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Medical symptoms and causes for insufficiency
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Symptom: PULSUS BISFERIENSCause: Aortic insufficiency
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Description:
Aortic insufficiency is a heart defect that-s the most common organic cause of a biferious pulse. Most patients with chronic aortic insufficiency are asymptomatic until ages 40 to 50. However, exertional dyspnea, worsening fatigue, orthopnea and, eventually, paroxysmal nocturnal dyspnea may develop.



Symptom: MURMURSCause: Mitral insufficiency
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Description:
Acute mitral insufficiency is characterized by a medium-pitched blowing, early systolic or holosystolic decrescendo murmur at the apex, along with a widely split S2 and commonly an S4. This murmur doesn-t get louder on inspiration as with tricuspid insufficiency. Associated findings typically include tachycardia and signs of acute pulmonary edema


Symptom: GALLOP, VENTRICULAR S3Cause: Aortic insufficiency
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Description:
Aortic insufficiency occurs secondary to reduced ejection fraction and elevated end-systolic volume. Acute and chronic aortic insufficiency may produce an S3. Typically, acute aortic insufficiency also causes an atrial gallop and a soft, short diastolic murmur over the left sternal border. S2 may be soft or absent. At times, a soft, short midsystolic murmur may be heard over the second right intercostal space. Related findings include tachycardia, dyspnea, jugular vein distention, and crackles


Symptom: EDEMA OF THE LEGCause: Venous insufficiency (chronic)
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Description:
Moderate to severe, unilateral or bilateral leg edema occurs in patients with venous insufficiency. Initially, the edema is soft and pitting; later, it becomes hard as tissues thicken. Other signs include darkened skin and painless, easily infected stasis ulcers around the ankle. Venous insufficiency generally occurs in females


Symptom: ASTERIXIS (Liver flap, flapping tremor)Cause: Severe respiratory insufficiency
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Description:
Characterized by life-threatening respiratory acidosis, severe respiratory insufficiency initially produces headache, restlessness, confusion, apprehension, and decreased reflexes. Eventually, the patient becomes somnolent and may demonstrate asterixis before slipping into a coma. Associated signs and symptoms of respiratory insufficiency include difficulty breathing and rapid, shallow respirations. The patient may be hypertensive in early disease but hypotensive later.



Symptom: DYSARTHRIACause: Basilar artery insufficiency
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Description:
Basilar artery insufficiency causes random, brief episodes of bilateral brain stem dysfunction, resulting in dysarthria. Accompanying it are diplopia, vertigo, facial numbness, ataxia, paresis, and visual field loss, all of which last for minutes to hours


Symptom: FATIGUECause: Adrenocortical insufficiency
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Description:
Mild fatigue, the hallmark of adrenocortical insufficiency, initially appears after exertion and stress, but later becomes more severe and persistent. Weakness and weight loss typically accompany GI disturbances, such as nausea, vomiting, anorexia, abdominal pain, and chronic diarrhea; hyperpigmentation; orthostatic hypotension; and a weak, irregular pulse


Symptom: NAUSEACause: Adrenal insufficiency
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Description:
Common GI findings in adrenal insufficiency include nausea, vomiting, anorexia, and diarrhea. Other findings include weakness; fatigue; weight loss; bronze skin; hypotension; a weak, irregular pulse; vitiligo; and depression



Symptom: WEIGHT LOSS, EXCESSIVECause: Adrenal insufficiency
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Description:
Weight loss occurs with adrenal insufficiency, along with anorexia, weakness, fatigue, irritability, syncope, nausea, vomiting, abdominal pain, and diarrhea or constipation. Hyperpigmentation may occur at the joints, belt line, palmar creases, lips, gums, tongue, and buccal mucosa


Symptom: BLOOD PRESSURE DECREASE (Hypotension)Cause: Acute adrenal insufficiency
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Description:
Orthostatic hypotension is characteristic with acute adrenal insufficiency, accompanied by fatigue, weakness, nausea, vomiting, abdominal discomfort, weight loss, fever, and tachycardia. The patient may also have hyperpigmentation of fingers, nails, nipples, scars, and body folds; pale, cool, clammy skin; restlessness; decreased urine output; tachypnea; and coma.
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