Pericardial effusion physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The vital signs of a patient with small pericardial effusion are often normal. Fever suggests an underlying infectious or inflammatory cause, and the presence of a purulent effusion must be ruled out. | The vital signs of a patient with small pericardial effusion are often normal. Fever suggests an underlying infectious or inflammatory cause, and the presence of a purulent effusion must be ruled out. The common signs include [[tachycardia]], [[pulsus paradoxus]], hypotension in [[cardiac tamponade]], [[jugular venous distension]], prominent Y descent, [[Kussmaul's sign]], pleural dullness, decreased breath sounds, distant [[heart sounds]], h[[Hepatomegaly|epatomegaly]], [[ascites]] in chronic cases, and [[ankle edema]] in chronic cases | ||
==Physical examination== | ==Physical examination== |
Revision as of 11:52, 9 March 2020
Pericardial effusion Microchapters |
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Pericardial effusion physical examination On the Web |
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Risk calculators and risk factors for Pericardial effusion physical examination |
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
The vital signs of a patient with small pericardial effusion are often normal. Fever suggests an underlying infectious or inflammatory cause, and the presence of a purulent effusion must be ruled out. The common signs include tachycardia, pulsus paradoxus, hypotension in cardiac tamponade, jugular venous distension, prominent Y descent, Kussmaul's sign, pleural dullness, decreased breath sounds, distant heart sounds, hepatomegaly, ascites in chronic cases, and ankle edema in chronic cases
Physical examination
Appearance of the patient
Vital signs
- Tachycardia
- pulsus paradoxus
- hypotension in cardiac tamponade
Skin
HEENT
Neck
- Jugular venous distension
- Prominent Y descent
- Kussmaul's sign
Lungs
- Pleural dullness
- Decreased breath sounds
Heart
- Distant heart sounds
Abdomen
- Hepatomegaly
- Ascites in chronic cases
Back
Genitourinary
Neuromuscular
Extremities
- Ankle edema in chronic cases