Pericardial effusion physical examination: Difference between revisions
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{{Pericardial effusion}} | {{Pericardial effusion}} | ||
{{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== | |||
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. | |||
==Physical examination== | ==Physical examination== | ||
Vitals: [[Tachycardia]], [[pulsus paradoxus]] and hypotension(in [[cardiac tamponade]]) | |||
Neck: [[Jugular venous distension]] with a prominent Y descent and [[Kussmaul's sign]] | |||
Chest: Pleural dullness, decreased breath sounds, and distant [[heart sounds]] | |||
Abdomen: [[Hepatomegaly]] and [[ascites]] in chronic cases | |||
Extremities:[[Ankle edema]] in chronic cases | |||
==References== | ==References== |
Revision as of 15:18, 8 August 2013
Pericardial effusion Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Pericardial effusion physical examination On the Web |
American Roentgen Ray Society Images of Pericardial effusion physical examination |
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.
Physical examination
Vitals: Tachycardia, pulsus paradoxus and hypotension(in cardiac tamponade)
Neck: Jugular venous distension with a prominent Y descent and Kussmaul's sign
Chest: Pleural dullness, decreased breath sounds, and distant heart sounds
Abdomen: Hepatomegaly and ascites in chronic cases
Extremities:Ankle edema in chronic cases