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736 Possible Causes for Hypotension, Right Pleural Effusion

  • Congestive Heart Failure

    effusion · Decrease in vital capacity by one third from maximum recorded · Tachycardia (heart rate 120 beats/min.)[web.archive.org] After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis.[ncbi.nlm.nih.gov] Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension.[ncbi.nlm.nih.gov]

  • Hemothorax

    Chest x-ray showed a right pleural effusion and lung opacity with interstitial pulmonary edema.[ncbi.nlm.nih.gov] Marked blood loss produces hypotension and shock.[symptoma.com] Two days after admission, she complained of dyspnea, and a chest X-ray revealed right pleural effusion. Thoracentesis confirmed the diagnosis of hemothorax.[ncbi.nlm.nih.gov]

  • Hodgkin Lymphoma

    The endobronchial localization of Hodgkin's disease is a rare entity which is often confused with endobronchial tuberculosis in our setting. We report the case of a 16 years old female who presented with 6 months history of dry cough, hemoptysis, dyspnea, dysphagia and dysphonia. The chest radiography showed a[…][ncbi.nlm.nih.gov]

  • Chronic Right-Sided Congestive Heart Failure

    Pleural effusion Pleural effusion more evident on lateral view Pleural effusion is bilateral in 70% of cases of CHF.[radiologyassistant.nl] […] with abnormal septal movement, rising atrial pressures and TR this eventually produces a global reduction in left sided preload - systemic coronary perfusion and systemic hypotension[lifeinthefastlane.com] Treatment algorithm for patients in RV failure with cardiogenic shock2 (Hypotensive)Perform Echo/TEE in intubated patient Give Oxygen, decrease PEEP Hypovolemic?[openanesthesia.org]

  • Pulmonary Edema

    Chest x-ray showed diffuse interstitial edema, a small right pleural effusion, and a normal heart size. She was given supplemental oxygen via face mask.[professional.diabetes.org] However, its use continues to be controversial due to concerns of drug induced hypotension, syncope or paresthesia.[ncbi.nlm.nih.gov] Herein, we present a 62-year-old male patient who developed reexpansion pulmonary edema after drainage of massive pleural effusion, which caused a total collapse in the right[ncbi.nlm.nih.gov]

  • Hydropneumothorax

    Right pleural effusion. There is a moderately large right pleural effusion present.[learningradiology.com] Later that night, she was found unresponsive, dyspnoeic and with severe hypotension.[casereports.bmj.com] At presentation he was tachypnoeic, tachycardic and hypotensive. Clinical examination suggested a left pleural effusion.[rheumatology.oxfordjournals.org]

  • Hemopneumothorax

    Electrocardiogram with sinus rhythm at 50 bpm without alterations and chest radiography suggestive of right pleural effusion.[heartbeatjournal.com] […] of the sudden spontaneous appearance of respiratory complaints, such as dyspnea and chest pain, but up to 30% of individuals suffer from hypovolemic shock, manifesting as hypotension[symptoma.com] I (perhaps mistakenly) thought that VATS procedure would be an contraindication in such a hypotensive patient and it would be more safe to perform an open operation.[ctsnet.org]

  • Meigs Syndrome

    The right pleural effusion vanished after surgery. Pseudo-Meigs' syndrome with metastasis of breast cancer to both ovaries was diagnosed.[ncbi.nlm.nih.gov] Both patients presented to the emergency room for abdominal distention and pain with progressive respiratory dysfunction, hypotension over several days, and early symptoms[ncbi.nlm.nih.gov] Vasoconstrictor and vascular filling were used to correct the hypotension that occurred. Airway pressures remained at 35 cm H2O.[ncbi.nlm.nih.gov]

  • Esophageal Perforation

    A CT scan showed a posterior mediastinal abscess beginning on the cervical region and spreading below the aortic arch associated with a right pleural effusion.[ejcts.oxfordjournals.org] Unconsciousness, hypotension (70/40mmHg), tachycardia (140/min) tachypnea (24/min) were the first presenting symptoms. Body temperature was 38ºC.[sciencedomain.org] Depending on the time elapsed from the injury and degree of cavitary contamination, signs of systemic inflammatory response, overt sepsis, or shock (tachycardia, tachypnea, hypotension[clinicaladvisor.com]

  • Pulmonary Embolism

    Echography showed a moderate amount of pleural effusion on both sides and no dilatation of the right cardiac ventricle.[ncbi.nlm.nih.gov] Ultimately, insufficient cardiac output from the RV causes left ventricular under-filling which results in systemic hypotension and cardiovascular collapse.[ncbi.nlm.nih.gov] He still experienced pleural effusion and had symptoms of cough and shortness of breath. Chest X-ray demonstrated bilateral pleural effusion.[ncbi.nlm.nih.gov]

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