Features of right sided cardiac edema

Bilateral 

Pitting

Subside at morning

Starts before ascites because it is gravitional

Systemic congestive symptoms of right sided heart failure

 Oedema both lower limbs

Dyspepsia to all types of food 

Sweating to mild activities 

Nocturia

pain in right hypochondrium

Low Cardiac Output Symptoms

 Headache 

Dizziness 

Syncope Attacks 

Anginal pain 

Fatigue 

Intermittent Claudication 

Oliguria

Causes of Heamoptysis in Cardiac Patient

 Mitral Stenosis 

Secondary to Chest Infections

Pulmonary Embolism or Deep Vein Thrombosis 

Acute Pulmonary Oedema

Causes of Cough in Cardiac patient

 Lung Congestion 

Dry irritating spasmodic nocturnal cough 

Recurrent Chest infections

Compression on recurrent   laryngeal nerve by dilated left atrium characterized by hoarseness of Voice 

Compression on trachea by dilated aortic Aneurysm

 

Differences between Cardiac Asthma and Bronchial asthma

 Cardiac Asthma

History for Cardiac disease 

Occurs after 2 hours after sleep 

Dyspnea before cough 

Frothy Pinkish Sputum 

Auscultation Crackles bilateral basal with inspiration

Bronchial Asthma 

History of Respiratory disease 

Occurs late at night 

Cough before Dyspnea

Little viscid mucoid sputum 

Auscultation wheezes with expiration