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58 Possible Causes for Cyanosis, P Pulmonale, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    Cardiac MRI confirmed an ASD but showed that the cause of the cyanosis was anatomical in origin.[ncbi.nlm.nih.gov] ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[patient.info] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com]

  • Pulmonary Valve Stenosis

    Although earlier intervention may produce better results, patients may present late with congestive heart failure and cyanosis.[ncbi.nlm.nih.gov] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Signs Soft pulmonary systolic murmurs are more easily heard with the patient lying down.[patient.info]

  • Malignant Carcinoid Syndrome

    Figure 1: A 72-year-old man with carcinoid syndrome, showing flushing, cyanosis and telangiectasia.[cmaj.ca] […] carcinoid tumors Clinical symptoms occur if liver metastases are present or if tumor venous blood flow bypasses the liver Symptoms Vasomotor disturbances (cutaneous flushes, cyanosis[pathologyoutlines.com] Bronchoconstriction is usually intermittent and patients claim asthma attacks during which wheezing, dyspnea, cyanosis and tachycardia can be observed.[symptoma.com]

  • Left to Right Cardiac Shunt

    The physical exam revealed labial cyanosis, clubbing of the fingers and toes, and both lung and cardiac auscultation were normal.[omicsonline.org] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] Quick Summary: Cyanotic Heart Diseases are a group of heart defects that result in cyanosis (bluish discoloration of the skin) In general, the blood returning from different[dovemed.com]

  • Cor Pulmonale

    A 57-year-old man with deep vein thrombosis in his left calf developed acute progressive dyspnea with hypoxemia, cyanosis and the clinical picture of acute cor pulmonale,[ncbi.nlm.nih.gov] In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.[scopemed.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Large Ventricular Septal Defect

    History of respiratory infections Excessive sweating Assessment-Physical Findings Pallor Prominent anterior chest wall Clubbing Cyanosis Tachypnea Tachycardia Syncope on[quizlet.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] […] pulmonary pressure, the greater the chance of blood flowing from the right ventricle to the left ventricle, backwards, causing unoxygenated blood to be pumped to the body and cyanosis[emedicinehealth.com]

  • Pulmonary Embolism

    […] blood clot which has originated in a vein of the leg or pelvis and traveled to the lungs and that is marked by labored breathing, chest pain, fainting, rapid heart rate, cyanosis[merriam-webster.com] Electrocardiographic findings ACS ( n 198) APE ( n 81) TC ( n 21) p value P pulmonale (%) 8 (4) 10 (12) 0 0.014 Right axis deviation (%) 0 6 (7) 0 Left axis deviation (%)[ncbi.nlm.nih.gov] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com]

  • Chronic Right-Sided Congestive Heart Failure

    Go through your normal ABCs, look for signs of cardiogenic shock such as cyanosis, clammy, and diaphoretic skin.[medictests.com] pulmonale.[escardio.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Tetralogy of Fallot

    Cyanosis is an important sign of tetralogy of Fallot. Cyanosis is a bluish tint to the skin, lips, and fingernails. Low oxygen levels in the blood cause cyanosis.[web.archive.org] Supporting criteria Right atrial enlargement (P pulmonale).[litfl.com] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info]

  • Carcinoid Tumor

    Occasionally occurs as part of MEN syndrome May infiltrate or spread to local lymph nodes, but doesn’t affect prognosis Rarely produces carcinoid syndrome (flushing, diarrhea, cyanosis[pathologyoutlines.com] Between 30–50% of ECGs are normal; non-specific ST segment changes and sinus tachycardia are the most common abnormal findings and p pulmonale or right bundle branch block[doi.org] It is characterized by the sudden onset of prolonged cutaneous flushing, peripheral cyanosis, confusion, dyspnea, and tachycardia.[visualdx.com]

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