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Hypotension - Seizure, mental status change, diaphoresis, and signs of orthostatic hypotension and shock. Low cardiac output - Fatigue, weakness, dyspnea on exertion, lethargy, and lightheadedness. Hemodynamic - Pulsation in the neck and abdomen, choking sensation, jaw pain, right upper quadrant (RUQ) pain, chest colds, and headache.
Chest pain usually happens during physical activity. Syncope is a late symptom. Signs and symptoms of heart failure may also be present. On auscultation, a loud ejection systolic murmur can be heard at the right second intercostal space with radiation to the carotid artery in the neck. Splitting of second heart sound is heard in severe stenosis.
Lhermitte's sign (as if an electrical sensation shoots down back & into arms) loss of consciousness. Syncope (medicine) (R55) neck stiffness; opisthotonus; paralysis and paresis; paresthesia (R20.2) prosopagnosia; somnolence (R40.0) Obstetric / Gynaecological. abnormal vaginal bleeding. vaginal bleeding in early pregnancy / miscarriage; vaginal ...
Severe hypovolemic shock can result in mesenteric and coronary ischemia that can cause abdominal or chest pain. Agitation, lethargy, or confusion may characterize brain mal-perfusion. [4] Dry mucous membranes, decreased skin turgor, low jugular venous distention, tachycardia, and hypotension can be seen along with decreased urinary output. [4]
Angina pectoris can be quite painful, but many patients with angina complain of chest discomfort rather than actual pain: the discomfort is usually described as a pressure, heaviness, tightness, squeezing, burning, or choking sensation. Apart from chest discomfort, anginal pains may also be experienced in the epigastrium (upper central abdomen ...
Lethargy is a state of tiredness, sleepiness, weariness, fatigue, sluggishness, or lack of energy. It can be accompanied by depression , decreased motivation, or apathy . Lethargy can be a normal response to inadequate sleep, overexertion, overworking, stress, lack of exercise, improper nutrition, drug abuse, boredom , or a symptom of an ...
Gastroparesis (gastro- from Ancient Greek γαστήρ – gaster, "stomach"; and -paresis, πάρεσις – "partial paralysis") is a medical disorder of ineffective neuromuscular contractions (peristalsis) of the stomach, resulting in food and liquid remaining in the stomach for a prolonged period of time.
In the absence of heart abnormalities, the diagnosis is often made on the basis of symptoms. A gastroenterologist will perform a colonoscopy, endoscopy, and abdominal ultrasound to locate or rule out problems in the abdomen. Determining the cause of Roemheld syndrome is still not an exact science.
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