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199 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] Of course, the purulent nature of the sputum is absent in this situation.[ncbi.nlm.nih.gov]

  • 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

    After admission, the patient developed congestive heart failure due to pathologically confirmed myocarditis.[ncbi.nlm.nih.gov] 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] Pleural effusions are seen in about 40% of patients, often in patients with other causes for this such as congestive heart failure and renal failure.[web.archive.org] sputum and often chest pain and a localized infiltrate on chest X-ray.[medicinenet.com]

  • Pneumococcal Pneumonia

    A detailed physical exam will identify rales in most patients, dullness on percussion (along with other signs of empyema) and splinting due to pain in about half of patients[symptoma.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] Infected patients typically have an ill or anxious appearance.[symptoma.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] Initially a viral illness is followed by an acute onset of high fever, rigors, productive cough, chest pain, dyspnea, tachypnea, tachycardia, excess perspiration, general[symptoma.com]

  • Pulmonary Infarction

    Typical complications include congestive heart failure, systemic emboli, or vasculitic type syndromes.[ncbi.nlm.nih.gov] In nine patients the cavitation appeared rapidly (mean, 5 days) and was associated with fever, purulent sputum, and leukocytosis.[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] Torack RM (1958) The incidence and etiology of pulmonary infarction in the absence of congestive heart failure. Arch Pathol 65:574–579 Google Scholar 11.[link.springer.com] […] left heart failure appears to be the most significant hemodynamic risk factor in the development of pulmonary infarction.[ncbi.nlm.nih.gov]

  • Acute Bronchitis

    A 40-year-old man with no underlying lung disease has a 7-day history of cough that is now productive of purulent sputum and mild shortness of breath with exertion.[doi.org] Improvements were most pronounced for 'coughing' and 'rales at auscultation'. Tolerability was similarly good in both groups.[ncbi.nlm.nih.gov] heart failure, or are receiving steroids Antibiotic therapy is recommended in patients with acute exacerbations of chronic bronchitis In stable patients with chronic bronchitis[emedicine.medscape.com] 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] 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]

    Missing: Increased Tactile Fremitus
  • Gram-Negative Pneumonia

    Of course, the purulent nature of the sputum is absent in this situation.[ncbi.nlm.nih.gov] […] muscles Tachycardia ( 100 bpm) or bradycardia ( 60 bpm) Central cyanosis Altered mental status Physical findings may include the following: Adventitious breath sounds, such as rales[emedicine.com] Most had chronic obstructive pulmonary disease, congestive heart failure, or both.[ncbi.nlm.nih.gov] Cloudy, Mucoid Sputum Chronic bronchitis D. Three layered appearance (Stagnant, Purulent Sputum) Bronchiectasis Lung Abscess V. Sputum with Feculent Odor A.[lungindia.com] sputum which may be blood-stained or rust-coloured, breathlessness, fever, malaise.[patient.info]

  • Pseudomonas Pneumonia

    He is stable but still has copious purulent sputum production and his sputum samples remain positive for Pseudomonas.[pulmonaryroundtable.blogspot.com] On physical examination, fever, cyanosis, rales, rhonchi, retractions, and hypoxia may be detected.[symptoma.com] In the study that gives rise to this editorial 10, the multivariate analysis found that congestive heart failure and cerebrovascular disease were risk factors for GNEB, while[erj.ersjournals.com] People with chronic lung disease or congestive heart failure are particularly susceptible to pneumonia caused by pseudomonas infection, especially if they are hospitalized[health.howstuffworks.com] sputum In non-intubated patients confirmed microbiological diagnosis of P. aeruginosa serotype O11 HAP by endotracheal aspirate (ETA) and modified clinical pulmonary infection[clinicaltrials.gov]

  • Pneumonic Plague

    Euro Surveill. 2017 Nov;22(46). doi: 10.2807/1560-7917.ES.2017.22.46.17-00710. Author information 1 Graduate School of Medicine, Hokkaido University, Sapporo, Japan. 2 Graduate School of Engineering, The University of Tokyo, Tokyo, Japan. Abstract Transmission potential and severity of pneumonic plague in Madagascar were[…][ncbi.nlm.nih.gov]

    Missing: Congestive Heart Failure
  • Influenza

    […] of sputum, or a combination.[doi.org] Pathology The typical signs and symptoms manifested by poultry infected with highly pathogenic avian influenza viruses include decreased egg production, respiratory signs, rales[doi.org] Chronic lung disease (such as chronic obstructive pulmonary disease [COPD] and cystic fibrosis) Heart disease (such as congenital heart disease, congestive heart failure and[web.archive.org] Some patients appear acutely ill, with some weakness and respiratory findings, whereas others appear only mildly ill.[emedicine.medscape.com] heart failure (44% vs 23%), transient ischemic attack (TIA) or stroke (44% vs 21%), chronic renal insufficiency (22% vs 8%) and dialysis (11% vs 1%).[ncbi.nlm.nih.gov]

    Missing: Increased Tactile Fremitus

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