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1,715 Possible Causes for Polycythemia, Systolic Thrill at Lower Left Sternal Border

  • Patent Ductus Arteriosus

    What is it? Patent ductus arteriosus (pronounced pay-tent duck-tus are-teer-e-o-sus) happens when a blood vessel fails to close after a baby is born. The ductus arteriosus is the temporary blood vessel that allows blood to bypass a baby's lungs before it is born. It is a blood vessel that joins the pulmonary[…][web.archive.org]

  • Tetralogy of Fallot

    Systolic thrill at the lower left sternal border. Aortic ejection click.[patient.info] Chronic hypoxemia-induced secondary polycythemia and the consequent increase in blood hyperviscosity predisposed this patient to PE.[ncbi.nlm.nih.gov] 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]

  • Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[msdmanuals.com] In addition, neonates have a relative polycythemia. The elevated pulmonary resistance usually declines to adult levels by 6-8 weeks.[emedicine.com] Muscular defects can be heard along the lower left sternal border and may vary in intensity as the defect size changes with muscular contraction throughout systole.[circ.ahajournals.org]

  • Large Ventricular Septal Defect

    3 to 4/6 holosystolic murmur (with or without thrill) at the lower left sternal border; this murmur is usually audible within the first few days of life (see table Heart[merckmanuals.com] Over time, hypoxia can result in clubbing of the fingers and the proliferation of red blood cells (polycythemia).[rarediseases.org] Small VSDs typically produce murmurs ranging from a grade 1 to 2/6 high-pitched, short systolic murmur (due to tiny defects that actually close during late systole) to a grade[merckmanuals.com]

  • Chronic Obstructive Pulmonary Disease

    This V/Q mismatch results in rapid circulation in a poorly ventilated lung, leading to hypoxemia and polycythemia.[emedicine.com] […] antitrypsin (AAT) deficiency May help the clinician determine whether surgical intervention would benefit the patient Other tests are as follows: Hematocrit – Patients with polycythemia[emedicine.com] With the ensuing hypoxemia, polycythemia, and increased CO 2 retention, these patients have signs of right heart failure and are known as "blue bloaters."[emedicine.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Pulmonary Emphysema

    This V/Q mismatch results in rapid circulation in a poorly ventilated lung, leading to hypoxemia and polycythemia.[emedicine.com] […] right-sided heart failure) Heart failure Pneumonia and other lung infections Pneumothorax (collection of air within the membrane that surrounds the lungs [pleural space]) Polycythemia[healthcommunities.com] […] antitrypsin (AAT) deficiency May help the clinician determine whether surgical intervention would benefit the patient Other tests are as follows: Hematocrit – Patients with polycythemia[emedicine.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Chronic Bronchitis

    In some patients secondary polycythemia results from chronic hypoxemia.[medical-dictionary.thefreedictionary.com] […] pneumonia, Enlargement and weakness of right heart ventricle of the heart caused by lung disease, pneumothorax (collection of air or gas in lung causing lung collapse ), polycythemia[rxlist.com] Low oxygen levels in the blood, if not treated, stimulate the bone marrow to send more red blood cells into the bloodstream, a condition known as secondary polycythemia (also[merckmanuals.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Uterine Fibroid

    The mechanisms proposed to explain polycythemia in such a tumor were revised.[ncbi.nlm.nih.gov] Uterine leiomyoma (or fibroid) can be associated with secondary polycythemia and venous thrombosis, but there has been no report of intracranial venous thrombosis associated[ncbi.nlm.nih.gov] 30% of women experience abnormal uterine bleeding or lower abdomen pressure related symptoms May interfere with pregnancy or block ureters if large Rarely associated with polycythemia[pathologyoutlines.com]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Cardiomyopathy

    RATIONALE: Left ventricular non-compaction cardiomyopathy (LVNC) is a rare heart disorder related to thrombosis. Anticoagulant therapy is suggested for the treatment of this disease. The success of the novel oral anticoagulant rivaroxaban as a treatment option for this disorder is unclear. PATIENT CONCERNS: A[…][ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border
  • Burn Injury

    The purpose of this report is to describe the clinical course of a 12% TBSA burn injury with takotsubo cardiomyopathy and to discuss this lesser known diagnosis. The authors performed a case study with retrospective chart review and conducted a literature search. Takotsubo cardiomyopathy is characterized by[…][ncbi.nlm.nih.gov]

    Missing: Systolic Thrill at Lower Left Sternal Border

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