This is also common with the common cold, strep throat, etc. Lungs can be clear, but it is the upper airway which is affected.
In the end, the symptoms presented could be any number of things which can not be diagnosed in the field. It will take a chest x-ray. If this was what was presented to me, I see this as an anxiety issue moreso than anything else. B/P is up, which can happen with stress, if O2 sat is high and I'm guessing by "smooth" lung sounds, I'm guessing "clear". Which to me looks more like an anxiety issue and the person worked themselves up. Of course I'm going off of experience here and the limited info here without having the chance to do a pt assessment myself.
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thank you i appreciate the info always glad to hear it I really need to work on writing with a more professional voice. Making my words smarter every day. haha
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