Tuberculous pericarditis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with tuberculous pericarditis usually appear Cachectic. | *Patients with tuberculous pericarditis usually appear Cachectic.<ref name="pmid4593515">{{cite journal |vauthors=Fowler NO, Manitsas GT |title=Infectious pericarditis |journal=Prog Cardiovasc Dis |volume=16 |issue=3 |pages=323–36 |date=1973 |pmid=4593515 |doi=10.1016/s0033-0620(73)80004-0 |url=}}</ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
Revision as of 17:42, 10 December 2019
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Tuberculous pericarditis Microchapters |
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Differentiating Tuberculous pericarditis from other Diseases |
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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.
Overview
Physical Examination
Appearance of the Patient
- Patients with tuberculous pericarditis usually appear Cachectic.[1]
Vital Signs
- Fever
- Tachycardia
- Pulsus paradoxus
- Hypotension (in cardiac tamponade)
- Tachypnea
Skin
- Skin examination of patients with tuberculous pericarditis is usually normal.
HEENT
- HEENT examination of patients with tuberculous pericarditis is usually normal.
Neck
Lungs
- Pleura dullness
- Decreased breath sounds
- Pericardial knock
- Pericardial rub
- Fine/coarse crackles upon auscultation of the lung
Heart
- distant heart sounds
- Displaced point of maximal impulse (PMI) suggestive of cardiomegaly
- Friction rub
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope
Abdomen
- Hepatomegaly
- Ascites
Back
- Back examination of patients with tuberculous pericarditis is usually normal.
Genitourinary
- Genitourinary examination of patients with tuberculous pericarditis is usually normal.
Neuromuscular
- Neuromuscular examination of patients with tuberculous pericarditis is usually normal.
Extremities
- Pitting edema of the lower extremities
References
- ↑ Fowler NO, Manitsas GT (1973). "Infectious pericarditis". Prog Cardiovasc Dis. 16 (3): 323–36. doi:10.1016/s0033-0620(73)80004-0. PMID 4593515.