Tuberculous pericarditis physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with tuberculous pericarditis usually appear Cachectic.<ref name="pmid4593515">{{cite journal |vauthors=Fowler NO, Manitsas GT |title=Infectious pericarditis |journal=Prog Cardiovasc Dis |volume=16 |issue=3 |pages=323–36 |date=1973 |pmid=4593515 |doi=10.1016/s0033-0620(73)80004-0 |url=}}</ref> | *Patients with tuberculous pericarditis usually appear Cachectic.<ref name="pmid4593515">{{cite journal |vauthors=Fowler NO, Manitsas GT |title=Infectious pericarditis |journal=Prog Cardiovasc Dis |volume=16 |issue=3 |pages=323–36 |date=1973 |pmid=4593515 |doi=10.1016/s0033-0620(73)80004-0 |url=}}</ref><ref name="MayosiWiysonge2006">{{cite journal|last1=Mayosi|first1=Bongani M|last2=Wiysonge|first2=Charles Shey|last3=Ntsekhe|first3=Mpiko|last4=Volmink|first4=Jimmy A|last5=Gumedze|first5=Freedom|last6=Maartens|first6=Gary|last7=Aje|first7=Akinyemi|last8=Thomas|first8=Baby M|last9=Thomas|first9=Kandathil M|last10=Awotedu|first10=Abolade A|last11=Thembela|first11=Bongani|last12=Mntla|first12=Phindile|last13=Maritz|first13=Frans|last14=Blackett|first14=Kathleen Ngu|last15=Nkouonlack|first15=Duquesne C|last16=Burch|first16=Vanessa C|last17=Rebe|first17=Kevin|last18=Parish|first18=Andy|last19=Sliwa|first19=Karen|last20=Vezi|first20=Brian Z|last21=Alam|first21=Nowshad|last22=Brown|first22=Basil G|last23=Gould|first23=Trevor|last24=Visser|first24=Tim|last25=Shey|first25=Muki S|last26=Magula|first26=Nombulelo P|last27=Commerford|first27=Patrick J|title=Clinical characteristics and initial management of patients with tuberculous pericarditis in the HIV era: the Investigation of the Management of Pericarditis in Africa (IMPI Africa) registry|journal=BMC Infectious Diseases|volume=6|issue=1|year=2006|issn=1471-2334|doi=10.1186/1471-2334-6-2}}</ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
Revision as of 17:45, 10 December 2019
|
Tuberculous pericarditis Microchapters |
|
Differentiating Tuberculous pericarditis from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Tuberculous pericarditis physical examination On the Web |
|
American Roentgen Ray Society Images of Tuberculous pericarditis physical examination |
|
Risk calculators and risk factors for Tuberculous pericarditis 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
Physical Examination
Appearance of the Patient
Vital Signs
- Fever
- Tachycardia
- Pulsus paradoxus
- Hypotension (in cardiac tamponade)
- Tachypnea
Skin
- Skin examination of patients with tuberculous pericarditis is usually normal.
HEENT
- HEENT examination of patients with tuberculous pericarditis is usually normal.
Neck
Lungs
- Pleura dullness
- Decreased breath sounds
- Pericardial knock
- Pericardial rub
- Fine/coarse crackles upon auscultation of the lung
Heart
- distant heart sounds
- Displaced point of maximal impulse (PMI) suggestive of cardiomegaly
- Friction rub
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the stethoscope
Abdomen
- Hepatomegaly
- Ascites
Back
- Back examination of patients with tuberculous pericarditis is usually normal.
Genitourinary
- Genitourinary examination of patients with tuberculous pericarditis is usually normal.
Neuromuscular
- Neuromuscular examination of patients with tuberculous pericarditis is usually normal.
Extremities
- Pitting edema of the lower extremities
References
- ↑ Fowler NO, Manitsas GT (1973). "Infectious pericarditis". Prog Cardiovasc Dis. 16 (3): 323–36. doi:10.1016/s0033-0620(73)80004-0. PMID 4593515.
- ↑ Mayosi, Bongani M; Wiysonge, Charles Shey; Ntsekhe, Mpiko; Volmink, Jimmy A; Gumedze, Freedom; Maartens, Gary; Aje, Akinyemi; Thomas, Baby M; Thomas, Kandathil M; Awotedu, Abolade A; Thembela, Bongani; Mntla, Phindile; Maritz, Frans; Blackett, Kathleen Ngu; Nkouonlack, Duquesne C; Burch, Vanessa C; Rebe, Kevin; Parish, Andy; Sliwa, Karen; Vezi, Brian Z; Alam, Nowshad; Brown, Basil G; Gould, Trevor; Visser, Tim; Shey, Muki S; Magula, Nombulelo P; Commerford, Patrick J (2006). "Clinical characteristics and initial management of patients with tuberculous pericarditis in the HIV era: the Investigation of the Management of Pericarditis in Africa (IMPI Africa) registry". BMC Infectious Diseases. 6 (1). doi:10.1186/1471-2334-6-2. ISSN 1471-2334.