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15 Possible Causes for Diminished Heart Sounds, Hepatojugular Reflux, 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] Patients present with findings of right-sided heart failure, including peripheral edema, jugular venous distension, hepatojugular reflux, hepatomegaly, and ascites.[cancertherapyadvisor.com]

  • 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] reflux Tachypnea Decreased breath sounds Ewart sign: Dullness to percussion beneath the angle of left scapula Hepatosplenomegaly Weakened peripheral pulses, edema, and cyanosis[emedicine.medscape.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]

  • 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]

  • Acute Pericarditis

    reflux Peripheral edema ; or anasarca, ascites with abdominal discomfort Symptoms of reduced cardiac output ( forward failure ) Fatigue, dyspnea on exertion Tachycardia Pericardial[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]

  • 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] Patients present with findings of right-sided heart failure, including peripheral edema, jugular venous distension, hepatojugular reflux, hepatomegaly, and ascites.[clinicaladvisor.com] Pericardial Knock (Constrictive Pericarditis) The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound.[podbay.fm]

  • Malignant Pericardial Effusion

    reflux Tachypnea Decreased breath sounds Ewart sign: Dullness to percussion beneath the angle of left scapula Hepatosplenomegaly Weakened peripheral pulses, edema, and cyanosis[emedicine.medscape.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] […] following: Classic Beck triad of pericardial tamponade: Hypotension, muffled heart sounds, jugular venous distention Pulsus paradoxus Pericardial friction rub Tachycardia Hepatojugular[emedicine.medscape.com]

  • Pericardial Calcification

    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] Physical examination revealed increased jugular venous pressure (14 cm of water), ascites along with presence of Kussmaul sign and pericardial knock.[jacpjournal.org] knock Hepatosplenomegaly, ascites, edema Test: CXR – small heat /- pericardial calcification ECHO Cardiac catheterization Management : surgical excision Cardiac tamponade[wikilectures.eu]

  • Pericardial Friction Rub

    […] volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated Holodiastolic murmur Increased area of cardiac dullness Irregular[icd9data.com] reflux Peripheral edema ; or anasarca, ascites with abdominal discomfort Symptoms of reduced cardiac output ( forward failure ) Fatigue, dyspnea on exertion Tachycardia Pericardial[amboss.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]

  • Distended Neck Veins

    , 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] Hepatojugular reflux. 15. Resources : Bates, A Guide to Physical Exam. “ Nurses Informations”[slideshare.net] A sharp heart sound called a “pericardial knock” is heard in early diastole. Unless other problems are present, the lungs are usually clear on auscultation.[aafp.org]

  • Radiation 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] This includes a pericardial knock Pericardial rub (heard best while leaning forwards) and distant heart sounds Abdomen Hepatomegaly Ascites Extremities Ankle edema Electrocardiogram[wikidoc.org] Auscultation of the heart may reveal a loud diastolic sound - pericardial "knock", produced by abrupt cessation of ventricular filling by the stiff pericardium.[brown.edu]

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