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123 Possible Causes for Diminished Heart Sounds, Pleural Effusion

  • 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] Pleural effusion occurs in 44–50% of patients with CP [ 4 , 20 ].[hindawi.com] The patients experienced dyspnea with bilateral lower-limb edema and pleural effusion, suggesting right cardiac dysfunction.[ncbi.nlm.nih.gov]

  • 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] Pleural fluid accumulation persisted despite a tube thoracostomy for pleural effusion drainage.[ncbi.nlm.nih.gov] On auscultation, heart sounds were found to be diminished.[casesjournal.biomedcentral.com]

  • Myxedema

    Fluid accumulation may cause pleural effusions and decreased diffusing capacity.[emedicine.medscape.com] effusion and pericardial effusions); the heart may slow down and its ability to pump blood forward can be impaired; the gastrointestinal tract does not function well and[rxlist.com] Doctors may also conduct a Chest X-Ray, which can clearly display enlargement of heart or pleural effusions.[hxbenefit.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] White arrow: right atrial collapse due to pleural effusion. Black arrow: minimal pericardial effusion.[revespcardiol.org] heart sounds.[emedicine.medscape.com]

  • Cardiomyopathy

    Associated pleural effusions may also be seen.[radiopaedia.org] Some patients will also have pleural effusions detected by decreased breath sounds at the bases and dullness to percussion.[clinicaladvisor.com] Common abnormalities seen on the chest radiograph include cardiomegaly, interstitial edema, pleural effusion(s), and evidence of previous sternotomy (sternal wires).[clevelandclinicmeded.com]

  • Tension Pneumothorax

    You hear diminished breath sounds on the right side. His oxygen saturation is dropping. A bedside x-ray is taken and reveals the following in Figure A.[medbullets.com] Unexplained and rapidly progressive pleural effusions have been associated with this entity.[ncbi.nlm.nih.gov] Differential diagnosis Pleural effusion tends to be slower in onset and there is dullness on percussion.[patient.info]

  • Pericardiocentesis

    Diminished heart sounds 3. Increased jugular venous pressure 4. Tachycardia 5. Pulsus paradoxus ii.[neoreviews.aappublications.org] Chest X-ray 4  Massive Right sided pleural effusion ? Mild cardiomegaly ??[slideshare.net] The main differential diagnosis is pleural effusion, which appears on sonography, a fluid layer surrounding the lungs.[emjreviews.com]

  • Pericardial Cyst

    Herein, we present a case of pericardial cyst compressing the left atrium complicated by a pericardial effusion and pleural effusion in a 62 year-old man with chest discomfort[ncbi.nlm.nih.gov] Atelectasis, lymphadenopathy, or pleural effusion may be an associated finding. Diaphragmatic eventration is nonparalytic weakening of the hemidiaphragm.[aafp.org] […] a pleural effusion outside it.[emedmd.com]

  • Ventricular Aneurysm

    , and/or diminished heart sounds are revealed) might reveal crucial findings to make the initial diagnosis.[symptoma.com] effusions and subcutaneous edema at 27 wks.[fetalultrasound.com] There was also marked aortic calcification and bilateral pleural effusions.[scmr.org]

  • Pneumothorax

    Finally, among women with endometriosis-related pleural effusion (median age, 30 years; range, 25 to 42), surgical treatment was represented by evacuation of the pleural effusion[ncbi.nlm.nih.gov] Indications for outpatient drainage therapy were pneumothorax without circulatory or respiratory failure and pleural effusion.[ncbi.nlm.nih.gov] The primary problem is not the pleural effusion, but rather the fact that the lung cannot expand.[emcrit.org]

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