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Medical symptoms and causes for normal pulse
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| Symptom: BLOOD PRESSURE INCREASE (Hypertension) | Cause: Atherosclerosis | |||||
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Description: With atherosclerosis, systolic pressure rises while diastolic pressure commonly remains normal or slightly elevated. The patient may show no other signs, or he may have a weak pulse, flushed skin, tachycardia, angina, and claudication. | ||||||
| Symptom: FONTANEL DEPRESSION | Cause: Dehydration | |||||
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Description: With mild dehydration (5% weight loss), the anterior fontanel appears slightly depressed. The infant has pale, dry skin and mucous membranes; decreased urine output; a normal or slightly elevated pulse rate; and, possibly, irritability | ||||||
| Symptom: BLOOD PRESSURE DECREASE (Hypotension) | Cause: Cardiac arrhythmias | |||||
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Description: With an arrhythmia, blood pressure may fluctuate between normal and low readings. Dizziness, chest pain, difficulty breathing, light-headedness, weakness, fatigue, and palpitations may also occur. Auscultation typically reveals an irregular rhythm and a pulse rate greater than 100 beats/minute or less than 60 beats/minute. | ||||||
| Symptom: DIAPHORESIS | Cause: Heat exhaustion | |||||
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Description: Although heat exhaustion is marked by failure of heat to dissipate, it initially may cause profuse diaphoresis, fatigue, weakness, and anxiety. These signs and symptoms may progress to circulatory collapse and shock (confusion, a thready pulse, hypotension, tachycardia, and cold, clammy skin). Other features include an ashen gray appearance, dilated pupils, and a normal or subnormal temperature | ||||||
| Symptom: LEG PAIN | Cause: Compartment syndrome | |||||
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Description: Progressive, intense lower leg pain that increases with passive muscle stretching is a cardinal sign of compartment syndrome, a limb-threatening disorder. Restrictive dressings or traction may aggravate the pain, which typically worsens despite analgesic administration. Other findings include muscle weakness and paresthesia, but apparently normal distal circulation. With irreversible muscle ischemia, paralysis and an absent pulse also occur | ||||||
| Symptom: PULSE, ABSENT OR WEAK | Cause: Cardiac tamponade | |||||
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Description: Life-threatening cardiac tamponade causes a weak, rapid pulse accompanied by these classic findings: paradoxical pulse, jugular vein distention, hypotension, and muffled heart sounds. Narrowed pulse pressure, pericardial friction rub, and hepatomegaly may also occur. The patient may appear anxious, restless, and cyanotic and may have chest pain, clammy skin, dyspnea, and tachypnea | ||||||
| Symptom: PULSE PRESSURE, NARROWED | Cause: Cardiac tamponade | |||||
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Description: With cardiac tamponade, a life-threatening disorder, pulse pressure narrows by 10 to 20 mm Hg. Paradoxical pulse, jugular vein distention, hypotension, and muffled heart sounds are classic. The patient may be anxious, restless, and cyanotic, with clammy skin and chest pain. He may exhibit dyspnea, tachypnea, a decreased LOC, and a weak, rapid pulse. A pericardial friction rub and hepatomegaly may also occur | ||||||
| Symptom: TACHYPNEA | Cause: Septic shock | |||||
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Description: Early in septic shock, the patient usually experiences tachypnea; sudden fever; chills; flushed, warm, yet dry skin; and possibly nausea, vomiting, and diarrhea. He may also develop tachycardia and normal or slightly decreased blood pressure. As this life-threatening type of shock progresses, the patient may display anxiety; restlessness; decreased LOC; hypotension; cool, clammy, and cyanotic skin; rapid, thready pulse; thirst; and oliguria that may progress to anuria | ||||||
| Symptom: CHILLS (Rigors) | Cause: Septic shock | |||||
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Description: Initially, septic shock produces chills, a fever and, possibly, nausea, vomiting, and diarrhea. The patient-s skin is typically flushed, warm, and dry; his blood pressure is normal or slightly low; and he has tachycardia and tachypnea. As septic shock progresses, the patient-s arms and legs become cool and cyanotic, and he develops oliguria, thirst, anxiety, restlessness, confusion, and hypotension. Later, his skin becomes cold and clammy; his pulse, rapid and thready. He further develops severe hypotension, persistent oliguria or anuria, signs of respiratory failure, and coma | ||||||
| Symptom: PULSE, ABSENT OR WEAK | Cause: Aortic stenosis | |||||
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Description: With aortic stenosis, the carotid pulse is sustained but weak. Dyspnea (especially on exertion or paroxysmal nocturnal), chest pain, and syncope dominate the clinical picture. The patient commonly has an atrial gallop. Other findings include a harsh systolic ejection murmur, crackles, palpitations, fatigue, and narrowed pulse pressure | ||||||
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