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273 Possible Causes for Congestive Heart Failure, Increased Tactile Fremitus, Patient Appears Acutely Ill, Purulent Sputum, Rales

  • Bacterial Pneumonia

    fremitus - Consolidation would increase the transmission of vocal vibrations and manifest as increased tactile fremitus. ( ) dullness to percussion CXR: patchy, segmental[smartypance.com] ., the presence of purulent sputum or suspected presence of bacterial pathogens in clinical specimens.[ncbi.nlm.nih.gov] S. pneumoniae, H. influenzae (consolidation, no rales) * What types are typically bronchopneumonia?[quizlet.com] Complications of flu can include bacterial pneumonia , ear infections, sinus infections, dehydration, and worsening of chronic medical conditions, such as congestive heart[medical-dictionary.thefreedictionary.com] They often present in the absence of fever and purulent sputum production.[link.springer.com]

  • Aspiration Pneumonia

    Increased vibration of the chest when speaking, known as tactile fremitus, and increased volume of whispered speech during auscultation can also indicate fluid. [14] When[en.wikipedia.org] It produces fever, leukocytosis, purulent sputum, and an infiltrate visible on a radiograph.[cid.oxfordjournals.org] In the absence of an obvious predisposition, the abrupt onset of a self-limited illness characterized by dyspnea, cyanosis, and low-grade fever associated with diffuse rales[ncbi.nlm.nih.gov] heart failure, myositis ossificans, and idiopathic interstitial fibrosis.[ncbi.nlm.nih.gov] Purulent sputum. Signs may include tachycardia, tachypnoea, decreased breath sounds and dullness to percussion over areas of consolidation, pleural friction rub.[patient.info]

  • Legionnaires' Disease

    sputum and often chest pain and a localized infiltrate on chest X-ray .[medicinenet.com] Examination of the lungs may initially reveal focal rales that will eventually become diffuse.[casesjournal.biomedcentral.com] After admission, the patient developed congestive heart failure due to pathologically confirmed myocarditis.[ncbi.nlm.nih.gov] […] the associated symptoms and signs are unlike typical pneumonia (as characterized by Streptococcus pneumonia), which involves spiking high fevers, sudden onset, cough, and purulent[medicinenet.com] Rales were present in one third of the lung fields bilaterally and Percussion revealed dullness at the base of the right lung, with poor air entry in the right lower base.[casesjournal.biomedcentral.com]

  • Pulmonary Infarction

    In nine patients the cavitation appeared rapidly (mean, 5 days) and was associated with fever, purulent sputum, and leukocytosis.[ncbi.nlm.nih.gov] Dyspnea and pleuritic pain Cough and tachycardia Fourth heart sound and fever Rales and hemoptysis 3. Which finding is NOT common in patients with pulmonary embolism?[mdmag.com] Typical complications include congestive heart failure, systemic emboli, or vasculitic type syndromes.[ncbi.nlm.nih.gov] Prominent fever and purulent sputum indicate an infected cavitating pulmonary infarction. Management is with anticoagulation and appropriate antibiotics.[rc.rcjournal.com] In addition, they may experience a nonproductive cough, and lung sounds may reveal wheezes or fine rales in the bases. Hemoptysis can occur, although it is rare.[emsworld.com]

  • Pneumococcal Pneumonia

    […] is affected, particularly in the elderly, leading to irregular heartbeats, small lesions in the heart (microlesions) and congestive heart failure Treatment failure owing[dovemed.com] heart failure, alcoholism, pneumococcal vaccine in last 5 years, pleural effusion, appropriate antibiotic, antibiotics within 4 hours, dual antibiotic therapy including a[bmcpulmmed.biomedcentral.com] (particularly in the elderly) Cardiac arrhythmia or irregular heartbeats Myocardial microlesions Congestive heart failure How is Pneumococcal Pneumonia Diagnosed?[dovemed.com] heart failure 54 (13.5) 43 (8.7) 0.02 Cerebrovascular disease 22 (5.5) 32 (6.5) 0.5 Renal disease 27 (6.8) 24 (4.9) 0.2 Chronic obstructive pulmonary disease 74 (18.6) 116[bmcpulmmed.biomedcentral.com] […] bacteremia or sepsis) Fever Chills Reduced alertness Brain (pneumococcal meningitis) Headache Stiff neck Inability to look at bright light owing to pain Confusion Fever Heart[dovemed.com]

  • Lingular Pneumonia

    sputum occasionally stained with blood.[austinpublishinggroup.com] […] is bad if he has dyspnoea, and urine that is thin and acrid, and if sweats come out about the neck and head, for such sweats are bad, as proceeding from the suffocation, rales[emrems.com] heart failure, diabetes mellitus, and bronchiectasis being the commonest associated illnesses.[annals.org] Following the treatment course, the patient did quite well with resolution of her purulent sputum producing cough.[transbiomedicine.com] Pulmonary edema Congestive heart failure is the most common cause of pulmonary edema .[healthline.com]

  • Gram-Negative Pneumonia

    Cloudy, Mucoid Sputum Chronic bronchitis D. Three layered appearance (Stagnant, Purulent Sputum) Bronchiectasis Lung Abscess V. Sputum with Feculent Odor A.[lungindia.com] Most had chronic obstructive pulmonary disease, congestive heart failure, or both.[ncbi.nlm.nih.gov] B 7 , 11 Nursing home–acquired pneumonia should be suspected in patients with new or progressive infiltrate plus a new-onset fever, leukocytosis, purulent sputum, or hypoxia[aafp.org] sputum which may be blood-stained or rust-coloured, breathlessness, fever, malaise.[patient.info] Purulent sputum (yellow, green, dirty-gray) Color alone does not distinguish bacterial infection III. Sputum Turbidity A.[lungindia.com]

  • Viral Pneumonia

    Several studies showed that purulent sputum, high fever, chest pain, an altered mental state, and dyspnea were present in similar proportions to non-viral pneumonia [24] –[journals.plos.org] […] shows that there was significant difference between the two groups in the effect initiating time on such symptoms as fever, cough, copious sputum, shortness of breath, and rales[ncbi.nlm.nih.gov] heart failure exacerbation (hydrostatic pulmonary edema) Acute respiratory distress syndrome Cryptogenic organizing pneumonia Acute interstitial pneumonia Pneumonitis secondary[visualdx.com] Examination reveals scattered rhonchi and rales upon auscultation of the chest.[smartypance.com] heart failure, and AIDS.[nmihi.com]

  • Acute Bronchitis

    Of the 784 physicians who answered the questions on bronchitis, 662 preferred antibiotic therapy in acute bronchitis with purulent sputum (84.6%), 610 on uncertain diagnosis[ncbi.nlm.nih.gov] Improvements were most pronounced for 'coughing' and 'rales at auscultation'. Tolerability was similarly good in both groups.[ncbi.nlm.nih.gov] Most Common Differential Diagnosis of Acute Cough Acute bronchitis Allergic rhinitis Asthma Chronic obstructive pulmonary disease exacerbation Common cold Congestive heart[aafp.org] Pneumonia Patients with pneumonia often have a higher fever than patients with acute bronchitis, may appear more ill, and have rales on lung examination.[online.epocrates.com] GRACE, the largest trial yet testing antibiotics for acute bronchitis with purulent sputum in 2,060 adults and published in February 2013, showed amoxicillin did not reduce[pulmccm.org]

    Missing: Increased Tactile Fremitus
  • Upper Respiratory Infection

    Clinically significant amounts of purulent sputum may suggest bronchitis or pneumonia.[emedicine.medscape.com] Her breath sounds were positive for scattered wheezing with rales on the left. The rest of her exam was unremarkable. Figure 1. Her admitting chest radiograph.[healio.com] […] disease ( chronic obstructive pulmonary disease or COPD , congestive heart failure ).[rxlist.com] Patients with chronic bronchitis should have their sputum cultured for bacteria initially and during exacerbations.[ncbi.nlm.nih.gov] […] they exhibited systemic symptoms such as fever, or if they had physical examination findings suggesting specific lower respiratory tract pathophysiology such as wheezing or rales[pediatrics.aappublications.org]

    Missing: Increased Tactile Fremitus

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