Doctor insights on:
Acute Onset Chf
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
3yo acute onset tachypnea, wheezing. Given albuterol, wheezing subsided; tachypnea remains. No apparent distress, lethargy, fever, history disease, etc.
Decreased Urination: Acute kidney disease represents an attack against the attack usually from profound dehydration, nephrotoxic agents like antibiotics or from bacterial infections. The symptoms range from decrease in urine output, nausea and loss of appetite. The most critical side effect is rapid increase in potassium that can be very dangerous. ...Read moreSee 1 more doctor answer
Ask your doctor: You should be seeing a specialist called a nephrologist. They will explain it to you. ...Read more
Acute sinusitis, acute rhinitis, acute allergic serous otitis media. Short of breath chest pain and high BP is that normal?
Need to see MD: If you are short of breath, having chest pain and have high blood pressure, you should see your physician asap. Having a sinus infection, rhinitis or an otitis could be associated with respiratory symptoms. Additionally, some of the medications commonly used for treatment of these conditions could exacerbate blood pressure issues. ...Read moreSee 1 more doctor answer
Needs rapid evaluation: Although chronic hypertension is among the most common causes of nonischemic cardiomyopathy, there appears to be no hypertensive history in this case. With an ejection fraction of 20%, sudden life-threatening arrhythmia is a significant risk. An implantable defibrillator must be considered urgently. A Zoll Vest could be considered if there is any delay in implanting a defibrillator. In addition, consideration should be given to a myocardial biopsy to search for an infiltrative cardiomyopathy. Diuretic, beta blocker and vasodilator therapy might be limited by a low blood pressure. If there is a wide QRS, resynchronization with a biventricular pacemaker might help restore ventricular function. The prognosis (and treatment) will be dependent upon the underlying cause of the cardiomyopathy. ...Read moreSee 9 more doctor answers
Multiple risks: Many dialysis patients are diabetic, hypertensive, anemic, frail and an added infection can impact badly. The dialysis catheter sites can be infected and lead to sepsis systemically with fever, low blood pressure etc. Many of these folks do have atherosclerosis and unidentified coronary disease that can act up! ...Read moreSee 1 more doctor answer
I'm wondering why are congestive heart failure (chf) and acute myocardial infarction (ami) core measures?
Usually: Bacterial endocarditis usually but not always causes fever. The fever may not be present early in the disease and may develop later depending on the infecting organism. As you have fever and a valvular abnormality you should be evaluated by your doctor. Blood and other cultures and a cardiac echo may be indicated. ...Read moreSee 2 more doctor answers
It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If the pancreatitis becomes very severe you may need antibiotics and in rare circumstances surgery. The other thing that is done is investigating the cause in order to prevent future attacks. ...Read moreSee 1 more doctor answer
Terminology: Asthma is a condition some people have that is marked by wheezing and decreases air movement due to airway tightening. They are usually healthy on whatever program of medications or treatments they use. An acute exacerbation occurs when some triggering event makes a stable asthma patient begin to have symptoms. This would require extra treatment to return the patient to baseline health. ...Read more
Meds and Dehydration: Acute kidney failure occurs predominantly from newly prescribed medications like a diuretic (hctz (hydrochlorothiazide) or lasix) or from certain anti-hypertensive medications like an ace or arb (enalapril or cozaar). Also akf occurs in the elderly if they do not get enough water intake especially in warm environments when they sweat a lot. ...Read moreSee 1 more doctor answer