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45 Possible Causes for Malaise, Pulsus Alternans

  • Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] 53,785 9,322 17.3 247 Lymphadenitis 13,632 1,242 9.1 248 Gangrene 33,786 10,693 31.6 250 Nausea and vomiting 51,833 11,854 22.9 251 Abdominal pain 166,071 26,993 16.3 252 Malaise[web.archive.org] Pulsus alternans is usually associated with an S 3 gallop, signifies advanced myocardial disease, and often disappears with treatment of heart failure.[emedicine.medscape.com]

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] 53,785 9,322 17.3 247 Lymphadenitis 13,632 1,242 9.1 248 Gangrene 33,786 10,693 31.6 250 Nausea and vomiting 51,833 11,854 22.9 251 Abdominal pain 166,071 26,993 16.3 252 Malaise[web.archive.org] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.com]

  • Acute Myocardial Infarction

    CASE OUTLINE: In April of 2012 a 37-year-old male presented with bilateral deep leg vein thrombosis and malaise.[ncbi.nlm.nih.gov] Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise in the days preceding the event; alternatively[emedicine.medscape.com]

  • Myocardial Infarction

    General epigastric (upper middle abdomen) discomfort Sweating Heartburn and/or indigestion Arm pain (more commonly the left arm, but may be either arm) Upper back pain General malaise[medicinenet.com] Patients with typical acute MI usually present with chest pain and may have prodromal symptoms of fatigue, chest discomfort, or malaise in the days preceding the event; alternatively[emedicine.medscape.com] […] typical MI may have the following symptoms in the days or even weeks preceding the event (although typical STEMI may occur suddenly, without warning): Fatigue Chest discomfort Malaise[emedicine.medscape.com]

  • Pulmonary Edema

    Abstract Fagenholz, Peter J., Jonathan A. Gutman, Alice F. Murray, and N. Stuart Harris. Treatment of high altitude pulmonary edema at 4240 m in Nepal. High Alt. Med. Biol. 8:139–146, 2007.—High altitude pulmonary edema (HAPE) is the leading cause of death from altitude illness and rapid descent is often considered a[…][doi.org]

  • Acute Myocarditis

    A 43-year-old previously healthy Taiwanese male came to our emergency department due to high fever, chills, general malaise and myalgia for about 4 days.[ncbi.nlm.nih.gov] The clinical presentation starts with a flu-like symptomatology (fatigue, malaise, and constitutional symptoms), followed by dyspnea, palpitations, arrhythmias, and chest[symptoma.com] The clinical indications to perform CMR were chest pain and/or dyspnea and/or palpitations, or effort intolerance/malaise in the last month; elevated troponin and/or new ventricular[ncbi.nlm.nih.gov]

  • Rheumatic Heart Disease

    Critical Essential Core Tested Community Questions (3) (M2.CV.36) A 15-year-old girl presents with four days of malaise, painful joints, nodular swelling over her elbows,[medbullets.com] Symptoms Symptoms of ARF include: fever malaise (feeling of being unwell) painful and/or swollen joints (one or many joints) – usually affecting the elbows, wrists, hips,[sahealth.sa.gov.au]

  • Influenza

    Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] […] influenza A virus has accounted for the majority of influenza infections in the 2017 to 2018 flu season, with the typical clinical presentation including fever, myalgias, malaise[ncbi.nlm.nih.gov] […] cytokines in human beings now helps to explain some of the symptoms of colds and flu that were previously in the realm of folklore rather than medicine-eg, fever, anorexia, malaise[ncbi.nlm.nih.gov]

  • Hypersensitivity Myocarditis

    In retrospect, the presence of signs and symptoms of hypersensitivity (skin rash, fever, eosinophilia, and malaise) and nonspecific cardiac findings (electrocardiographic[ncbi.nlm.nih.gov] Case Report A 63-year-old man presented to the emergency department with a history of flu-like symptoms, fever and malaise followed by respiratory-dependent chest pain.[link.springer.com] The patient showed severe malaise and dyspnea, while the chest radiogram showed a slight enlargement of cardiac silhouette.[the-medical-dictionary.com]

  • Dilated Cardiomyopathy

    Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] A viral prodrome with malaise, flu-like illness or chest pain from antecedent myocarditis may be present. Atrial fibrillation may develop.[patient.info] Evaluation noted pulsus alternans, with beat-to-beat alternations in aortic pulse wave amplitude, both clinically and on diagnostic studies.[ncbi.nlm.nih.gov]

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