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.


==Physical examination==
==Physical examination==


===Vitals===
=== Appearance of the patient ===
[[Tachycardia]], [[pulsus paradoxus]] and hypotension in [[cardiac tamponade]]


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


===Chest===
* [[Tachycardia]]
Pleural dullness, decreased breath sounds, and distant [[heart sounds]]
* [[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]] and [[ascites]] in chronic cases
 
* [[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


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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.

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

Skin

HEENT

Neck

Lungs

  • Pleural dullness
  • Decreased breath sounds

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

References

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