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795 Possible Causes for Basilar Rales, Dyspnea at Rest, Pulsus Alternans

  • Congestive Heart Failure

    Initially dyspnea occurs only at exertion. Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest.[] alternans (alternating large and small pulse pressures) and a raised JVP.[] When congestive heart failure worsens, fluid backs up into the lungs and interferes with oxygen getting into the blood, causing dyspnea at rest and at night (orthopnea).[]

  • Pulmonary Edema

    High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[] Class IV is defined by symptoms at rest or with any physical activity.[] Entry required HF symptoms at rest or minimal exertion and signs of congestion ( 2 of the following: dyspnea, jugular venous distention, or peripheral edema) at time of randomization[]

  • Acute Myocardial Infarction

    After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain.[]

  • Cardiomyopathy

    There are five useful clinical signs to establish the presence and severity of cardiomyopathy: general appearance (cachexia and dyspnea at rest indicate severe impairment)[] […] mitral valve cusp towards the septum LVOT pressure gradient via doppler echocardiography Provocation tests (see below) are obligatory if no obstruction is discernible at rest[] Exercise testing Used for risk assessment and evaluation of LVOT Treadmill or bicycle exercise test Clinical observation for development of symptoms (e.g., dyspnea , palpitations[]

  • Acute Myocarditis

    Case 1: A 48-years-old, previously healthy male patient admitted to our clinic with complaints of acute onset of rest dyspnea and orthopnea, started the day before.[]

  • High Output Heart Failure

    Hypervolemia, dyspnea on rest or exertion, orthopnea, and fatigue are the general symptoms of heart failure.[] alternans (alternating large and small pulse pressures) and a raised JVP.[] alternans Hypotension Tachycardia Heaves Displaced Apex Beat [sign of cardiomegaly] Gallop [S3] Bilateral Crepitations Cardiomegaly on CXR Cachexia [dec. appetite, weight[]

  • Heart Failure

    These include, among others: Dyspnea ( exertional-, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[] alternans (alternating large and small pulse pressures) and a raised JVP.[] Pulsus alternans is usually associated with an S 3 gallop, signifies advanced myocardial disease, and often disappears with treatment of heart failure.[]

  • Acute Respiratory Distress Syndrome

    Examination of patient involves lung exam and determination of basilar or diffuse rales.[] […] on exertion followed by dyspnea at rest Hypoxia; PaO 2 /FIO 2 300 mm Hg Often sepsis and MODS ( JAMA 2016;315:788 ) Respiratory dysfunction and physical disability may persist[] This rapidly progresses to severe dyspnea at rest, tachypnea, anxiety, agitation, and the need for increasingly high concentrations of inspired oxygen.[]

    Missing: Pulsus Alternans
  • Pneumonia

    Pneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). This type of pneumonia is found in people who have not recently been in the hospital or another health care facility such as a nursing home or rehab facility. Pneumonia[…][]

    Missing: Pulsus Alternans
  • Myocardial Infarction

    History The patient’s history is critical in diagnosing myocardial infarction (MI) and sometimes may provide the only clues that lead to the diagnosis in the initial phases of the patient presentation. Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest[…][]

    Missing: Basilar Rales