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13 Possible Causes for Cardiomegaly on Chest X-ray, Diminished Heart Sounds, Pericardial Knock

  • Chronic Constrictive Pericarditis

    Chest X-ray showed cardiomegaly and a small right- sided pleural effusion. Echocardiogram confirmed the presence of a large pericardial effusion which was drained.[nature.com] 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]

  • Pericardial Effusion

    We suggest that any patient who develops chest pain, tachycardia, cardiomegaly on chest X-ray or has signs of hypoxemia should be evaluated for PEF through echocardiography[nature.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] 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]

  • Acute Pericarditis

    Accordingly, patients present with fatigue, jugular vein distention, peripheral edema, and a characteristic pericardial knock on auscultation, caused by a sudden stop in ventricular[amboss.com] Early diastolic heart sound (pericardial knock)? Bilateral pleural effusions?[clinicaladvisor.com] knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.com]

  • 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] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com]

  • Malignant Pericardial Effusion

    EKG showed sinus tachycardia, low QRS voltage with electric alternans (Figure 1), and chest x-ray demonstrated cardiomegaly with a water bottle shaped heart (Figure 2A), suggesting[swjpcc.com] knock (60–200 msec after the second heart sound), which is caused by sudden termination of ventricular inflow by the encasing pericardium.[clevelandclinicmeded.com] Constrictive effusive pericarditis consists of a tense pericardial effusion in the presence of pericardial constriction, and both tamponade and constrictive signs and symptoms[clevelandclinicmeded.com]

  • Pericarditis

    Bilateral pleural effusion, patchy infiltration at right middle lung field, and cardiomegaly were noted on chest X-ray (Figure 1A ).[casesjournal.biomedcentral.com] […] dullness, diminished or absent apical impulse, and distant heart sounds.[healthcentral.com] knock. [11] Treatment [ edit ] The definitive treatment for constrictive pericarditis is pericardial stripping, which is a surgical procedure where the entire pericardium[en.wikipedia.org]

  • Pericardial Friction Rub

    X Ray Depending upon the underlying cause and if an effusion is present, the chest x-ray may show signs of cardiomegaly Echocardiography or Ultrasound If there is a clinical[wikidoc.org] […] volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated Holodiastolic murmur Increased area of cardiac dullness Irregular[icd9data.com] 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]

  • S3 Gallop

    x-ray Cardiomegaly Pleural effusion Echo/Cardiac Cath Cardiomegaly Reduced systolic function High diastolic pressure Low cardiac output Treatment Lower blood pressure ACE[physicianassistantexamreview.com] A) enlarged/sustained LV impulse B) parasternal lift C) S3 gallop D) palpable thrill E) diminished first heart sound Which of the following is a very common physical exam[quizlet.com] knock'.[popflock.com]

  • Suppurative Pericarditis

    From the signs of heart failure and cardiomegaly on chest X-ray the differential diagnosis of myocardial disease or pericardial effusion was made.[ncbi.nlm.nih.gov] On auscultation the heart sounds I, II were distant and no murmurs were heard.[biomedsearch.com] Sometimes a patient with pericarditis has an early diastolic sound or pericardial knock, which can be confused with a third heart sound (S3).[tele.med.ru]

  • Post-Infarction Pericarditis

    X ray anterior-posterior view (bedside) showing cardiomegaly with evidence of pulmonary oedema and bilateral pleural effusions Percutaneous pericardiocentesis was attempted[bmccardiovascdisord.biomedcentral.com] heart sounds, or a pericardial rub.[mededmasters.com] knock Peripheral edema Ascites Diagnosis of constrictive pericarditis EKG-non-specific ST and T wave changes Chest xray-calcification Transthoracic echo** IMPORTANT with[quizlet.com]