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82 Possible Causes for Rales, S3 Gallop

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  • Congestive Heart Failure

    No rales were detected because of its paucity of fibrous components in the lung.[ncbi.nlm.nih.gov] […] criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3[web.archive.org] The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure[symptoma.com]

  • 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.[doi.org]

  • Myocardial Infarction

    (RALES and EMPHASIS-HF) and of renal function degradation (EMPHASIS-HF).[doi.org] 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] There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[patient.info]

  • 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]

  • Cardiomyopathy

    Pulmonary auscultation showed bilateral rales and wheezing. Arterial gasometry revealed chronic respiratory alkalosis and oxygen saturation of 95%.[scielo.mec.pt] gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse[emedicine.medscape.com] […] apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3[emedicine.medscape.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] A chest examination detected no rales.[circheartfailure.ahajournals.org] 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]

  • 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] ., Beta blocker, Non-dihydropyridine calcium channel blocker) Rales Accentuated P2 * Only symptoms and signs seen consistently in more than 50% of patients (independently)[clinicaladvisor.com]

  • Acute Myocardial Infarction

    There may be signs of congestive heart failure, including pulmonary rales, peripheral oedema, elevated jugular venous pressure.[patient.info] Chest Rales or wheezes may be auscultated; these occur secondary to pulmonary venous hypertension, which is associated with extensive acute left ventricular MI.[emedicine.medscape.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]

  • Restrictive Cardiomyopathy

    On admission, jugular venous distention to the angle of the jaw, bilateral basilar rales and trace peripheral edema.[ncbi.nlm.nih.gov]

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