Pericardial effusion Flashcards
Pulsus Paradoxus
Tamponade
Effusive constrictive pericarditis
T — CP—RC—-RVMI—ECP
3+ __+ __+____+_____3+
Prominent X and y descent
constrictive pericarditis
prominent x
absent y descent
tamponade
kussmaul’s sign
constrictive pericarditis
RVMI
pericardial knock
constrictive pericarditis
S3 is present
T CP RC RVMI ECP
- - + + +
Low ECG voltage
RVMI
Electrical alternans
cardiac tamponade
CT MRI equalisation of diastolic pressures
T — CP—RC—-RVMI—ECP
3+__3+_______2+_____
What is EWART’S SIGN
Patch of dullness and increased fremiti in the angle of the scapula
Pericardial effusion
Beck’s triad
of cardiac tamponade
Hypotension
Soft or Absent Heart Sounds
Jugular Venous Distention
What is PULSUS PARADOXUS
greater than normal (10 mmHg) inspiratory decline in arterial pressures found in cardiac tamponade DD constrictive pericarditis hypovolemic shock COPD
Causes of chronic pericarditis
TB
Myxedema
SLE
RA
healing of acute fibrinous or serofibrinous pericarditis is followed by obliteration of the pericardial cavity and formation of granulation tissue
CHRONIC CONSTRICTIVE PERICARDITIS
what is KUSSMAUL’S SIGN
Venous pressure fails to decline during inspiration chronic constrictive pericarditis TS RVMI restrictive cardiomyopathy