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11 Possible Causes for Basilar Rales, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.com] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure or pulsus[patient.info]

  • Pulmonary Edema

    Vasilios Papaioannou Irene Terzi Christos Dragoumanis Ioannis Pneumatikos Clinical Report First Online: 14 August 2009 Abstract Negative-pressure pulmonary edema is a well-known complication of an acute upper airway obstruction, which may rarely present as acute alveolar hemorrhage in cases of severe capillary[…][doi.org]

  • Cardiomyopathy

    Cardiomyopathy can be acquired or inherited. “Acquired” means you aren’t born with the disease, but you develop it due to another disease, condition, or factor. “Inherited” means your parents passed the gene for the disease on to you. Researchers continue to look for the genetic links to cardiomyopathy and to[…][web.archive.org]

  • Acute Myocardial Infarction

    We herein report the case of a 25-year-old Japanese woman with left-main-trunk acute myocardial infarction (LMT-AMI). She had cardiogenic shock, so emergency percutaneous intervention was performed. Intravascular ultrasound of LMT-AMI showed that the three-layered structure of the intima, tunica media, and[…][ncbi.nlm.nih.gov]

  • Acute Myocarditis

    BACKGROUND: The aim of this study was to evaluate the diagnostic potential of a novel cardiovascular magnetic resonance (CMR) based multiparametric imaging approach in suspected myocarditis and to compare it to traditional Lake Louise criteria (LLC). METHODS: CMR data from 67 patients with suspected acute[…][ncbi.nlm.nih.gov]

  • High Output Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] alternans Hypotension Tachycardia Heaves Displaced Apex Beat [sign of cardiomegaly] Gallop [S3] Bilateral Crepitations Cardiomegaly on CXR Cachexia [dec. appetite, weight[almostadoctor.co.uk] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.medscape.com]

  • Peripartum Cardiomyopathy

    On physical exam you find edema in her legs, bilateral basilar rales, and extra heart sound following S2 at the apex. She has JVD.[step2.medbullets.com]

  • Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Pulsus alternans is usually associated with an S 3 gallop, signifies advanced myocardial disease, and often disappears with treatment of heart failure.[emedicine.medscape.com] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure or pulsus[patient.info]

  • Cardiac Asthma

    Obviously with a longer transport time i would hopefully had been able to hear the fine basilar rales after the treatment, but for the future i want a stronger tool set to[emtlife.com] alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure or pulsus[patient.info]

  • Distended Neck Veins

    rales on auscultation of the lungs and ankle edema.[ocw.tufts.edu] Patients also should be hospitalized if they have pulsus paradoxus, electrical alternans on the ECG, or a large pericardial effusion.[aafp.org] Other clues (also notoriously unreliable): ECG: electrical alternans, low voltage QRS CXR: cardiomegaly/globular heart Pulsus paradoxus (decrease in BP on inspiration 10mmHg[ponderingem.com]

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