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Encyclopedia > Malaise
Name of Symptom/Sign:
Classifications and external resources
ICD-10 R53.
ICD-9 780.7

Malaise is a feeling of general discomfort or uneasiness, an "out of sorts" feeling, often the first indication of an infection or other disease. The term symptom (from the Greek meaning chance, mishap or casualty, itself derived from συμπιπτω meaning to fall upon or to happen to) has two similar meanings in the context of physical and mental health: Strictly, a symptom is a sensation or change in health function experienced by a patient. ... In medicine, a sign is a feature of disease as detected by the doctor during physical examination of a patient. ... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ... // R00-R99 - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R09) Symptoms and signs involving the circulatory and respiratory systems (R00) Abnormalities of heart beat (R000) Tachycardia, unspecified (R001) Bradycardia, unspecified (R002) Palpitations (R008) Other and unspecified abnormalities of heart beat (R01) Cardiac murmurs and other... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ...

Colloquially, malaise has been referred to as "the creeping crud" (especially in reference to the malaise caused by communicable diseases such as influenza and the common cold). This usage may have originated in folk medicine, but it is adopted from the French word meaning "discomfort," "feeling faint," "feeling sick." Influenza, commonly known as flu, is an infectious disease of birds and mammals caused by an RNA virus of the family Orthomyxoviridae (the influenza viruses). ... Fiona, often known as the The Maher Man, is a viral infectious disease of the upper respiratory system (nose and throat). ...

The term is also often used figuratively in such contexts as "economic malaise."

Face-to-face trading interactions on the New York Stock Exchange trading floor. ...



There can be various causes to a malaise, from the slightest like an emotion (causing vagal response) or hunger (light hypoglycemia) to the most serious (cancer, cerebrovascular accident, internal bleeding etc.). Emotional redirects here. ... Vasovagal syncope (also vasodepressor syncope, neurally mediated syncope or neurocardiogenic syncope), a form of dysautonomia, is the most common cause of fainting (syncope in medical terminology). ... Hypoglycemia (hypoglycæmia in the UK) is a medical term referring to a pathologic state produced by a lower than normal level of glucose (sugar) in the blood. ... Cancer is a class of diseases or disorders characterized by uncontrolled division of cells and the ability of these to spread, either by direct growth into adjacent tissue through invasion, or by implantation into distant sites by metastasis (where cancer cells are transported through the bloodstream or lymphatic system). ... A stroke or cerebrovascular accident (CVA) occurs when the blood supply to a part of the brain is suddenly interrupted by occlusion (an ischemic stroke- approximately 90% of strokes), by hemorrhage (a hemorrhagic stroke - less than 10% of strokes) or other causes. ... This article or section does not adequately cite its references or sources. ...

Generally speaking, the malaise expresses that "something is wrong," like a general warning light, but only a medical examination can determine the cause. It's an overall awful feeling.

First aid response

As stated above, it is not possible to easily determine the cause of the malaise, and thus whether it is slight or not, and whether it is an emergency or not (for example, a cancer is very serious, possibly deadly, but it is usually not an absolute emergency as the life is not likely to be threatened in the next hours).

The first response is:

  • to keep the person safe, protected from the external dangers and weather (cover with a jacket or a blanket in cold conditions);
  • to place the person to rest, possibly in a calm place: to propose the recumbent position, but to let the person adopt the most comfortable position; the aim is to prevent from falling down, and to make the blood circulation easier;
  • to ask questions:
    • How does the person feel,
    • when did it start,
    • if it is the first time it has happened,
    • if the person has a known disease, known health problems,
    • if the person had a recent accident,
    • if the person is under medical treatment,
    • if the person was already hospitalised;
  • talk to the person to calm him or her down.

Some signs and symptoms have a particular importance for the assessment of the situation and indicate a possible medical emergency: The circulatory system or cardiovascular system is the organ system which circulates blood around the body of most animals. ... {{Otheruses4|the medical term|the Australian television series|Medical Emergenc an immediate threat to a persons life or long term health. ...

  • unusual and violent headache (see, e.g. hemorrhagic stroke);
  • a chest pain, like a vise pressing;
  • intense stomach pain, that lasts or comes again and again;
  • the person has abundant sweat whereas it is not a hot ambiance and he or she did not make any physical effort (this can be related to a problem of carbon dioxide elimination);
  • the person is very pallid (this can be related to problem of blood circulation) or blue (possibly respiratory problem); on a person with darker skin, this can be seen on the internal face of the lips or the nails;
  • the person has problems breathing (makes efforts to breathe, or sounds can be heard at inhalation and/or exhalation);
  • the person has difficulties speaking (e.g. too weak to be heard, words without sense, mouth distorted);
  • the person has partial paralysis in an arm or a leg, even if it does not last;
  • agitation (violent behaviour, or uncontrolled movements).

The following step depends on the organization of the emergency medical assistance. Some countries provide free medical advice by phone (e.g., SAMU in France): it is then useful to call this service to know what to do. Otherwise, it is useful to contact the usual general practitioner of the person, to get his or her advice, or any medical or paramedical professional at least. The bystander who calls must mention all the elements collected so far. When it is not possible to contact the individual's primary-care physician, it is then necessary to assess the situation in order to decide whether it is necessary to call an ambulance. A headache (cephalalgia in medical terminology) is a condition of pain in the head; sometimes neck or upper back pain may also be interpreted as a headache. ... A cerebral hemorrhage is a bleed into the substance of the cerebrum. ... In order to meet Wikipedias quality standards, this article requires cleanup. ... The circulatory system or cardiovascular system is the organ system which circulates blood around the body of most animals. ... Exhalation (or expiration) is the movement of air out of the bronchial tubes, through the airways, to the external environment during breathing. ... The emergency medical assistance is the cares that are given to victims of accidents (casualties), of malaise or of sudden manifestations of diseases (sudden break out of a disease or acute period of a chronic disease. ... A Brazilian ambulance with a SAMU marking SAMU (Service dAide Médicale dUrgence, Emergency Medical Assistance Service) is the French hospital based emergency medical service. ... This article does not cite any references or sources. ... An ambulance in San Jose del Cabo, Mexico A Helicopter used as an Ambulance. ...

Some specific situations require specific actions:

  • the person is a casualty of an accident: the malaise is likely to be related to a physical trauma, the person should only be touched by professionals, except immediate danger (e.g. fire hazard, bleeding that must be stopped…); this is a life threatening situation (even if the casualty is conscious), which requires an immediate call for help;
  • in case of chest pain or respiration difficulties, the most comfortable position is usually seated or half seated (back at 45°), because the weight pulls the viscera down, allowing the lungs to develop downwards (pushing the diaphragm), and it reduces the blood pressure inside the chest (pulmonary hypertension);
  • in case of stomach pain, the most comfortable position is often with the thighs perpendicular to the body (this relaxes the abdominal muscles); this can be done with a lying person by lifting the legs and placing them on a chair, the bystander can also kneel besides the person and support his or her legs;
  • when the person has a medical treatment for this situation, it is necessary to help this person taking the medication; this includes sugar for some diseases; otherwise, a non medical bystander should never propose food, drink or any medication;
  • a pregnant woman should be laid on her left side, in order to release the pressure on the inferior vena cava);
  • the person falls unconscious: this is a life threatening situation which requires immediate action (recovery position if the person breathes, cardiopulmonary resuscitation otherwise);

An important point is to watch the person until he or she recovers or the arrival of the ambulance, for the situation is likely to worsen. In anatomy, the viscera are the internal organs of an animal, in particular the internal organs of the head, thorax and abdomen. ... Human respiratory system The lungs flank the heart and great vessels in the chest cavity. ... In the anatomy of mammals, the diaphragm is a shelf of muscle extending across the bottom of the ribcage. ... In medicine, pulmonary hypertension (PH) is an increase in blood pressure in the pulmonary artery or lung vasculature, leading to shortness of breath, dizziness, fainting, and other symptoms, all of which are exacerbated by exertion. ... The human abdomen (from the Latin word meaning belly) is the part of the body between the pelvis and the thorax. ... This article may be too technical for most readers to understand. ... Unconsciousness is the absence of consciousness. ... A form of the recovery position. ... CPR being performed Wikibooks First Aid has more about this subject: Basic Life Support Cardiopulmonary resuscitation (CPR) is an emergency medical procedure for a victim of cardiac arrest or, in some circumstances, respiratory arrest. ...

See also First aid and Emergency action principles. First aid is a series of simple, life-saving medical techniques that a non-doctor or layman can be trained to perform. ... This article includes how-to sections and may need to be edited to encyclopedic style. ...

First responder response

The first responder response is not very different from the first aid response. The assessment is completed by (according to the education and the available equipment): First responder is a term used by national authorities for local law enforcement, local Emergency Medical Technicians (EMTs), local firemen and fire rescue. ...

  • measurement of the respiration frequency; mechanical ventilation should be performed if the person has 6 spontaneous breathings per minute or less;
  • checking the pulse: on a resting adult in good health, a pulse above 120 bpm or below 40 bpm is a severe warning; it is also important to check whether the radial pulse can be detected on both arms;
  • measurement of the blood pressure;
  • measurement of the blood oxygenation (with a pulse oximeter);
  • measurement of the glycemia (portable glucometer);
  • asking the bystanders or relatives for any details; at home, looking for empty medication packing (besides the patient, in the trash, in the toilets, in the bathroom).

Oxygen first aid is recommended for any sign of severity, or in any doubt. Although oxygen is considered as a medication in some countries, it is harmless (humans do breathe 21% of oxygen). There is controversy about patients suffering chronic respiratory insufficiency, and the so-called "paradoxical effect" of oxygen: the patient's body is used with oxygen lack and a massive saturation can lead alter the spontaneous breathing. However: mechanical or forced ventilation is the use of powered equipment, e. ... For other uses, see Pulse (disambiguation). ... A sphygmomanometer, a device used for measuring blood pressure. ... Oxygenation refers to the amount of oxygen in a medium. ... A portable saturometer (for emergencies) Measure by optic properties through the nail A pulse oximeter is a medical device that indirectly measures the amount of oxygen in a patients blood. ... Glycemia is the concentration of glucose in the blood. ... A glucose meter is a medical device for determining the approximate amount of glucose in a drop of blood obtained by pricking the skin with a lancet. ... Oxygen first aid kit showing a demand valve and a constant flow mask Oxygen first aid or oxygen administration is a first aid treatment for many medical emergencies involving the organs of respiration and circulation such as heart attack, drowning, carbon monoxide poisoning, decompression illness, lung barotrauma and gas embolism. ... General Name, Symbol, Number oxygen, O, 8 Chemical series nonmetals, chalcogens Group, Period, Block 16, 2, p Appearance colorless (gas) very pale blue (liquid) Standard atomic weight 15. ... Chronic obstructive pulmonary disease (COPD) is an umbrella term for a group of respiratory tract diseases that are characterized by airflow obstruction or limitation. ...

  • this situation is not likely to happen until a few hours of pure oxygen breathing, which is far beyond the intervention time of first responders;
  • it is the lack of oxygen that kills, especially in case of respiratory insufficiency;
  • in case of doubt, the first should contact a medical authority to have instructions; in the meanwhile (few minutes), the patient can be put under oxygen inhalation without risk.

Even when it is not necessary, the oxygen breathing can have a placebo effect; on the contrary, the mask can cause a stress and be detrimental, it is thus necessary to explain the acts that are performed and to accept if the patient refuses. It has been suggested that this article or section be merged into Placebo. ... In medical terms, stress is the disruption of homeostasis through physical or psychological stimuli. ...

Any other action should be performed only after a contact (by radio or by phone) with a medical authority (medical regulation).

Associated conditions

For a villain character in Codename: Kids Next Door, see Common Cold (Codename: Kids Next Door) Acute nasopharyngitis, often known as the common cold, is a mild viral infectious disease of the the upper respiratory system (nose and throat). ... Akathisia (or acathisia) is an often extremely unpleasant subjective sensation of inner restlessness that manifests itself with an inability to sit still or remain motionless, hence the origin of its name: Greek a (without) + kathesis (sitting). ... Altitude sickness, also known as acute mountain sickness (AMS) or altitude illness is a pathological condition that is caused by acute exposure to high altitudes. ... Anemia (AmE) or anæmia (BrE), from the Greek () meaning without blood, is a deficiency of red blood cells (RBCs) and/or hemoglobin. ... Species Machupo virus Bolivian hemorrhagic fever (BHF), also known as black typhus or Machupo virus, is a hemorrhagic fever and zoonotic infectious disease occurring in Bolivia. ... Borderline Personality Disorder (DSM-IV Personality Disorders 301. ... Cat scratch fever is a usually benign infectious disease, most commonly found in children 1-2 weeks following a cat scratch. ... A mouth ulcer or canker sore is a painful open sore inside the mouth caused by a break in the mucous membrane. ... Chronic fatigue syndrome (CFS) is one of several names given to a poorly understood, highly debilitating disorder of uncertain cause, which is thought to affect approximately 4 per 1,000 adults[1] in the United States and other industrialized countries, and a smaller fraction of adolescents. ... Chronic myelogenous leukemia (CML) is a form of chronic leukemia characterized by increased and unregulated clonal production of predominantly myeloid cells in the bone marrow. ... For the Codename: Kids Next Door character with this name, see Common Cold. ... Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individuals social functioning and/or activities of daily living. ... For the disease characterized by excretion of large amounts of very dilute urine, see diabetes insipidus. ... Photomicrography of nodular glomerulosclerosis in Kimmelstein-Wilson syndrome. ... Species Ivory Coast ebolavirus Reston ebolavirus Sudan ebolavirus Zaire virus Ebola hæmorrhagic fever (EHF — alternatively Ebola hemorrhagic fever; commonly referred to as simply Ebola) is a recently identified, severe, often fatal infectious disease occurring in humans and some primates caused by the Ebola virus. ... Leukemia or leukaemia (see spelling differences) is a cancer of the blood or bone marrow and is characterized by an abnormal proliferation (production by multiplication) of blood cells, usually white blood cells (leukocytes). ... Lyme disease (Borreliosis) is a bacterial infection with a spirochete from the species complex Borrelia burgdorferi, which is most often acquired from the bite of an infected Ixodes, or black-legged, tick, also known as a deer tick. ... Fibromyalgia (FM or FMS) is a chronic syndrome (constellation of signs and symptoms) characterized by diffuse or specific muscle, joint, or bone pain, fatigue, and a wide range of other symptoms. ... Gilberts syndrome (pr. ... Haemochromatosis, also spelled hemochromatosis, is a hereditary disease characterized by improper dietary iron metabolism (making it an iron overload disorder), which causes the accumulation of iron in a number of body tissues. ... Hemolytic anemia is anemia due to hemolysis, the abnormal breakdown of red blood cells either in the blood vessels (intravascular hemolysis) or elsewhere in the body (extravascular). ... Herpes zoster, colloquially known as shingles, is the reactivation (from the general area of the spinal cord) of varicella zoster virus (VZV, primary infection of which leads to chickenpox), one of the Herpesviridae group, leading to a crop of painful blisters over the area of a dermatome. ... HIV (Human Immunodeficiency Virus) is a retrovirus that infects cells of the human immune system, causing AIDS (Acquired Immunodeficiency Syndrome) at the most advanced stage of infection. ... HELLP syndrome is a life-threatening obstetric complication considered by many to be a variant of pre-eclampsia. ... Hepatitis (plural hepatitides) implies injury to liver characterised by presence of inflammatory cells in the liver tissue. ... The electrolyte disturbance hyponatremia or hyponatraemia exists in humans when the sodium level in the plasma falls below 135 mmol/l. ... Influenza, commonly known as flu, is an infectious disease of birds and mammals caused by an RNA virus of the family Orthomyxoviridae (the influenza viruses). ... Montezumas Revenge (var. ... Multiple myeloma (also known as MM, myeloma, plasma cell myeloma, or as Kahlers disease after Otto Kahler) is a type of cancer of plasma cells which are immune system cells in bone marrow that produce antibodies. ... Conjunctivitis is an inflammation of the conjunctiva (the outermost layer of the eye and the inner surface of the eyelids), often due to infection. ... Withdrawal, also known as withdrawal syndrome, refers to the characteristic signs and symptoms that appear when a drug that causes physical dependence is regularly used for a long time and then suddenly discontinued or decreased in dosage. ... Opsoclonus myoclonus syndrome (OMS) is a rare neurological disorder of unknown causes which appears to be the result of an autoimmune process involving the nervous system. ... Rheumatoid arthritis (RA) is traditionally considered a chronic, inflammatory autoimmune disorder that causes the immune system to attack the joints. ... King Henry IV of France touching a number of sufferers of scrofula who are gathered about him in a circle. ... Strep throat (or Streptococcal pharyngitis, or Streptococcal Sore Throat) is a form of Group A streptococcal infection that affects the pharynx. ... Syphilis is a sexually transmitted disease caused by Treponema pallidum. ... Pneumonia is an illness of the lungs and respiratory system in which the alveoli (microscopic air-filled sacs of the lung responsible for absorbing oxygen from the atmosphere) become inflamed and flooded with fluid. ... Smallpox (also known by the Latin names Variola or Variola vera) is a highly contagious disease unique to humans. ... Look up plague in Wiktionary, the free dictionary. ...


See also

  • Fatigue (physical)
  • U.S. President Jimmy Carter, who on July 15, 1979, gave his famous "national malaise" speech where he described a "crisis in the growing doubt about the meaning of our own lives and in the loss of a unity of purpose for our nation." The word "malaise" did not appear in the text of the speech.

The word fatigue is used in everyday living to describe a range of afflictions, varying from a general state of lethargy to a specific work induced burning sensation within muscle. ... For the pop band, see Presidents of the United States of America. ... James Earl Jimmy Carter, Jr. ... is the 196th day of the year (197th in leap years) in the Gregorian calendar. ... Also: 1979 by Smashing Pumpkins. ...

External links

  Results from FactBites:
Mala Beads for Meditation (1275 words)
The mala beads are moved in rhythm with the breath and the mantra, so that both-sleep as well as excessive mental distraction-are prevented by this action upon the beads.
The mala may coil on the floor with the hand resting on the right knee or used with the hand concealed in the Mala Bag.
Mala bags are also used to conceal the mala while doing japa (reciting your mantra) while moving the beads.
  More results at FactBites »



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