Flapping Tremor as a Diagnostic Tool for Evaluation of Hypercapnia
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2015, Vol 2, Issue 1
Abstract
A 76 year-old woman was admitted to our hospital because of aspiration pneumonia. Four days after initiation of the antibiotic treatment, her respiratory status became to be better; however, hypoxemia was recurred with tachypnea (36 breaths/min). On physical examination, she had a hot hand and flapping tremor, but not loss of consciousness, suggesting of acute type 2 respiratory failures with the increased level of PCO2 ranged from 15 to 30 mmHg. Accumulation of the evidence showed that the PCO2 retention from the usual level for each patient could be assessed by physical sings. Thus, even in the modern era, general physicians can easily diagnose the rapid increase the level of PCO2 from the prior status by using the physical findings such as hot hands, flapping tremor, and loss of consciousness as in the present case.
Authors and Affiliations
Takeshi Saraya
Keywords
Related Articles
- EP ID EP550059
- DOI 10.17140/PRRMOJ-2-107
- Views 165
- Downloads 0
Microarray Analysis Identifies Pathways in Progression of Early Stage Lung Adenocarcinoma: The Importance of Focal Adhesion and ECM-Receptor Interactions
Recurrence after lung cancer surgery is high, even among Non-Small Cell Lung Cancer (NSCLC) adenocarcinoma patients diagnosed early as Stage I, where there has been no spread to lymph nodes. Understanding the biological...
Pulmonary Rehabilitation in the Era of Multimorbidity and Multiple Disabilities (MMD)
Japan has become the first super-aged society in the world; particularly, the life expectancy, the rate of population aged 65 and older, and the speed of aging are second to none. According to the World Health Organizati...
Hydrogen Sulfide in Airway Diseases
Hydrogen Sulfide (H2S) is a colorless, water-soluble gas with the odor of rotten eggs. H2S can be produced via non-enzymatic pathways, but is mainly synthesized from L-cysteine as the substrate by Cystathionine-γ-lyase (...
Utility of a Sticky Note “Post-it” and a Cotton Swab as a Tool to Aid Cardiac Examination
A 68-year-old woman was admitted to our hospital because of worsening dyspnea on exertion for one week. She had been treated with supplemental oxygen with nasal cannula (0.25 L/ min at rest and 0.5 L/min during exercise)...
Significance of Molecular Genotyping for Lung Cancer in Modern Oncology
Lung cancer is one of the most prevalent life-threatening diseases and remains the leading cause of cancer-related death worldwide. Although surgical resection of the tumor is considered as one of the most effective trea...