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50 Possible Causes for Dyspnea with Sudden Onset, Patient Appears Acutely Ill, Rales

  • Pulmonary Edema

    Sudden onset of dyspnea. Severe anxiety, restlessness, irritability. Cool, moist skin.[slideshare.net] 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] onset of dyspnea.[oxfordjournals.org]

  • 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]

  • 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] There were no rales or rubs. Heart reveals PMI in the 5th intercostal space in MCL. The pulmonic component of the second sound is accentuated.[meddean.luc.edu] “In summary, we found that the most reliable indicator of patients with PE is sudden onset dyspnea.[clinicalprediction.com]

  • 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] Examination of the lungs may reveal bilateral rales. Rales may not be present despite widespread involvement.[emedicine.medscape.com] Examination of patient involves lung exam and determination of basilar or diffuse rales.[symptoma.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] Infected patients typically have an ill or anxious appearance.[symptoma.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]

  • Aspiration Pneumonia

    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] Aspiration pneumonia shows the following signs: fever, tachypnea, tachycardia, decrease in breath sounds, rales, hyporexia, and/or hypotension.[symptoma.com]

  • 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] Dyspnea and pleuritic pain Cough and tachycardia Fourth heart sound and fever Rales and hemoptysis 3. Which finding is NOT common in patients with pulmonary embolism?[mdmag.com] In addition, they may experience a nonproductive cough, and lung sounds may reveal wheezes or fine rales in the bases. Hemoptysis can occur, although it is rare.[emsworld.com]

  • Bacterial Endocarditis

    Dwarakanath et al. [11] reported a patient with multi-chambered FE presenting with sudden onset of angina with elevated troponins.[doi.org] The patient appeared acutely ill. The temperature was 38ºC, the pulse was 116, and the respiration was 24. The blood pressure was 120/70 mm Hg.[scielo.br] Other abnormal heart and lung sounds may include gallops, rales, pericardial rub, and pleural friction rub.[symptoma.com]

  • Bacterial Pneumonia

    Sudden onset of symptoms and rapid illness progression are associated with bacterial pneumonias.[emedicine.medscape.com] S. pneumoniae, H. influenzae (consolidation, no rales) * What types are typically bronchopneumonia?[quizlet.com] Investigations for Bacterial Pneumonia Physical exam where the doctor listens to the patient's chest using a stethoscope for abnormal chest sounds such as rales, wheezing[epainassist.com]

  • Infective Endocarditis

    Dwarakanath et al. [11] reported a patient with multi-chambered FE presenting with sudden onset of angina with elevated troponins.[doi.org] Additional findings may include splenomegaly, gallop or arrhythmia, pericardial or pleural rubs, rales, pallor, acute septic monoarticular arthritis or delirium.[symptoma.com] The oxygen saturation was 96%, with no pulmonary rales, and blood pressure was 85/60 mmHg.[ncbi.nlm.nih.gov]

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