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. | ||
==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]]. | ||
===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]] | |||
===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== | ==References== | ||
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[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category:Diseases involving the fasciae]] | [[Category:Diseases involving the fasciae]] | ||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 20:21, 5 February 2013
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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