Uremic pericarditis physical examination: Difference between revisions

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{{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.
{{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.
==Overview==
==Physical examination==
==Physical examination==
Patients may present with [[fever]], [[cachexia]] and varying levels of [[consciousness]].
Patients may present with [[fever]], [[cachexia]] and varying levels of [[consciousness]].


'''Vitals:''' [[Hypotension]] and [[pulsus paradoxus]] are present in [[cardiac tamponade]].  The heart rate may be slow due to autonomic impairment or an [[arrhythmia]] such as atrial fibrillation, atrial flutter, heart block or a ventricular arrhythmia may be present due to an[[electrolyte]] imbalance.
===Vital Signs===
====Pulse====
The heart rate may be slow due to autonomic impairment or an [[arrhythmia]] such as atrial fibrillation, atrial flutter, heart block or a ventricular arrhythmia may be present due to an[[electrolyte]] imbalance.
====Blood Pressure====
[[Hypotension]] and [[pulsus paradoxus]] are present in [[cardiac tamponade]].  


'''Neck:''' [[Jugular venous distension]] with a prominent Y descent and [[Kussmaul's sign]]
===Neck===
[[Jugular venous distension]] with a prominent Y descent and [[Kussmaul's sign]]


'''Chest:''' [[Ewart's sign]] may be present. This includes a pericardial knock, [[pericardial rub]](heard best while leaning forwards) and distant [[heart sounds]]
===Heart===
[[Ewart's sign]] may be present. This includes a pericardial knock, [[pericardial rub]](heard best while leaning forwards) and distant [[heart sounds]]


'''Abdomen:''' [[Hepatomegaly]], [[ascites]]
===Abdomen===
[[Hepatomegaly]]
[[Ascites]]


'''Extremities:''' [[Ankle edema]]
===Extremities===
[[Ankle edema]]


==References==
==References==
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[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category:Diseases involving the fasciae]]
[[Category:Diseases involving the fasciae]]
[[Category:Needs overview]]


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Revision as of 20:21, 5 February 2013

Uremic pericarditis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uremic Pericarditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Echocardiography

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MRI

Cardiac Catheterization

Treatment

Overview

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Pericardial window

Pericardiectomy

Pericarditis Microchapters

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Post MI
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Pericardial Effusion
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Constrictive Pericarditis

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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

Patients may present with fever, cachexia and varying levels of consciousness.

Vital Signs

Pulse

The heart rate may be slow due to autonomic impairment or an arrhythmia such as atrial fibrillation, atrial flutter, heart block or a ventricular arrhythmia may be present due to anelectrolyte imbalance.

Blood Pressure

Hypotension and pulsus paradoxus are present in cardiac tamponade.

Neck

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

Heart

Ewart's sign may be present. This includes a pericardial knock, pericardial rub(heard best while leaning forwards) and distant heart sounds

Abdomen

Hepatomegaly Ascites

Extremities

Ankle edema

References

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