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
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
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
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
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