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215 Possible Causes for Absent Apical Impulse, Diminished Heart Sounds, Pericardial Knock

  • Chronic Constrictive Pericarditis

    Signs may include hypotension, elevated jugular venous pressure (JVP) and diminished heart sounds (Beck's triad or acute compression triad described in 1935 with cardiac tamponade[patient.info] The beginning of this anomalous movement was coincident with the pericardial knock in the phonocardiogram and its peak was coincident with the simultaneously recorded deep[ncbi.nlm.nih.gov] CONSTRICTION RESTRICTION Prominent y descent in venous pressure Present Variable Paradoxical pulse 1/3rd of cases Absent Pericardial knock Present Absent Equal right- and[slideshare.net]

  • Pericardial Effusion

    On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds[eurheartj.oxfordjournals.org] See also constrictive pericarditis. pericardial friction rub see pericardial rub. pericardial knock an early diastolic sound caused by loss of pericardial elasticity accompanying[medical-dictionary.thefreedictionary.com] On auscultation, heart sounds were found to be diminished.[casesjournal.biomedcentral.com]

  • Cardiac Tamponade

    , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com] heart sounds.[emedicine.medscape.com]

  • Obesity

    In the United States, 36% of the population are clinically obese as of 2010. Obesity remains to be a looming major health crisis internationally where its prevalence rate is increasing rapidly especially in the first world countries worldwide. Obesity is technically defined as having a BMI of more than 30. BMI is an index[…][symptoma.com]

    Missing: Pericardial Knock
  • Morbid Obesity

    Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. We present a case report of a 56-year-old woman who underwent bariatric procedure followed by liver transplantation[…][ncbi.nlm.nih.gov]

    Missing: Pericardial Knock
  • Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.com] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

    Missing: Pericardial Knock
  • Acute Myocardial Infarction

    Heart On palpation, lateral displacement of the apical impulse, dyskinesis, a palpable S 4 gallop, and a soft S 1 sound may be found.[emedicine.medscape.com] These signs indicate diminished contractility of the compromised left ventricle.[emedicine.medscape.com]

    Missing: Pericardial Knock
  • Chronic Obstructive Pulmonary Disease

    Symptoms and signs may include: Fatigue Dyspnea Paroxysmal nocturnal dyspnea (PND) Chest tightness Wheezing Cough with sputum (mucoid and/or purulent) Fever Chest pain Workup consists of a detailed history, tests and physical examination. Laboratory Tests Complete blood count Arterial blood gases Serum[…][symptoma.com]

    Missing: Pericardial Knock
  • Pneumothorax

    Pneumothorax refers to a condition in which there is air in the pleural cavity. The pleural cavity is a very thin space between the visceral and parietal pleura of the lungs that usually contains minimal fluid. This abnormal air impairs normal ventilation and oxygenation giving a myriad of symptoms seen in pneumothorax.[…][symptoma.com]

    Missing: Pericardial Knock
  • Addison's Disease

    Adrenal insufficiency is a rare disease, but is life threatening when overlooked. Addison's disease may be an acquired form of adrenal insufficiency due to the destruction or dysfunction of the adrenal cortex. It affects both glucocorticoid and mineralocorticoid function. Main presenting symptoms of Addison's disease[…][ncbi.nlm.nih.gov]

    Missing: Pericardial Knock