respiratory disorders À la rnoh. obstructive airways disease restrictive lung disease infections...
TRANSCRIPT
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Respiratorydisorders
la RNOH
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Obstructive airways diseaseRestrictive lung diseaseInfectionsTumours
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Restrictive lung diseaseReduced Total lung capacityVital capacityFunctional residual capacityPreservedAirways resistance
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Involvement ofNerve supplyMusclesChest wallLung parenchymaPolioGuillain BarreCerebral palsySpinal cord injuryMuscular dystrophiesSMAScoliosisKyphosisObesityI.P.F.Connectivetissue dis.C.F.
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Natural historyGradual decrease in VC, FRCWorsening pathologydecrease in FRC, Atelectasis work of breathingNocturnal hypoventilationDaytime hypoventilationRecurrent chest infectionsDeath
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Nocturnal hypoventilation airways resistance Intercostal toneTidal volume Resp. rateREM sleepMorning headachesRestless sleepDaytime sleepinessEnuresisConcentration/ memory difficulties schooling problems
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Restrictive respiratory disordersSymptomsNothingDyspnoea on exertionPoor cough
Sx Sleep disordered breathingDyspnoea at restMuscular dystrophiesCerebral palsyScoliosisSpinal cord injury
SignsUnderlying diseaseRespiratory rateAuscultationQuietRetained secretionsCyanosisClubbing
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InvestigationsBloods.Polycythaemia
Blood gasHypoxiaHypercarbiaChronic respiratory acidosisEarly morning sample
Chest Xray
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Lung function testsSleep studies
OximetryTranscutaneousCo2 & O2
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hours
%
James Hill SpO2 sleep study 14/2/00
hill
000.16666670.00277777830
92980.33333370.00555556170
95940.50000070.0083333450
92940.66666770.01111112830
91960.83333470.01388891170
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9710524.33338170.40555636170
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