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111 Possible Causes for Rales, S3 Gallop

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  • Pulmonary Edema

    Several factors such as "Serum NT-pro-BNP level   6980 mg/dl," "systemic blood pressure   170 mm Hg," "heart rate   120 bpm," "with rales in breathing sound," "with jugular[ncbi.nlm.nih.gov] Distinguishing Cardiogenic from Non-cardiogenic Pulmonary Edema  Finding suggesting cardiogenic edema -S3 gallop -elevated JVP -Peripheral edema  Findings suggesting non-cardiogenic[slideshare.net] Chest auscultation reveals rales and rhonchi bilaterally.[nejm.org]

  • Congestive Heart Failure

    No rales were detected because of its paucity of fibrous components in the lung.[ncbi.nlm.nih.gov] Physical examination reveals an S3 gallop, 2 peripheral pitting edema, and marked jugular venous distention.[medbullets.com] On his exam, it was noted that he had audible rales bilaterally, elevated jugular venous distention and edematous lower extremities. What is the next step?[saem.org]

  • Acute Myocarditis

    Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[clinicaladvisor.com] The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]

  • Acute Myocardial Infarction

    There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[patient.info] In this situation, there may be concurrent jugular venous distension peripheral edema and a S3 gallop. Diaphoresis can be common in AMI.[clinicaladvisor.com] Class I: No evidence of HF (mortality 6%) Class II: Findings of mild to moderate HF (S3 gallop, rales halfway up lung fields or elevated jugular venous pressure (mortality[healio.com]

  • High Output Heart Failure

    Patients with high output heart failure present with dyspnea, tachypnea, non-productive cough, fatigability, pulmonary rales, pleural effusion and peripheral edema, as a result[symptoma.com] Physical examination reveals an S3 gallop, hepatomegaly, warm skin and a continuous bruit over the right upper thigh.[medbullets.com] Congestive heart failure describes a syndrome with complex and variable symptoms and signs, including dyspnea, increased fatigability, tachypnea, tachycardia, pulmonary rales[ncbi.nlm.nih.gov]

  • Cardiomyopathy

    Classical symptoms of congestive heart failure and physical findings of tachycardia, tachypnea, rales in the lung bases and jugular venous distention make a diagnosis of cardiomyopathy[clinicaladvisor.com] Other possible physical findings include an S3 gallop and a systolic murmur of mitral regurgitation if the valve annulus is dilated.[clinicaladvisor.com]

  • Rheumatic Heart Disease

    Examination Physical examination findings include inflamed joints, subcutaneous nodules, a pericardial friction rub, findings of congestive heart failure (edema, pulmonary rales[healio.com] (iii) Signs of congestion may include hepatomegaly, ascites, increased jugular venous distention or pressure, rales, peripheral edema, rapid shallow breathing (tachypnea),[ssa.gov]

  • Restrictive Cardiomyopathy

    On admission, jugular venous distention to the angle of the jaw, bilateral basilar rales and trace peripheral edema.[ncbi.nlm.nih.gov] Orthopnea 22 Chest pain 22 NYHA functional class I 19 II 53 III–IV 28 Physical examination finding Jugular venous distension 52 Systolic murmur 49 Third heart sound 27 Pulmonary rales[circ.ahajournals.org]

  • Myocardial Infarction

    There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[patient.info] Heart sounds are auscultated for S3 or S4 gallops or new heart murmurs. Patient care and other activities should be organized to allow for periods on uninterrupted rest.[medical-dictionary.thefreedictionary.com] In other patients abnormal heart sounds may be detected, or rales (signs of fluid in the lungs), an irregular pulse or a high or even low blood pressure.[serious-science.org]

  • Pulmonary Embolism

    There were no rales or rubs. Heart reveals PMI in the 5th intercostal space in MCL. The pulmonic component of the second sound is accentuated.[meddean.luc.edu] ., right ventricular heave, right-sided S3, rales).[medical-dictionary.thefreedictionary.com] In addition, they may experience a nonproductive cough, and lung sounds may reveal wheezes or fine rales in the bases. Hemoptysis can occur, although it is rare.[emsworld.com]

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