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11 Possible Causes for Increased Area of Cardiac Dullness, Pleural Effusion on Chest X-Ray, Pulsus Alternans

  • Congestive Heart Failure

    alternans (alternating large and small pulse pressures) and a raised JVP.[patient.info] The daily dosage was adjusted on the basis of the patient's clinical response and her follow-up chest x-ray studies.[ncbi.nlm.nih.gov] alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor See Presentation for more[emedicine.com]

  • Cardiomyopathy

    Cardiomyopathy refers to a clinical disease that involves the muscles of the heart. Cardiomyopathy usually causes the heart muscles to grow thicker, and more rigid than the normal myocardium. The progressive scarring of the heart muscle may sometimes replace the physiologic role of the normal myocardium. Patients[…][symptoma.com]

  • Dilated Cardiomyopathy

    Generalized enlargement of the heart is seen upon normal chest X-ray. Pleural effusion may also be noticed, which is due to pulmonary venous hypertension.[en.wikipedia.org] Pulsus alternans is an infrequent, complex pathophysiologic sign often associated with severe heart failure.[ncbi.nlm.nih.gov] Chest x-ray shows cardiomegaly, usually of all chambers.[merckmanuals.com]

  • Alcoholic Cardiomyopathy

    Leg elevation promptly reversed the pulsus alternans, and the echocardiographic abnormality.[ncbi.nlm.nih.gov] Blood tests will show signs of liver injury and confirm alcohol abuse, while chest X-ray shows pulmonary congestion, cardiomegaly and pleural effusions.[radcliffecardiology.com] Application of a small dose of glyceryl trinitrate paste (0.25 in) resulted in severe left ventricular dysfunction with the appearance of pulsus alternans in a patient with[ncbi.nlm.nih.gov]

  • Peripartum Cardiomyopathy

    Chest X-ray showed pulmonary interstitial edema, an increase in the cardiac silhouette and bilateral pleural effusion.[signavitae.com] Chest X-ray can be done only after delivery, and it can reveal cardiomegaly, pleural effusion, and pulmonary congestion, while MRI can be used to distinguish myocarditis and[frontiersin.org] Chest x-ray may reveal radiological signs of heart failure such as cardiomegaly, pulmonary congestion and pleural effusion.[joacc.com]

  • Suppurative Pericarditis

    Initial chest X-ray showed cardiomegaly, bibasilar and retrocardiac parenchymal opacities, without signs of pulmonary congestion or pleural effusion (Figure 1).[revistas.unal.edu.co] 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] alternans 交互脈 pulsus paradoxus 奇脈 pupillary reaction 瞳孔反応 pure gonadal dysgenesis 純型性腺形成不全 pure red cell aplasia 赤芽球癆 PRCA purified protein derivative 精製ツベルクリン PPD purine[jpeds.or.jp]

  • Cardiac Tamponade

    Pulsus paradoxus was 20 mmHg. The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] […] her chest X-ray.[dear-medic.jp] […] subacute/chronic cardiac tamponade. 5 Electrical alternans is present in less than 1/3 of patients with cardiac tamponade. 1 Pulsus paradoxus may occur in the setting of massive[emdocs.net]

  • Cardiomegaly

    Chest X - ray showed cardiomegaly and bilateral pleural effusion. 3.[sentencedict.com] […] shock: - pulmonaal: tachypnee, cyanose, longoedeem, cheyne- stokes ademhaling, sputum - cardiaal: gecombineerd met myocardischaemie of AMI, tachycardie, milde hypotensie, pulsus[medics4medics.com] alternans - bewustzijn: angst, verwardheid, vermoeidheid - chronisch hartfalen - linker hartfalen: - ademhaling: dyspnee, orthopnee, paroxysmale nocturale dyspnee, verminderde[medics4medics.com]

  • Pericardial Calcification

    The chest x-ray, however, was significant for a right-sided pleural effusion and pericardial calcification, suggestive of (CP).[intjem.springeropen.com] 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] Patients also should be hospitalized if they have pulsus paradoxus, electrical alternans on the ECG, or a large pericardial effusion.[aafp.org]

  • Pericarditis

    The chest X-ray showed a white lung on the left and the transthoracic ultrasound revealed a pericardial effusion, resulting in pericardial drainage and pleural puncture that[ncbi.nlm.nih.gov] 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] Patients also should be hospitalized if they have pulsus paradoxus, electrical alternans on the ECG, or a large pericardial effusion.[aafp.org]