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10 Possible Causes for Diminished Heart Sounds, Increased Area of Cardiac Dullness, Pericardial Knock

  • Pericardial Effusion

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.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]

  • 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]

  • Malignant Pericardial Effusion

    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] […] pressure on inspiration), which is sensitive but not specific for constrictive pericarditis. 23 Auscultation may reveal muffled heart sounds and occasionally a characteristic pericardial[clevelandclinicmeded.com]

  • Pericardial Friction Rub

    area of cardiac dullness Irregular tachycardia Loud first heart sound Mid-systolic click On examination - 2nd heart sound split On examination - apex beat displaced -LVH[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] Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[tele.med.ru]

  • Pericardial Calcification

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.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] Physical examination revealed increased jugular venous pressure (14 cm of water), ascites along with presence of Kussmaul sign and pericardial knock.[jacpjournal.org]

  • Suppurative Pericarditis

    Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[tele.med.ru] On auscultation the heart sounds I, II were distant and no murmurs were heard.[biomedsearch.com] Kussmaul's sign A paradoxical increase in venous distention and pressure during inspiration. Finding associated with cardiac tamponade.[atsu.edu]

  • Radiation Pericarditis

    Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[tele.med.ru] 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]

  • Post-Infarction Pericarditis

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.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]

  • Pericarditis

    Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.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]

  • Heart Murmur

    area of cardiac dullness Irregular tachycardia Loud first heart sound Mid-systolic click On examination - 2nd heart sound split On examination - apex beat displaced -LVH[icd9data.com] […] volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated Holodiastolic murmur Increased area of cardiac dullness Irregular[icd9data.com] […] friction rub On examination - pericardial rub present On examination - third heart sound Opening snap Pericardial friction rub Pericardial knock Pleural friction fremitus[icd9data.com]