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14 Possible Causes for Diminished Heart Sounds, Pericardial Knock, Pleural Effusion on Chest X-Ray

  • Chronic Constrictive Pericarditis

    X-Ray - pericardial calcification (common but not specific), pleural effusions are common findings. [9] Echocardiography - the principal echographic finding is changes in[en.wikipedia.org] 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

    Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion.[ncbi.nlm.nih.gov] 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

    Chest X-ray may reveal diseases such as malignancies, sarcoidosis, or several infections, which may be the cause of acute pericarditis.[escardio.org] 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]

  • 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] […] her chest X-ray.[dear-medic.jp] knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant percussion Treatment Management approach all approaches focus on removal[medbullets.com]

  • Constrictive Pericarditis

    Transthoracic echocardiogram (TTE) demonstrated cardiac tamponade, and chest X-ray showed pleural effusion.[ncbi.nlm.nih.gov] 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] Pericardial Knock (Constrictive Pericarditis) The early diastolic sound of pericardial constriction occurs slightly earlier than the average third heart sound.[podbay.fm]

  • Pericardial Calcification

    The chest x-ray, however, was significant for a right-sided pleural effusion and pericardial calcification, suggestive of (CP).[intjem.springeropen.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]

  • Ascites

    Heart auscultation was normal. Lung auscultation detected diminished breath sounds at the lower right lung.[scielo.isciii.es] x-ray may show pleural effusion or HF Ascitic Tap ( click here for details on how to perform and interpret an ascitic tap ) A diagnostic paracentesis, when only about 20[oxfordmedicaleducation.com] Examination showed elevated jugular venous pressure with two prominent descents, high pitched diastolic heart sound (pericardial knock).[ncbi.nlm.nih.gov]

  • Pericardial Friction Rub

    A predominant left-sided pleural effusion and a lucent area in the vicinity of the pericardium—the pericardial fat strips—on the chest x-ray film are suggestive but not diagnostic[tele.med.ru] […] 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]

  • Radiation Pericarditis

    PPD test was positive (15 mm) and chest X-ray showed bilateral pleural effusion and a calcified pericardium ( Figures 2a and 2b ).[alliedacademies.org] 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]