increased JVP Fever infection due to accumulation of excess fluid Physical Exam

Increased jvp fever infection due to accumulation of

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increased JVP Fever (infection due to accumulation of excess fluid) Physical Exam Diminished heart sounds Friction rub Beck’s Triad/Acute compression triad (Increased JVP, hypotension, and diminished heart sound Ewart sign/Pins sign (with large pericardial effusions- described as the area of dullness) Dysphoria (restless body movements, unusual facial expressions, sense of impending death) 1/15/2018 13
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It is an emergency condition wherein fluid accumulates around the heart and impairs its ability to pump blood. The signs are low arterial blood pressure, distended neck veins, and distant, muffled heart sounds. 1/15/2018 14
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Ewart's sign is a set of finding on physical examination in people with large collections of fluid around their heart (pericardial effusions). 1/15/2018 15
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Tamponade is a Clinical Diagnosis Other Detection Methods ECG ECHO (to visualize ventricular and atrial compression abnormality, swinging of heart in sac) CT MRI CXR (Development of a “flask” or “H2O - bottle” shaped heart) 1/15/2018 16
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If mild , can sometimes treat with medications including 1 or more of the following: NSAIDs, and/or steroids, depending on the suspected cause. Most require urgent/emergent pericardiocentesis (aspiration of fluid) 1. Closed pericardiocentesis ( cath lab or at bedside, Fluoroscopic guidance-intrapericardial catheter) 2. Open Pericardiocentesis in the OR ( Balloon pericardiotomy) 1/15/2018 17
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  • Fall '19
  • Cardiology, left ventricle, cardiac tamponade, Weak pulse,  Heart

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