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infinitydoublevenus · 5 years

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I need help. Does anyone know what this most likely and/or certainly is?

I had a really bad breakdown the other day... Not the emotional kind, physical. I don’t know what was going on.

I had asked my mom to make me some coffee so I could stay awake since I spent half the night binge watching Kulipari: An Army of Frogs in one sitting. This is normal for me to ask because I’ve drank coffee before and never had any problems. I asked for peppermint flavoring, a peppermint stick and cereal marshmellows in it so she put them in the drink. I drank it rather fast, but I do that with literally every drink that I like. It was warm when I drank it if that information is needed.

I was halfway through my coffee, laying down sideways on the comfy soft couch in the living room when I started coughing and hacking really hard. This has happened before, particularly in the winter. But here’s the thing: this was worse than any time it had ever happened before.

I was coughing and hacking and it sounded like a barking cough, my breathing was rapid and I felt like I was going to suffocate because I was struggling to inhale and exhale. The left side of my chest tightened and felt as if there were a great pressure on it.

This went on for several hours until the coughing died down. Then I started coughing and hacking again and I started hacking up a whiteish-clearish mucuous. I know that sounds gross but that’s what happened. It was more than I usually ever cough up, like a mini waterfall of the stuff. It had been stuck in my throat and was what had been blocking my breathing.

The thing is, I don’t know how I could have possibly produced that much mucuous. The breakdown just came out of nowhere, it was sudden onset. I hadn’t been coughing much earlier in the day so this was very surprising to me. The prime suspect at first was my coffee, but I don’t know of any ingredient that could cause that. I’ve been staying up at night a lot but I’ve done that for years and nothing like this has ever happened. I had a blanket on me that was warm, so it couldn’t have been the cold and I don’t think it was the humidity. I stayed in the cold van later for about an hour and my cough went away instead of getting worse so I doubt it’s the winter chills.

The coughing was dry and rough and it was painful on the throat. My throat became dry and hurt like hell while the breakdown was happening. I tried to tell my mom what was going on but I had lost my voice. It was so hoarse that it was squeaky. I struggled to even get a word out. I think it might have even been temporary laryngitis. It took several hours for my voice to come back after the mucuous had been cleared. My breathing was whistly the whole time.

Does anyone know what could have caused this? I have a dog, but I’m not allergic to most animals, especially not beagles. My dog has lived with us for several years and nothing like this ever happened, so it couldn’t be an allergy to her dander. My family has a history of shitty conditions but I don’t know about any respiratory stuff being passed down, it’s mostly heart-related things. Or brain related. I haven’t been exercising but I rarely do too much of that and again this has never happened before. Like I said, it came out of nowhere. I recall having what was probably bronchitis at least once last year, but this was twenty times worse than that. I haven’t been around cigarette smoke at all recently so it couldn’t have been caused by nicotine. My immune system isn’t particularly weak as I rarely get sick as far as I’m aware so I don’t think it has to do with that. I am vaccinated against influenza but last I checked it’s still flu season and my state, Virginia, was at Widespread level, with multiple outbreaks in different areas. My dog isn’t sick so I couldn’t have picked it up from her and my parents show no symptoms whatsoever.

I looked up conditions that can cause said symptoms. The closest matches seemed to be either a URI, asthma or bronchitis. URI’s are more common in older people. I’m only 19, it’s more common among my age than children, but much less common in those under the age of 40. At least according to Google anyways. I’ve looked at everything I can. I doubt it’s bronchiolitis but it could be bronchitis.

I’ve asked my mom to take me to a doctor but she just told me to drink more water even though I repeatedly told her this is worse than usual for me. She thought I was just dehydrated. I severely doubt that is the actual case. If it was asthma, then I feel I’m lucky to be alive right now. An inhaler or even just medicine would have been useful in that case.

I don’t want to have to have an expensive procedure either. My parents are still paying off the mortgage on the house and paying to take care of the dog (and me, since I’m unemployed and don’t have an apartment/house of my own yet nor am I confident enough to move right now). They also probably have high electricity/Internet bills since I use the computer/phone both during the day and late at night. I do take breaks and I’m working on using a screen less at night so I can get more sleep. We’re middle-class, we’re not so poor we can’t afford treatment, but we’re not rich or upper-class either. My dog had to have surgery on her neck a few years ago and if treatment for this is too expensive we won’t be able to afford something like that again if anything ever happens to her. My dad also has to pay for his diabetes medication & my medicine for my heart and my 20-gram serotonin reuptake inhibitors that I take for my OCD and spiraling anxiety. I can’t give away how much my dad earns nor do I even know. It’s probably enough for treatment but preferably nothing above $800.00. I can’t have any treatment that involves strong magnets or way-too-much pressure on my stomach due to the presence of my pacemaker. If it helps, the reason I have a pacemaker is complete fetal heart block. I might be able to have an X-Ray though.

I’ve heard asthma can cause red itchy skin sometimes. When I scratch an itch it leaves red sometimes bumpy marks that burn and itch. But since they follow my finger’s tracing of the skin it makes me think it’s probably dermatographia. Given how understudied said condition is, it could be common to be accompanied by asthma as well, maybe? I don’t know, I’m not a doctor.

Can anyone help me figure this out? I’d love to know just exactly what the actual fuck is happening to me. I’ve heard certain respiratory situations can be lethal if not treated.My throat is still all mucous-y and dry but I’m only ocassionally coughing now and it’s not nearly as bad. I panicked so much yesterday I thought I was going to die and nearly fainted out of sheer terror. That’s probably just my anxiety, but if it helps it helps.

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nursebettyboop-blog · 7 years

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Peds

Aniridia is the absence of the iris, usually involving both eyes. It can be congenital or caused by a penetrant injury. Isolated aniridia is a congenital disorder which is not limited to a defect in iris development, but is a panocular condition with macular and optic nerve hypoplasia, cataract, and corneal changes. -Children are 20/20 in vision only when they are 6 years old.

-X-ray can be done to check for growth in those worried about being short

-2 month old:

*97.6 T

*11.7 Lbs

* 24 3/4 height

-15 diapers/day (1 poop a day-mucous/blood..any allergies that mom may be consuming?)

-Nurses 4 times a day (2 hrs each time) MD Baez recommends nursing for 30 min at a time

-Baby taking vit D

-2 mo f/u after this visit

- Aniridia is the absence of the iris, usually involving both eyes. It can be congenital or caused by a penetrant injury. Isolated aniridia is a congenital disorder which is not limited to a defect in iris development, but is a panocular condition with macular and optic nerve hypoplasia, cataract, and corneal changes.

*spontaneous mutation

*can pass to child

*PX6 gene affected

*Check for Wilms tumor (sonogram)-kidneys

*Ck for MR

*nystagmus

*Risk: glaucoma

*Red reflex? you can see a lot of red when looking into pts eyes bec pupils are so dilated

-Gas X for gas

-Colic: bend babys knees

-In babies 1-6 mo: they grow 0.5 ounce a day

-4 ounces q 3hrs is appropriate

-RSV-premie/cardiac pts????

-whey

casin

-croup:

hoarse, seal like cough, adults gets laryngitis, babies get croup, at night..it is worse..baby chokes on phlegm, steam bath/cold air/saline drops into nose help. Will turn into a regular cough. Rx: presnoisolone PO and vicks helps. IM presnoisolone for those with stridor. NO honey!

-Inflammed eosinophillic cells via endoscopy due to food allergies:

*budesonide PO

*Nexium

-Neocate Splash-hypoallergenic amino acids in juice form

*Eosinophilic esophagitis

*Food protein-induced enterocolitis syndromeShort bowel syndrome Malabsorption Gastroesophageal reflux

-Elecare:

*EleCare and EleCare Jr are:Hypoallergenic1,* - Virtually eliminating the potential for an allergic reaction to the formula in multiple-food-allergic children100% free amino acids as the protein sourceClinically shown to be well-tolerated1,2,*in infants and children who cannot tolerate intact or hydrolyzed protein

-pediasure: Minerals and vitamins, shakes

-The Ehlers-Danlos syndromes are a group of connective tissue disorders that can be inherited and are varied both in how affect the body and in their genetic causes. They are generally characterized by joint hypermobility (joints that stretch further than normal), skin hyperextensibility (skin that can be stretched further than normal), and tissue fragility.The Ehlers-Danlos syndromes (EDS) are currently classified into thirteen subtypes. Each EDS subtype has a set of clinical criteria that help guide diagnosis; a patient’s physical signs and symptoms will be matched up to the major and minor criteria to identify the subtype that is the most complete fit. There is substantial symptom overlap between the EDS subtypes and the other connective tissue disorders including hypermobility spectrum disorders, as well as a lot of variability, so a definitive diagnosis for all the EDS subtypes when the gene mutation is known—all but hypermobile EDS (hEDS)—also calls for confirmation by testing to identify the responsible variant for the gene affected in each subtype.

*genetic testing

* JointsJoint hypermobility; loose/unstable joints which are prone to frequent dislocations and/or subluxations; joint pain; hyperextensible joints (they move beyond the joint’s normal range); early onset of osteoarthritis.SkinSoft velvety-like skin; variable skin hyper-extensibility; fragile skin that tears or bruises easily (bruising may be severe); severe scarring; slow and poor wound healing; development of molluscoid pseudo tumors (fleshy lesions associated with scars over pressure areas).Miscellaneous/Less CommonChronic, early onset, debilitating musculoskeletal pain (usually associated with the Hypermobility Type); arterial/intestinal/uterine fragility or rupture (usually associated with the Vascular Type); scoliosis at birth and scleral fragility (associated with the Kyphoscoliosis Type); poor muscle tone (associated with the Arthrochalasia Type); mitral valve prolapse; and gum disease.Each type of Ehlers-Danlos syndrome is defined as a distinct problem in connective tissue. Connective tissue is what the body uses to provide strength and elasticity; normal connective tissue holds strong proteins that allow tissue to be stretched but not beyond its limit, and then safely return that tissue to normal. Connective tissue is found throughout the body, and Ehlers-Danlos syndromes are structural problems. An analogy: If one builds a house with faulty materials, say half the necessary wood or with soft aluminum nails, it is certain there will be problems. Some problems are more likely to show up than others, but because those materials were used everywhere and are not necessarily visible, one can be surprised by where a problem shows up or how serious it is.It is much the same thing with an Ehlers-Danlos Syndrome and connective tissue.The connective tissue a person with EDS is built with is not structured the way it should be. With a badly-constructed or processed connective tissue, some or all of the tissue in the EDS-affected body can be pulled beyond normal limits which causes damage. Connective tissue can be found almost anywhere, in skin, muscles, tendons and ligaments, blood vessels, organs, gums, eyes, and so on.The problems resulting from one’s body being built out of a protein that behaves unreliably can be widespread and in a wide range of severity. It shows up in places that seem unrelated until the underlying connection to an Ehlers-Danlos syndrome is recognized.

-Biophysical profile

Learn about and keep track of your baby's health. Special ultrasoundmethods are used to keep track of movement, increases in heart rate with movement (nonstress test), muscle tone, breathing rate, and the amount of amniotic fluid (amniotic fluid index) surrounding your baby. If these five areas are within a normal range, your baby is considered to be in good health.Check on your baby's health if you have:Hyperthyroidism.Bleeding problems.Lupus.Chronic kidney disease.Type 1 diabetes or gestational diabetes.High blood pressure (hypertension).Preeclampsia.A small amount of amniotic fluid (oligohydramnios) or too much amniotic fluid (polyhydramnios).A multiple pregnancy (such as twins or triplets).A pregnancy that has gone past your due date, between 40 and 42 weeks.

- The term broncholithiasis is used to denote the presence of calcified or ossified material within the lumen of the bronchus (1). A broncholith is usually formed by erosion by and extrusion of a calcified adjacent lymph node into the bronchial lumen and is usually associated with long-standing foci of necrotizing granulomatous lymphadenitis (Fig 1). Other causes of broncholithiasis include (a)aspiration of bone tissue or in situ calcification of aspirated foreign material; (b) erosion by and extrusion of calcified or ossified bronchial cartilage plates; and (c) migration to a bronchus of calcified material from a distant site, such as a pleural plaque or the kidney (via a nephrobronchial fistula) (1). Some authors expanded the definition to include those cases in which peribronchial calcified lymph nodes distort the bronchial tree without extrusion of the lymph node into the bronchus (2,3).

*dry unproductive cough, poor PO intake, No N/V/D, fever (104) with fatigue, poor sleep from, cough, congestion, mouth breathing, stinky odor, BMxfew times a day, green nasal discharge, wheezing (Albuterol was given).

*Dx with flu if child has already had this for about a week

*Flu that is over 48 hours, cant iven tamiflu

*Augmentin

*This pt has hx of febrile seizures, mom was giving motrin and tylenol alternatively to break fever but the fever wont go away

*give abx for 24 hours before kid can go back to school.

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