Congestive heart failure - medical symptoms and causes. Search for disease and problems, drugs and herbs, terms and abriviations, books and articles
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Medical symptoms and causes for Congestive heart failure
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Symptom: NAUSEACause: Heart failure
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Description:
heart failure may produce nausea and vomiting, particularly with right-sided heart failure. Associated findings include tachycardia, a ventricular gallop, profound fatigue, dyspnea, crackles, peripheral edema, jugular vein distention, ascites, nocturia, and diastolic hypertension



Symptom: GALLOP, VENTRICULAR S5Cause: Heart failure
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Description:
A cardinal sign of heart failure is a ventricular gallop. When it-s loud and accompanied by sinus tachycardia, this gallop may indicate severe heart failure. The patient with left-sided heart failure also exhibits fatigue, exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea and, possibly, a dry cough; with right-sided heart failure, jugular vein distention occurs. Other late features include tachypnea, chest tightness, palpitations, anorexia, nausea, dependent edema, weight gain, a slowed mental response, diaphoresis, pallor, hypotension, narrowed pulse pressure and, possibly, oliguria. In some cases, inspiratory crackles, clubbing, and a tender, palpable liver may be present. As heart failure progresses, hemoptysis, cyanosis, severe pitting edema, and marked hepatomegaly may develop


Symptom: FONTANEL, BULGINGCause: Increased ICP
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Description:
Besides a bulging fontanel and increased head circumference, other early signs and symptoms are usually subtle and difficult to discern. They may include behavioral changes, irritability, fatigue, and vomiting. As ICP rises, the infant-s pupils may dilate and his LOC may decrease to drowsiness and eventual coma. Seizures commonly occur. Infections with meningitis and encephalitis can cause an increase in ICP and a bulging fontanel. Hydrocephalus, brain tumor, intracranial hemorrhage, and Congestive heart failure are other possible causes


Symptom: DIAPHORESISCause: Heart failure
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Description:
Typically, diaphoresis follows fatigue, dyspnea, orthopnea, and tachycardia in patients with left-sided heart failure and jugular vein distention and a dry cough in patients with right-sided heart failure. Other features include tachypnea, cyanosis, dependent edema, crackles, a ventricular gallop, and anxiety


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: DYSPNEACause: Heart failure
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Description:
Dyspnea usually develops gradually in patients with heart failure. Chronic paroxysmal nocturnal dyspnea, orthopnea, tachypnea, tachycardia, palpitations, a ventricular gallop, fatigue, dependent peripheral edema, hepatomegaly, a dry cough, weight gain, and loss of mental acuity may occur. With acute onset, heart failure may produce jugular vein distention, bibasilar rates, oliguria, and hypotension


Symptom: EDEMA OF THE LEGCause: Heart failure
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Description:
Bilateral leg edema is an early sign of right-sided heart failure. Other signs and symptoms include weight gain despite anorexia, nausea, chest tightness, hypotension, pallor, tachypnea, exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, a ventricular gallop, and inspiratory crackles. Pitting ankle edema, hepatomegaly, hemoptysis, and cyanosis signal more advanced heart failure


Symptom: OLIGURIACause: Heart failure
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Description:
Oliguria may occur in left-sided heart failure as a result of low cardiac output and decreased renal perfusion. Accompanying signs and symptoms include dyspnea, fatigue, weakness, peripheral edema, jugular vein distention, tachycardia, tachypnea, crackles, and a dry or productive cough. In advanced or chronic heart failure, the patient may also develop orthopnea, cyanosis, clubbing, a ventricular gallop, diastolic hypertension, cardiomegaly, and hemoptysis



Symptom: FATIGUECause: Heart failure
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Description:
Persistent fatigue and lethargy characterize heart failure. Left-sided heart failure produces exertional and paroxysmal nocturnal dyspnea, orthopnea, and tachycardia. Right-sided heart failure produces jugular vein distention and, possibly, a slight but persistent nonproductive cough. In both types, mental status changes accompany later signs and symptoms, including nausea, anorexia, weight gain and, possibly, oliguria. Cardiopulmonary findings include tachypnea, inspiratory crackles, palpitations and chest tightness, hypotension, a narrowed pulse pressure, a ventricular gallop, pallor, diaphoresis, clubbing, and dependent edema


Symptom: JUGULAR VEIN DISTENTIONCause: Heart failure
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Description:
Sudden or gradual development of right-sided heart failure commonly causes jugular vein distention, along with weakness and anxiety, cyanosis, dependent edema of the legs and sacrum, steady weight gain, confusion, and hepatomegaly. Other findings include nausea and vomiting, abdominal discomfort, and anorexia due to visceral edema. Ascites are a late sign. Massive right-sided heart failure may produce anasarca and oliguria
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