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29 Possible Causes for Electrical Alternans, Hepatomegaly, Tuberculous Pericarditis

  • 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] […] pericardial effusion produces a triad of: Low QRS voltage Tachycardia Electrical alternans ECG findings with Electrical alternans Electrical alternans occurs when consecutive[lifeinthefastlane.com] Abstract Diagnosis of tuberculous pericarditis remains a challenge.[ncbi.nlm.nih.gov]

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[symptoma.com] Electrical alternans – i.e the beat-to-beat variation i electrical amplitude – is the ECG hallmark of cardiac tamponade.[ecgwaves.com] All patients had low CD4 cell count (range: 17-239 cells/mm3) and 50% of patients were treated for tuberculous pericarditis prior to making the correct diagnosis of Nocardia[ncbi.nlm.nih.gov]

  • Malignant Pericardial Effusion

    Problems Fever – low grade 15 days B/L pleural effusion more on Left side Pericardial Effusion Ascites Hepatomegaly On ATT. 9.[slideshare.net] EKG showing sinus tachycardia, low QRS voltage and electric alternans, suggesting pericardial effusion. Figure 2. C hest X-ray pre- and post-pericardiocentesis.[swjpcc.com] ., Diagnosing tuberculous pericarditis. QJM, 2006; 99(12):827-39. 13. FIOCCO M., KRASNA M.J., The management of malignant pleural and pericardial effusions.[degruyter.com]

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[doi.org] In cardiac tamponade, the ECG shows electrical alternans as the heart “floats” in relation to the recording leads.[aafp.org] However, it takes a period of time from tuberculous pericarditis to constrictive pericarditis.[casesjournal.biomedcentral.com]

  • Constrictive Pericarditis

    Examination revealed raised jugular venous pressure (JVP), pitting pedal oedema, muffled heart sounds, bilateral pleural effusion and hepatomegaly.[ncbi.nlm.nih.gov] Abnormal findings on ECG include tachycardia, electrical alternans ( Figure 9 ), low voltage, and may include changes associated with acute pericarditis ( Figure 6 ).[clevelandclinicmeded.com] After a pericardiectomy done to restore cardiac compensation and to identify etiological factors, a tuberculous pericarditis (TBP) was diagnosed.[ncbi.nlm.nih.gov]

  • Chronic Constrictive Pericarditis

    On physical examination they had tachycardia, jaundice, cachexia, elevated jugular venous pressure, hepatomegaly and ascites.[ncbi.nlm.nih.gov] In cardiac tamponade, the ECG shows electrical alternans as the heart “floats” in relation to the recording leads.[aafp.org] Two of these cases were initially treated as tuberculous pericarditis.[ncbi.nlm.nih.gov]

  • Pericardial Calcification

    Most impressive physical findings are often the insidious development of ascites or hepatomegaly and ascites; such patients are often mistakenly thought to suffer from hepatic[learningradiology.com] alternans ECHO – diagnostic, echo-free zone around the heart, diastolic collapse of RA&RV Management : Seek expert help Urgent drainage Send fluid for culture, ZN stain/TB[wikilectures.eu] Jugular veins are prominent, hepatomegaly, ascites and edema are noted.[brown.edu]

  • Pericardial Disorder

    Additionally, there may be pulsatile hepatomegaly (in as many as 70% of patients), reduced apical impulse and a pericardial 'knock' (early diastolic sound).[patient.info] C, Beat-to-beat variations in amplitude and contour of the QRS and ST-T complexes that characterize electrical alternans.[veteriankey.com] A Acute pericarditis C Cardiac tamponade Constrictive pericarditis H Hemopericardium M Myopericarditis P Pericardial effusion Pericarditis Pneumopericardium T Tuberculous[en.wikipedia.org]

  • Radiation Pericarditis

    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] In cardiac tamponade, the ECG shows electrical alternans as the heart “floats” in relation to the recording leads.[aafp.org] Tuberculous pericarditis: a case report.[alliedacademies.org]

  • Suppurative Pericarditis

    Early complaints of constrictive pericarditis are shortness of breath on exertion, recurrent chest pain and or symptoms of right-sided heart failure with venous congestion, hepatomegaly[biomedsearch.com] Electrical alternans. 3. Chest-X-ray. Cardiac shadow will be enlarged, if pericardial effusion is more than 250ml.[drnajeeblectures.com] Objective To improve the diagnosis and treatment of constrictive tuberculous pericarditis ( CTP ). 22.[sentencedict.com]

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