Patient With Severe Dyspnoea

I met a 47 - year - old man and advised junior high school students to evaluate and treat serious dyspnea. When he climbed the stairs and entered the village, he began breathing difficulties with chronic cough and purpura. Two days before the examination his condition worsened further, daily breathing difficulties worsened, chronic cough progression, and production of sputum increased from two to three cups a day to about one cup a day.

As it gets worse, patients like DK may lose further functionality and experience severe painful symptoms. At the time of introduction, DK was difficult to breathe, her exercise ability and endurance of exercise declined, making daily work difficult. Symptom management supports the quality of life and is related to improvement of psychological comfort. Dyspnea is closely related to anxiety and suggests general pathophysiology 33. Dyspnea and anxiety may form preventable "vicious cycle of nausea" through effective management. In addition to physical therapy and bronchodilators, long-term home oxygenation helps to correct hypoxemia and dyspnea. Although this is suitable for DK, smokers do not meet the condition of home oxygen

Pneumothorax, progressive dyspnea and chyle exudate are the major clinical symptoms of LAM. Dyspnea is the most common symptom (over 70% of patients) and is the result of airflow obstruction and cystic destruction of the pulmonary parenchyma. In the clinical course, more than 50% of patients have a history of pneumothorax. Pneumothorax is usually the first symptom, recurrence is common. ChylH pleural effusion is less common, but it tends to recur after simple aspiration. Other respiratory symptoms are cough, squeak, and hemoptysis (Table 1). As noted above, hemoptysis and hemoptysis can be the result of LAM cells blocking pulmonary vessels and lymph vessels, respectively. The extrapulmonary symptom of LAM is AML, which occurs mainly in the large cystic lymph nodes called kidney, mammary ascites, abdominal lymphadenopathy, and lymphangiosleele leiomyoma.