Pericarditis in malignancy physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Physical Examination

Cachexia, weight loss and other organ-system specific abnormalities secondary to malignancy.

Vitals

• Tachycardia
• Pulsus paradoxus
• Hypotension (in cardiac tamponade)

Neck

• Jugular venous distension with a prominent Y descent and Kussmaul's sign

Chest

• Pericardial knock
• Pericardial rub
• Distant heart sounds

Abdomen

• Hepatomegaly
• Ascites

Extremities

Ankle edema