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Symptom: CYANOSISCause: Heart failure
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Description:
Acute or chronic CYANOSIS may occur in patients with heart failure. Typically, it-s a late sign and may be central, peripheral, or both. With left-sided heart failure, central CYANOSIS occurs with tachycardia, fatigue, dyspnea, cold intolerance, orthopnea, a cough, a ventricular or an atrial gallop, bibasilar crackles, and a diffuse apical impulse. With right-sided heart failure, peripheral CYANOSIS occurs with fatigue, peripheral edema, ascites, jugular vein distention, and hepatomegaly.



Symptom: CYANOSISCause: Peripheral arterial occlusion (acute)
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Description:
Peripheral arterial occlusion produces acute CYANOSIS of one arm or leg or, occasionally, both legs. The CYANOSIS is accompanied by sharp or aching pain that worsens when the patient moves. The affected extremity also exhibits paresthesia, weakness, and pale, cool skin. Examination reveals a decreased or an absent pulse and increased capillary refill.


Symptom: CYANOSISCause: Shock
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Description:
With shock, acute peripheral CYANOSIS develops in the hands and feet, which may also be cold, clammy, and pale. Other characteristic signs and symptoms include lethargy, confusion, an increased capillary refill time, and a rapid, weak pulse. Tachypnea, hyperpnea, and hypotension may also be present.


Symptom: CYANOSISCause: Deep vein thrombosis
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Description:
With deep vein thrombosis, acute peripheral CYANOSIS occurs in the affected extremity associated with tenderness, painful movement, edema, warmth, and prominent superficial veins. Homans- sign can also be elicited.


Symptom: CYANOSISCause: Pulmonary edema
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Description:
With pulmonary edema, acute central CYANOSIS occurs with dyspnea; orthopnea; frothy, blood-tinged sputum; tachycardia; tachypnea; dependent crackles; a ventricular gallop; cold, clammy skin; hypotension; a weak, thready pulse; and confusion.



Symptom: CYANOSISCause: Pneumonia
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Description:
With pneumonia, acute central CYANOSIS is usually preceded by a fever, shaking chills, a cough with purulent sputum, crackles, rhonchi, and pleuritic chest pain that-s exacerbated by deep inspiration. Associated signs and symptoms include tachycardia, dyspnea, tachypnea, diminished breath sounds, diaphoresis, myalgia, fatigue, a headache, and anorexia.


Symptom: CYANOSISCause: Pulmonary embolism
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Description:
Acute central CYANOSIS occurs when a large embolus causes significant obstruction of the pulmonary circulation. Syncope and jugular vein distention may also occur. Other common signs and symptoms include dyspnea, chest pain, tachycardia, a paradoxical pulse, a dry or productive cough with blood-tinged sputum, a low-grade fever, restlessness, and diaphoresis.


Symptom: CYANOSISCause: Lung cancer
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Description:
Lung cancer causes chronic central CYANOSIS accompanied by a fever, weakness, weight loss, anorexia, dyspnea, chest pain, hemoptysis, and wheezing. Atelectasis causes mediastinal shift, decreased diaphragmatic excursion, asymmetrical chest expansion, a dull percussion note, and diminished breath sounds.



Symptom: CRACKLES (Rales, crepitations)Cause: Pneumonia
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Description:
Bacterial pneumonia produces diffuse fine crackles, a sudden onset of shaking chills, a high fever, tachypnea, pleuritic chest pain, CYANOSIS, grunting respirations, nasal flaring, decreased breath sounds, myalgia, a headache, tachycardia, dyspnea, CYANOSIS, diaphoresis, and rhonchi. The patient also has a dry cough that later becomes productive


Symptom: CYANOSISCause: Bronchiectasis
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Description:
Bronchiectasis produces chronic central CYANOSIS. Its classic sign, however, is a chronic productive cough with copious, foul-smelling, mucopurulent sputum or hemoptysis. Auscultation reveals rhonchi and coarse crackles during inspiration. Other signs and symptoms include dyspnea, recurrent fever and chills, weight loss, malaise, clubbing, and signs of anemia.
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