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10 Possible Causes for Dyspnea with Sudden Onset, Lip Cyanosis, Poor R Wave Progression

  • 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] (very pale or blue coloring in the face, lips, fingernails) Rapid movement of nostrils Ribs or stomach moving in and out deeply and rapidly Expanded chest that does not deflate[aafa.org]

  • 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] onset of dyspnea.[oxfordjournals.org]

  • 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] […] morning of admission, an 89-year-old Caucasian woman with a medical history of dementia, hypertension and chronic obstructive pul- monary disease was noted to experience sudden-onset[pulsus.com]

  • Recurrent Pulmonary Embolism

    […] in onset and may include one or many of the following: dyspnea (shortness of breath), tachypnea (rapid breathing), chest pain of a "pleuritic" nature (worsened by breathing[en.wikipedia.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 the[en.wikipedia.org] [9] Rates are similar in males and females. [3] They become more common as people get older. [3] Signs and symptoms [ edit ] Symptoms of pulmonary embolism are typically sudden[en.wikipedia.org]

  • 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] ECG poor R wave progression requires an R wave in V3 3 mm clockwise rotation of the heart secondary to hyperinflation results in a delayed precordial transition zone the lead[radiopaedia.org] (cyanosis) seen in them. [14] The hypoxia and fluid retention leads to them being called "Blue Bloaters."[physio-pedia.com]

  • Pneumothorax

    […] lines mechanical ventilation bronchoscopy penetrating trauma non- penetrating trauma blunt trauma is most common cause severe coughing can also cause Presentation Symptoms sudden-onset[step2.medbullets.com] Hypoxemia (decreased blood-oxygen levels) is usually present and may be observed as cyanosis (blue discoloration of the lips and skin).[en.wikipedia.org] Patients with pneumothorax present with sudden-onset dyspnea , ipsilateral chest pain , diminished breath sounds, and hyperresonant percussion on the affected side.[amboss.com]

  • Pulmonary Embolism

    Consecutive patients with clinically suspected pulmonary embolism, defined as a sudden onset of dyspnea, sudden deterioration of existing dyspnea, or sudden onset of pleuritic[doi.org] […] to the lips and is negative for chest pain, abdominal distress and peripheral edema.[emsworld.com] “In summary, we found that the most reliable indicator of patients with PE is sudden onset dyspnea.[clinicalprediction.com]

  • Cardiomyopathy

    […] ages: Prenatal to 62 years Palpitations Dyspnea Syncope Sudden death EKG: Multifocal ectopic Purkinje-related premature contractions Narrow sinus & junctional QRS complexes[neuromuscular.wustl.edu] Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram[ncbi.nlm.nih.gov] Poor R-wave progression with QS complexes in V1-4 (“pseudo-infarction” pattern). Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM).[lifeinthefastlane.com]

  • Acute Cor Pulmonale

    Pulmonary embolism should be suspected in patients with sudden onset dyspnea, chest pain, and tachycardia.[ncbi.nlm.nih.gov] , or gums ( cyanosis ) Pulmonary hypertension and cor pulmonale can lead to severe fluid retention which, in turn, can cause life-threatening dyspnea, shock, and even death[verywellhealth.com] […] and fingers (cyanosis) The goal of treatment is to control symptoms.[medlineplus.gov]

  • Pulmonary Infarction

    He presents with sudden-onset dyspnea and pleuritic chest pain. In the emergency department, his heart rate is 90/minute, and his O2 saturation is 97 percent.[clinicaladvisor.com] Q waves in inferior leads, right axis deviation, and poor R wave progression in frontal leads were seen in the electrocardiogram.[rc.rcjournal.com] […] to the lips and is negative for chest pain, abdominal distress and peripheral edema.[emsworld.com]