Respiratory system diagnosis

HCIA Inc., Ernst Young LLP, eds. DRG 475 1997. Respiratory system diagnosis with ventilator support. The DRG Handbook Comparative Clinical and Financial Standards. Boston, NC Solucient, 1997 308-313. 

Systemic sarcoidosis may present either acutely or chronically. Acute or subacute sarcoidosis develops abruptly over several weeks and represents up to 40% of all cases. Patients usually have constitutional symptoms such as fever, malaise, and weight loss. In the United States 40% to 70% of patients develop insidious disease and have respiratory complaints without constitutional symptoms. Up to 50% of patients, however, are asymptomatic at the time of diagnosis, with the disease detected only during a routine examination. 

Wanders RJ, Ruiter JP, Wijburg FA, Zeman J, Klement P, Houstek J. Prenatal diagnosis of systemic disorders of the respiratory chain in cultured chorionic villus fibroblasts by study of ATP-syndiesis in digitonin-permeabiUzed cells. J. Inherit. Metab Dis. 1996 19 133-136. 

Patients with cirrhosis often suffer from bacterial infections, (s. p. 731) In most cases, the respiratory tract and urogenital system are affected. Interleukin 6 may often increase in decompensated cirrhosis. Directed bacteriological diagnosis is required immediately depending on the case, administration of antibiotics is recommended even before any evidence of bacteria has been obtained. (31)... 

The diagnosis of subdural hematoma explains the depressed respirations, which have resulted in carbon dioxide retention and respiratory acidosis. The metabolic system is beginning to buffer the respiratory acids with retention of bicarbonate. The nurse would watch the oxygen levels and respiratory rate closely and continue supplemental oxygen therapy to maintain adequate oxygenation and would prepare to artificially ventilate Ms. Suarez to improve CO removal and total ventilatory effectiveness. 

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