Diaphragmatic paralysis history and symptoms: Difference between revisions

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{{Diaphragmatic paralysis}}


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==Overview==
==Overview==
The majority of patients with [disease name] are asymptomatic.
The majority of patients with unilateral diaphragmatic paralysis are asymptomatic. [[Exertional dyspnea]] and decreased exercise performance are common symtoms of unilateral diaphragmati paralysis. Less common symtoms of unilateral diaphragmatic paralysis include [[dyspnea]] at rest and [[orthopnea]]. Dyspnea in [[supine position]] and [[orthopnea]] are common symtoms of bilateral diphragmatic paralysis. Less common symtoms of bilateral diaphragmatic paralysis include daytime [[fatigue]] and [[confusion]].  


OR
==History and Symptoms==
===History===


The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
==== Unilateral diaphragmatic paralysis ====
Patients with unilateral diaphragmatic paralysis may have a positive history of:<ref name="pmid6292583">{{cite journal |vauthors=Piehler JM, Pairolero PC, Gracey DR, Bernatz PE |title=Unexplained diaphragmatic paralysis: a harbinger of malignant disease? |journal=J. Thorac. Cardiovasc. Surg. |volume=84 |issue=6 |pages=861–4 |year=1982 |pmid=6292583 |doi= |url=}}</ref>
*Childhood [[poliomyelitis]]
*[[Cardiac surgery]] in left sided paralysis
*Chest [[irradiation]]
*[[Injury]]  
*[[Irradiation]] of the [[neck]] or [[cervical spine]]
 
==== Bilateral diphragmatic paralysis ====
Patients with bilateral diaphragmatic paralysis may have a positive history of :
* Known [[neuromuscular disease]]


==History and Symptoms==
*The majority of patients with [disease name] are asymptomatic.
OR
*The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 
===History===
Patients with [disease name]] may have a positive history of:
*[History finding 1]
*[History finding 2]
*[History finding 3]
===Common Symptoms===
===Common Symptoms===
Common symptoms of [disease] include:
*[Symptom 1]
*[Symptom 2]
*[Symptom 3]


==== Unilateral diaphragmatic paralysis:<ref name="pmid11991876">{{cite journal |vauthors=Hart N, Nickol AH, Cramer D, Ward SP, Lofaso F, Pride NB, Moxham J, Polkey MI |title=Effect of severe isolated unilateral and bilateral diaphragm weakness on exercise performance |journal=Am. J. Respir. Crit. Care Med. |volume=165 |issue=9 |pages=1265–70 |year=2002 |pmid=11991876 |doi=10.1164/rccm.2110016 |url=}}</ref> ====
Common symtoms of unilateral diaphragmatic paralysis include:
*Usually [[asymptomatic]] at rest
*[[Exertional dyspnea]]
*Decreased exercise performance
==== Bilateral diaphragmatic paralysis ====
* [[Orthopnea]]<ref name="pmid872664">{{cite journal |vauthors=Sandham JD, Shaw DT, Guenter CA |title=Acute supine respiratory failure due to bilateral diaphragmatic paralysis |journal=Chest |volume=72 |issue=1 |pages=96–8 |year=1977 |pmid=872664 |doi= |url=}}</ref>
* [[Dyspnea]] in [[supine]] position<ref name="pmid15595343">{{cite journal |vauthors=Kumar N, Folger WN, Bolton CF |title=Dyspnea as the predominant manifestation of bilateral phrenic neuropathy |journal=Mayo Clin. Proc. |volume=79 |issue=12 |pages=1563–5 |year=2004 |pmid=15595343 |doi=10.4065/79.12.1563 |url=}}</ref>
===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of [disease name] include  
 
*[Symptom 1]
==== Unilateral diaphragmatic paralysis ====
*[Symptom 2]
Less common symptoms of unilateral diaphragmatic paralysis include:
*[Symptom 3]
*[[Dyspnea]] at rest in pateints with underlying lung disease
*[[Orthopnea]]<ref name="pmid3202460">{{cite journal |vauthors=Laroche CM, Carroll N, Moxham J, Green M |title=Clinical significance of severe isolated diaphragm weakness |journal=Am. Rev. Respir. Dis. |volume=138 |issue=4 |pages=862–6 |year=1988 |pmid=3202460 |doi=10.1164/ajrccm/138.4.862 |url=}}</ref>
*Disordered breathing during [[rapid eye movement sleep]]
 
==== Bilateral diaphragmatic paralysis ====
Less common symptoms of bilateral diaphragmatic paralysis include:<ref name="pmid19452391">{{cite journal |vauthors=Qureshi A |title=Diaphragm paralysis |journal=Semin Respir Crit Care Med |volume=30 |issue=3 |pages=315–20 |year=2009 |pmid=19452391 |doi=10.1055/s-0029-1222445 |url=}}</ref>
* Acute supine respiratory failure<ref name="pmid872664" />
* Daytime [[fatigue]]
* [[Morning headaches]]
* [[Confusion]]
*;
*:               


==References==
==References==
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Latest revision as of 21:22, 29 July 2020

Diaphragmatic Paralysis Microchapters

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

The majority of patients with unilateral diaphragmatic paralysis are asymptomatic. Exertional dyspnea and decreased exercise performance are common symtoms of unilateral diaphragmati paralysis. Less common symtoms of unilateral diaphragmatic paralysis include dyspnea at rest and orthopnea. Dyspnea in supine position and orthopnea are common symtoms of bilateral diphragmatic paralysis. Less common symtoms of bilateral diaphragmatic paralysis include daytime fatigue and confusion.

History and Symptoms

History

Unilateral diaphragmatic paralysis

Patients with unilateral diaphragmatic paralysis may have a positive history of:[1]

Bilateral diphragmatic paralysis

Patients with bilateral diaphragmatic paralysis may have a positive history of :

Common Symptoms

Unilateral diaphragmatic paralysis:[2]

Common symtoms of unilateral diaphragmatic paralysis include:

Bilateral diaphragmatic paralysis

Less Common Symptoms

Unilateral diaphragmatic paralysis

Less common symptoms of unilateral diaphragmatic paralysis include:

Bilateral diaphragmatic paralysis

Less common symptoms of bilateral diaphragmatic paralysis include:[6]

References

  1. ↑ Piehler JM, Pairolero PC, Gracey DR, Bernatz PE (1982). "Unexplained diaphragmatic paralysis: a harbinger of malignant disease?". J. Thorac. Cardiovasc. Surg. 84 (6): 861–4. PMID 6292583.
  2. ↑ Hart N, Nickol AH, Cramer D, Ward SP, Lofaso F, Pride NB, Moxham J, Polkey MI (2002). "Effect of severe isolated unilateral and bilateral diaphragm weakness on exercise performance". Am. J. Respir. Crit. Care Med. 165 (9): 1265–70. doi:10.1164/rccm.2110016. PMID 11991876.
  3. ↑ 3.0 3.1 Sandham JD, Shaw DT, Guenter CA (1977). "Acute supine respiratory failure due to bilateral diaphragmatic paralysis". Chest. 72 (1): 96–8. PMID 872664.
  4. ↑ Kumar N, Folger WN, Bolton CF (2004). "Dyspnea as the predominant manifestation of bilateral phrenic neuropathy". Mayo Clin. Proc. 79 (12): 1563–5. doi:10.4065/79.12.1563. PMID 15595343.
  5. ↑ Laroche CM, Carroll N, Moxham J, Green M (1988). "Clinical significance of severe isolated diaphragm weakness". Am. Rev. Respir. Dis. 138 (4): 862–6. doi:10.1164/ajrccm/138.4.862. PMID 3202460.
  6. ↑ Qureshi A (2009). "Diaphragm paralysis". Semin Respir Crit Care Med. 30 (3): 315–20. doi:10.1055/s-0029-1222445. PMID 19452391.

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