Orthopnea - supine position. However, it is not entirely...

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Learning Issue: Conditions Associated with Orthopnea-MH Definition: Is dyspnea that appears when the patient lies down, but is relieved when the patient sits-up. Clinical Significance: It is associated with conditions such as massive ascites, bilateral diaphragm paralysis, pleural effusion, morbid obesity, and severe pneumonia. The most important clinical association is congestive heart failure. Medline plus also indicates that orthopnea can be a result of COPD, cor pulmonale, hypertensive disease, panic disorder, sleep apnea, and snoring. Pathology: Lung compliance and vital capacity fall significantly after moving from the upright position to
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Unformatted text preview: supine position. However, it is not entirely dependent on this mechanism. Diagnostic Tests: Medline indicates that a chest x-ray, EKG, echocardiogram, and pulmonary function tests are usually performed. Resource: MDconsult http://www.mdconsult.com/books/page.do?sid=1120376258&eid=4-u1.0-B978-1-4160-2898-7..50021-6--cesec41&isbn=978-1-4160-2898-7&type=bookPage&sectionEid=4-u1.0-B978-1-4160-2898-7. .50021-6--cesec42&uniqId=235830075-3 Medline http://www.nlm.nih.gov/medlineplus/ency/article/003076.htm...
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

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