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. | 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== | ||
=== | === Appearance of the patient === | ||
=== | ===Vital signs=== | ||
=== | * [[Tachycardia]] | ||
Pleural dullness | * [[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=== | ===Abdomen=== | ||
[[Hepatomegaly]] | |||
* [[Hepatomegaly]] | |||
* [[Ascites]] in chronic cases | |||
=== Back === | |||
=== Genitourinary === | |||
=== Neuromuscular === | |||
===Extremities=== | ===Extremities=== | ||
[[Ankle edema]] in chronic cases | |||
* [[Ankle edema]] in chronic cases | |||
==References== | ==References== |
Revision as of 11:46, 9 March 2020
Pericardial effusion Microchapters |
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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
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