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92 Possible Causes for Polycythemia, Pulmonary Systolic Murmur

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[slideshare.net] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[msdmanuals.com]  diastolic component lost  ejection systolic murmur  Severe PAH  rt to lft shunt  disappearance of the murmur and appearance of differential cyanosis 15.[slideshare.net]

  • Eisenmenger Syndrome

    Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.[ncbi.nlm.nih.gov] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com] Laboratory testing shows polycythemia with Hct 55%.[merckmanuals.com]

  • Large Ventricular Septal Defect

    Over time, hypoxia can result in clubbing of the fingers and the proliferation of red blood cells (polycythemia).[rarediseases.org] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur[quizlet.com]

  • Chronic Right-Sided Congestive Heart Failure

    […] conditions that lead to an increased cardiac demand ( high-output state) Anemia Systemic arteriovenous fistulas Sepsis Hyperthyroidism Multiple myeloma Glomerulonephritis Polycythemia[amboss.com] murmurs could be heard in the pulmonary valve auscultation area; and no pericardial friction sound was apparent.[omicsonline.org] […] significantly expanded to the left; the heart rate was 84 beats/min; arrhythmia was evident; the intensity of the first heart sound differed from that of the others; three-to-six systolic[omicsonline.org]

  • Liver Metastasis

    Neuroendocrine Cancer and Tumors Oropharynx Cancer Osteosarcoma Paranasal Sinus and Nasal Cavity Cancer Parathyroid Tumors/Adenomas Peutz-Jeghers Syndrome Pharynx Cancer Polycythemia[wakehealth.edu]

  • Right Heart Endocarditis

    Complications of persistent cyanosis include polycythemia , clubbing, thromboembolism (including stroke), bleeding disorders, brain abscess, and hyperuricemia.[msdmanuals.com] Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[msdmanuals.com] Murmurs Most left-to-right shunts and obstructive lesions cause systolic murmurs.[msdmanuals.com]

  • Pulmonary Atresia

    This alleviates cyanosis and polycythemia during infancy.[heartviews.org] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com] Cyanosis: Long-term complications of cyanosis and hypoxemia include polycythemia and a hyperviscosity syndrome.[emedicine.com]

  • Transposition of the Great Vessels

    Long-term complications are secondary to prolonged cyanosis and include polycythemia and hyperviscosity syndrome.[emedicine.com] In patients with a VSD there may be a systolic murmur, which increases in intensity as the pulmonary vascular resistance falls.[patient.info] An ejection systolic murmur is usually present in those with PS.[patient.info]

  • Tetralogy of Fallot

    Chronic hypoxemia-induced secondary polycythemia and the consequent increase in blood hyperviscosity predisposed this patient to PE.[ncbi.nlm.nih.gov] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info] These may include mild anemia in infants, abnormal increase in the number of red blood cells (polycythemia) in older children, and blood clotting (coagulation) defects.[rarediseases.org]

  • Taussig Bing Anomaly

    The hyperuricemia improved gradually after the disappearance of hypoxia and polycythemia.[ncbi.nlm.nih.gov] Other features include underdevelopment, cardiomegaly, systolic murmur in left third intercostal space, loud second pulmonic sound.[whonamedit.com] The laboratory findings suggest that hyperuricemia can result from uric acid overproduction due to secondary polycythemia, impairment of uric acid excretion by the kidney,[ncbi.nlm.nih.gov]

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