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97 Possible Causes for Cardiomegaly, Diminished Heart Sounds

  • Rheumatic Fever

    Chest X-ray: Chest X-ray will either be normal or will show signs of cardiomegaly, pulmonary edema and/or increased pulmonary vascularity.[symptoma.com] A 7-y-old girl presented with prolonged fever, arrhythmia and cardiomegaly during the treatment course of group A beta-haemolytic streptococcal pharyngitis.[ncbi.nlm.nih.gov] Cardiomegaly is the most common radiological abnormality and ECG changes may show heart block but echocardiography is the most sensitive and shows pancarditis.[pedclerk.bsd.uchicago.edu]

  • Rheumatic Heart Disease

    Plain radiograph pericardial calcification pulmonary oedema pulmonary ossification : due to mitral valve disease 4 cardiomegaly global cardiomegaly from a dilated cardiomyopathy[radiopaedia.org] Oral prednisone is useful in patients with severe form of carditis, characterized by cardiomegaly and congestive heart failure.[symptoma.com] (i) Cardiomegaly is present when: (A) Left ventricular diastolic dimension or systolic dimension is greater than 2 standard deviations above the mean for the child’s body[ssa.gov]

  • Cardiac Tamponade

    She was tachycardic and hypotensive with cardiomegaly on a chest X-ray.[ncbi.nlm.nih.gov] , 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] CONCLUSIONS: Among patients with cardiac tamponade, a minority will not have dyspnea, tachycardia, elevated jugular venous pressure, or cardiomegaly on chest radiograph.[scholar.harvard.edu]

  • Myxedema

    Cardiomegaly is common, and is thought to be due to either pericardial effusion or underlying heart disease and not to ventricular dilation induced by hypothyroidism.[emjournal.net] If cardiomegaly is present, an echocardiogram should be obtained to rule out a pericardial effusion.[aafp.org] The presence or absence of cardiomegaly on x-ray film is not a reliable indicator of a pericardial effusion, and echocardiography is the best way to identify a pericardial[emjournal.net]

  • Cardiomyopathy

    Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram[ncbi.nlm.nih.gov] In very few people with cardiomegaly and severe congestive heart failure , a heart transplant may be recommended.[m.webmd.com] Pulmonary venous congestion No cardiomegaly No or mild cardiomegaly Hemodynamics Normal or high EDP, low EF, diffusely dilated hypokinetic ventricles AV valve regurgitation[merckmanuals.com]

  • Pericardial Effusion

    Conclusions Among patients with cardiac tamponade, a minority will not have dyspnea, tachycardia, elevated jugular venous pressure, or cardiomegaly on chest radiograph.[jamanetwork.com] 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] On auscultation, heart sounds were found to be diminished.[casesjournal.biomedcentral.com]

  • Acute Myocardial Infarction

    […] physical examination, EKG–sensitivity in diagnosing AMI is 50–70%, and is lower in lateral MIs than in anterior and inferior MIs; CXR may demonstrate left ventricular failure, cardiomegaly[medical-dictionary.thefreedictionary.com] 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]

  • Pericardiocentesis

    Cardiomegaly (not usually present) 2. If pneumopericardium, lucency surrounding cardiac border Contraindications a.[neoreviews.aappublications.org] The electrocardiogram displayed diffuse low voltage QRS and the chest x-ray, general cardiomegaly.[revespcardiol.org] The chest X-ray demonstrated cardiomegaly without pulmonary venous congestion or infectious lesions.[dx.doi.org]

  • Hemopericardium

    Six weeks later, she was hospitalized after complaints of weakness and dizziness, and a chest radiograph revealed cardiomegaly.[ncbi.nlm.nih.gov] Chest X-ray showed marked cardiomegaly. Echocardiography revealed massive pericardial effusion and a large left ventricular aneurysm.[ncbi.nlm.nih.gov] […] acute Imaging findings Conventional radiography Suggestive but not usually diagnostic "Water bottle configuration" is symmetrically enlarged cardiac silhouette Major DDX is cardiomegaly[learningradiology.com]

  • Malignant Pericardial Effusion

    An anteroposterior chest radiograph showed cardiomegaly (Panel A).[nejm.org] Panel A: Cardiomegaly with water bottle shape shown before procedure. Panel B: resolution after drainage of 1.8 L of pericardial fluid. Figure 3.[swjpcc.com] […] and symptomatic (e.g. malignancy) then pericardial fenestration can be performed. haemopericardium : has higher attenuation on CT and often a different clinical context cardiomegaly[radiopaedia.org]

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