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57 Possible Causes for Dyspnea with Sudden Onset, Lip Cyanosis, Rales

  • 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] However, the patient developed pink frothy sputum with diffuse bilateral rales 30 min later after transported to surgical intensive care unit (SICU).[ncbi.nlm.nih.gov]

  • 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] Bilateral crepitant rales and sibilant rhochi were also detected. In his thoracic computerized tomography, the ground glass areas were noted in both lungs.[ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    No rales were detected because of its paucity of fibrous components in the lung.[ncbi.nlm.nih.gov] Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema[web.archive.org] Although neither rales nor abnormal heart sounds were noted, she was tentatively diagnosed with congestive heart failure based on those radiological findings.[ncbi.nlm.nih.gov]

  • 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] Examination of the lungs may reveal bilateral rales. Rales may not be present despite widespread involvement.[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] Lung auscultation revealed minimal diffuse rales bilaterally. Radial and pedal pulses were intact.[omcr.oxfordjournals.org]

  • 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] The patient had tachypnea (26 breaths/min) without pulmonary rales, bulging of the neck veins, hepatomegaly and a painful swelling of the left calf, with a positive Homans[tmj.ro] (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]

  • 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] 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] […] pneumonia and pneumonitis can present with the following: Fever or hypothermia Tachypnea Tachycardia Decreased breath sounds Dullness to percussion over areas of consolidation Rales[web.archive.org]

  • 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]

  • Extrinsic Allergic Alveolitis

    Your provider may hear abnormal lung sounds called crackles (rales) when listening to your chest with a stethoscope.[nlm.nih.gov] […] and dyspnea May begin noticing weight loss Chronic (months after continuous exposure) Insidious onset of fatigue, productive cough, progressive dyspnea, cyanosis Bilateral rales[amboss.com] Crepitant rales can be elicited in some patients.[emedicine.medscape.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] Chest auscultation revealed decreased breath sounds without rales.[ncbi.nlm.nih.gov]

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