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54 Possible Causes for P Pulmonale, Pulmonary Systolic Murmur, X-Ray Abnormal

  • Eisenmenger Syndrome

    DIAGNOSTIC TESTING, PHYSICAL FINDINGS, AND ICD-9-CM CODING Diagnostic testing: Diagnostic testing for Eisenmenger syndrome includes: • Complete blood count (CBC); • Chest x-ray[secure.ssa.gov] ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[patient.info] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com]

  • Large Ventricular Septal Defect

    Tests may include: A chest X-ray An ECG (also called an EKG or electrocardiogram), which measures and records the heartbeat An echocardiogram, which uses sound waves (ultrasound[summitmedicalgroup.com] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] Also, there may be changes in the lungs due to extra blood flow that can be seen on an X-ray. Electrocardiogram (ECG).[stanfordchildrens.org]

  • Pulmonary Valve Stenosis

    The physician injects a contrast solution into the artery and takes X-rays to check for blockage and other abnormalities.[wexnermedical.osu.edu] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] To confirm the diagnosis, your doctor might order any of the following tests: Chest X-ray : The test provides the images of the internal tissues, organs, and bones.[gleneaglesglobalhospitals.com]

  • Left to Right Cardiac Shunt

    They may be noted on routine testing to have an abnormal chest x-ray or an abnormal EKG and may have atrial fibrillation.[marmur.com] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] […] on chest X-ray, the patient is normothermic and only mildly sedated.[cancertherapyadvisor.com]

  • Malignant Carcinoid Syndrome

    Chest X-ray An abnormal finding on chest X-ray is present in about 75% of patients with a carcinoid lung tumor.[emedicinehealth.com] She also had no abnormal skin lesions such as melanocytic nevi. An X-ray of her right upper extremity showed no fracture.[jmedicalcasereports.biomedcentral.com] Chest-x ray was normal in 46% and cardiac enlargement was found in only 18% of CHD patients [ 11 ].[ecancer.org]

  • Cor Pulmonale

    Diagnostic Highlights Test Normal Result Abnormality With Condition Explanation Chest x-rays Normal heart size and clear lungs Enlarged right ventricle and pulmonary artery[nursing.unboundmedicine.com] In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.[scopemed.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Atrial Septal Defect

    Chest X-ray Image : “Abnormal chest X-ray as seen in a patient of Atrial septal defect.” . By WikiSysop.[lecturio.com] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] They may be noted on routine testing to have an abnormal chest X-ray or an abnormal ECG and may have atrial fibrillation.[en.wikipedia.org]

  • Pulmonary Embolism

    For pulmonary embolism, a chest x-ray should be used to triage the patient to either a ventilation/perfusion study after a normal X-ray or a CT pulmonary angiogram after an[ncbi.nlm.nih.gov] Electrocardiographic findings ACS ( n 198) APE ( n 81) TC ( n 21) p value P pulmonale (%) 8 (4) 10 (12) 0 0.014 Right axis deviation (%) 0 6 (7) 0 Left axis deviation (%)[ncbi.nlm.nih.gov] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[emedicine.medscape.com]

  • Chronic Right-Sided Congestive Heart Failure

    If chest x-ray is abnormal or dyspnea worsens significantly, chest x-ray and pulmonary function tests are done yearly to check for pulmonary fibrosis.[merckmanuals.com] pulmonale.[escardio.org] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[patient.info]

  • Pulmonary Hypertension

    One or more of the following tests may be done if pulmonary hypertension is suspected: A chest x-ray may show heart enlargement and abnormal lung vessels.[circ.ahajournals.org] […] failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS Bedside ECG – RVH, RAD, p-pulmonale[lifeinthefastlane.com] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info]

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