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42 Possible Causes for Dyspnea with Sudden Onset, Hypercapnia, Lip Cyanosis

  • Asthma

    Her attacks are characterized by the relatively sudden onset of dyspnea; they are more frequent in the spring and fall, when they are often preceded by symptoms of rhino-conjunctivitis[doi.org] Extrathoracic respiratory signs should also be systematically looked for, including cyanosis, finger deformation, pulsus paradoxus, and pursed lips breathing.[erj.ersjournals.com] Hypercapnia is generally well tolerated as long as PaCO 2 does not exceed 90 mmHg and acute variations in PaCO 2 are avoided.[ncbi.nlm.nih.gov]

  • Pulmonary Edema

    Sudden onset of dyspnea. Severe anxiety, restlessness, irritability. Cool, moist skin.[slideshare.net] The heart rate is usually over 120 per minute, the pulse may be very weak and the lips and fingernail beds may be blue (cyanosis).[publications.americanalpineclub.org] […] pre-existing lung disease (but even in patients with chronic obstructive pulmonary disease (COPD), give high oxygen flow initially but monitor with blood gases to ensure hypercapnia[patient.info]

  • Acute Respiratory Distress Syndrome

    Definition Acute respiratory distress syndrome (ARDS), is a life-threatening condition which is characterised by the sudden onset of severe dyspnea and hypoxaemia [1].[physio-pedia.com] Cyanosis (blue skin, lips, and nails caused by lack of oxygen to the tissues) is often seen.[nlm.nih.gov] Hypercapnia and hypoxemia persisted despite ventilator support even at traumatic levels.[ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    These SRDB cause arousals, hypoxemia-reoxygenation, hypercapnia-hypocapnia, and changes in intrathoracic pressure.[web.archive.org] Respiratory muscle fatigue may be diagnosed by a decrease in respiratory rate, associated with hypercapnia and confused state of mind.[doi.org] […] both CSA and OSA, is associated with three immediate adverse biological consequences: A) arterial blood gas abnormalities consisting of repetitive episodes of hypoxemia/hypercapnia[web.archive.org]

  • Aspiration Pneumonia

    Pink-colored to red sputum (hemoptysis) Bluish tinge of the lips, fingers and/or toes (cyanosis) Causes Aspiration pneumonia is unlikely to arise in a healthy person who is[healthhype.com]

  • Chronic Obstructive Pulmonary Disease

    POTENTIAL INDICATIONS FOR HOSPITAL ASSESSMENT OR ADMISSION* Marked increase in intensity of symptoms, such as sudden development of resting dyspnea Severe underlying COPD[atsjournals.org] (cyanosis) seen in them. [14] The hypoxia and fluid retention leads to them being called "Blue Bloaters."[physio-pedia.com] Before mechanical ventilation, coma could be confirmed to be due to CO2 narcosis caused by exorbitant arterial hypercapnia (PCO2, 193 mm Hg).[ncbi.nlm.nih.gov]

  • Pneumonia

    Patients with pneumothorax present with sudden-onset dyspnea, ipsilateral chest pain, diminished breath sounds, and hyperresonant percussion on the affected side.[amboss.com] Cannula may have a mortality benefit in pure hypoxic respiratory failure when compared with NiPPV and should be your first choice for those patients with pneumonia but without hypercapnia[emdocs.net] Despite early physiologic improvements, CPAP neither reduced the need for intubation nor improved outcomes in patients with acute hypoxaemia and non‐hypercapnia respiratory[dx.doi.org]

  • Bacterial Pneumonia

    Sudden onset of symptoms and rapid illness progression are associated with bacterial pneumonias.[emedicine.medscape.com] Chest pain, dyspnea, hemoptysis (when clearly delineated from hematemesis), decreased exercise tolerance, and abdominal pain from pleuritis are also highly indicative of a[emedicine.medscape.com]

  • Acute Massive Pulmonary Embolism

    A73-year-old man was admitted to the intensive care unit because of sudden onset of dyspnea followed by syncope.[circ.ahajournals.org] (blue discoloration, usually of the lips and fingers), collapse , and circulatory instability because of decreased blood flow through the lungs and into the left side of[en.wikipedia.org] To our knowledge, this is the most severe hypercapnia that has ever been reported.[ispub.com]

  • Asbestosis

    Patients with malignant pleural mesothelioma can have sudden onset of pleural effusion and/or pleural thickening, dyspnea, and chest pain.[atsdr.cdc.gov] (" cyanosis "), and failure of the right side of the heart ("cor pulmonale").[medicinenet.com] Other indications of asbestosis include abnormal lung sounds on examination, changes in the ends of the fingers and toes (" clubbing "), a blue tinge to the fingers or lips[medicinenet.com]

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