Cases reported "Cough"

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1/6. Aspiration of an avulsed primary incisor. A case report.

    A 7-year-old girl had injured her maxillary primary incisors in a playground. One of the already-mobile incisors had been avulsed. The child who had a cough and breathing difficulties during sleep was diagnosed as suffering from upper respiratory infection and was treated with antibiotics. A few days later because her body temperature was elevated a chest radiograph was taken. The radiograph revealed an aspirated tooth in her right bronchus with atelectasis of the lower lobe. The tooth was removed by bronchoscopy. dentists should suspect any tooth that has been avulsed and not found as possibly aspirated.
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2/6. An intrapericardial teratoma with endocrine function.

    Intrapericardial teratoma was diagnosed in a nine-year-old male infant with a three-month history of labored breathing and cough. The tumor was completely resected and found to be a mature teratoma, containing pancreatic tissue and producing insulin. A few glucagon and somatostatin containing cells were also present in the periphery of the islets. Postoperative course was uneventful. This is to our knowledge, the first report of an intrapericardial teratoma with such endocrine activity.
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3/6. Glossopharyngeal breathing: its application with a traumatic quadriplegic patient.

    Quadriplegic individuals have compromised ventilatory capacities as measured by pulmonary function tests. This compromise may put them at increased risk for pulmonary complications. Glossopharyngeal breathing (GPB) was a technique commonly used in the 1950s with poliomyelitis patients to enhance their breathing capabilities. This same technique can be used with quadriplegic individuals to improve their forced vital capacity (FVC). Increasing quadriplegic individuals' ventilatory ability can help decrease the risk of pulmonary complications and therefore increase their independence.
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keywords = breathing
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4/6. Psychogenic cough treated with biofeedback and psychotherapy. A review and case report.

    Psychogenic cough is a barking or honking cough, which is persistent and disruptive to normal activity. The cough may be a debilitating condition that interferes with work and social relationships. Although the frequency of this condition is low, it is not rare. The majority of cases reported involve pediatric or adolescent patients. Surprisingly, there are scant data describing this condition in the adult population and no reports of biofeedback being used to treat this syndrome. We present a case report of an adult patient with psychogenic cough and review the available pediatric and adult literature. A 41-yr-old obese female presented with a complex 7-yr history of intractable, nonproductive, chronic cough. She had been avoiding social activities because of embarrassment by her repeated episodes of coughing. Extensive diagnostic work-up failed to find an organic etiology. Numerous medical and surgical treatments had failed. The patient was treated with a combination of biofeedback-assisted relaxation training, psychotherapy, and physical therapy. review of the literature revealed only one report on adults, in which three of four patients were successfully treated with a combination of speech therapy, relaxation techniques, breathing exercises, and psychotherapy. Our success suggests a possible future use of this treatment protocol for cases of psychogenic cough.
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5/6. Cranio-metaphyseal dysplasia.

    Cranio-metaphyseal dysplasia in two brothers, aged fourteen and twelve, is reported. Both brothers presented with deafness, repeated episodes of cold and cough and mouth breathing. Striking craniofacial configuration consisted of hypertelorism, prominent glabella and zygomatic arches, mandibular prognathism and overgrowth of middle third of face. Both patients had genu valgum deformity. Low intelligence and poor scholastic performance present in both brothers were attributed to deafness. Radiographic features consisted of obtuse mandibular angle, defective dentition, sclerotic frontal sinuses, sclerotic mastoids and temporal bones. Splaying of metaphyses of long bones was associated with mild sclerosis. Mild degree of widening of ribs was also present. One brother also had hallux valgus deformity. The radiographic and clinical differentiation of cranio-metaphyseal dysplasia and metaphyseal dysplasia (Pyle's disease) is highlighted.
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6/6. Case formulation and behavioral treatment of chronic cough.

    The present report describes the case formulation and successful treatment of a 13 year-old boy with a severe habitual cough persisting 2 months after hospitalization, despite negative physical findings. At initial assessment, he literally coughed at every breath and was on housebound instruction. The case formulation highlighted the etiological importance of classical conditioning to breathing in air and the subsequent development of a nervous habit. Treatment was conducted over six sessions and initially involved desensitization to increasing amounts of air flow. A second phase involved strengthening awareness and control over coughing at home using self-management and positive practice procedures. The case formulation, treatment procedures and changes in coughing behavior (2-year follow-up) are described.
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