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11 Possible Causes for Sternal Pits, Syncope

  • Panhypopituitarism

    The systolic murmur with severity 2/6 was heard in LSB (left sternal border). At the lower extremities non-pitting edema was evident in both legs.[]

  • Hyponatremia

    Patients with hyponatremia often present with changes in mental status or with syncope.[] His blood pressure is 100/60 mm Hg, his jugular venous pressure is 6 cm above the sternal angle, he has marked pitting edema of the lower limbs, and he has crackles at his[] K had experienced a syncopal episode with urinary incontinence while walking to the bathroom the night prior to presentation, and she had experienced progressive abdominal[]

  • Pulmonary Tumor Embolism

    Sometimes the first symptoms and signs are cardiogenic dyspnea on exertion, syncope, edema of lower extremities and shock ( 5 ).[] Jugular vein pressure was elevated 5-6 cm above the sternal angle and bilateral pitting edema of the ankles was present.[]

  • Prosthetic Cardiac Valve Dehiscence

    Chapter35F The Heart and Infectious Diseases 656 Chapter36 Substance Abuse and the Heart 669 Chapter 63 961 Ventricular Tachycardia 1098 Sudden Cardiac Death and Implantable 1110 Syncope[] […] the left sternal border and an elevated Jugular venous pressure measuring 12 cm above the sternal angle.[] General examination revealed bilateral pitting pedal edema, there were no stigmata of infective endocarditis, cardiac examination revealed a loud holosystolic murmur over[]

  • Corrected Transposition of the Great Vessels

    […] regurgitation renal rhythm right atrium right ventricle right ventricular second heart sound septal defect septum shunt significant sinus node sodium Sonnenblick stroke volume syncope[] The physical examination was significant for mild jugular venous distension and pitting edema in the lower extremities.[] In 2005, the patient received an implantable cardioverter-defibrillator (ICD) due to syncopal ventricular tachycardia ( Figure 1 ).[]

  • Congenital Partial Pulmonary Venous Return Anomaly

    Physical examination revealed a pansystolic murmur at the lower left sternal border and pitting edema over his shins. His oxygen saturation on room air was 95%.[] Clinical manifestations occur when there is significant shunting and include syncope, right heart failure, and pulmonary hypertension (2).[] Clinical History A 62-year-old woman presented with recurrent syncope.[]

  • Quinine Poisoning

    Nervous system side effects include tinnitus, dizziness, syncope, confusion, vertigo, loss of hearing, anxiety and hyperactivity.[] The patient had 2 pitting leg edema and discoloration of the legs consistent with venous insufficiency. Otherwise, her physical examination was normal.[] […] nervous system symptoms are noted in more severe grades of poisoning, particularly noted are: headache, fever, vomiting, apprehension, excitement, confusion, delirium, and syncope[]

  • Ruptured Aneurysm

    […] massive GI hemorrhage into IVC: rapid cardiac decompensation Incidence: aneurysm 10 cm in 60% Symptoms of rupture sudden severe abdominal pain radiating into back faintness, syncope[] The patient had significant pitting edema of his lower extremities with signs of chronic phlebostasis.[] Other common symptoms include syncope and vomiting.[]

  • Thyro-Cerebro-Renal Syndrome

    Peripheral Arterial Disease Postural Orthostatic Tachycardia Syndrome (POTS) Raynaud's Disease Recurrent Arrhythmias Sinus Bradycardia Symptomatic Congenital Heart Disease Syncope[] […] cleft or pit Micrognathia Sternal papule Aruricular hypoplasia or agenesis/"low-set" ears Lingual ectopic thyroid Orofacial clefting Supraumbilical raphe Spina bifida occulta[] There was no history of cyanotic spells and syncopal attacks. There was no significant family history and she had no addictions.[]

  • Congenital Cataract-Hearing Loss-Severe Developmental Delay Syndrome

    […] cleft or pit Micrognathia Sternal papule Aruricular hypoplasia or agenesis/"low-set" ears Lingual ectopic thyroid Orofacial clefting Supraumbilical raphe Spina bifida occulta[] […] prolongation of the QT interval, torsade de pointe arrhythmias (turning of the points, in reference to the apparent alternating positive and negative QRS complexes), sudden syncopal[] Horner syndrome Anterior segment abnormalities Other associated anomalies Ventral developmental Miscellaneous Partial or complete agenesis of sternum Pituitary insufficiency Sternal[]

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