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Purulent Pericarditis; Echocardiogram showing pericardial effusion with signs of cardiac tamponade: Specialty: Cardiology: Symptoms: substernal chest pain (exacerbated supine and with breathing deeply), dyspnea, fever, rigors/chills, and cardiorespiratory signs (i.e., tachycardia, friction rub, pulsus paradoxus, pericardial effusion, cardiac tamponade, pleural effusion)
A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. [1] Pericardial effusions can cause cardiac tamponade in acute settings with fluid as little as 150mL. In chronic settings, however, fluid can accumulate anywhere up to 2L before an effusion causes cardiac tamponade.
The pericardial rub is said to be generated from the friction generated by the two inflamed layers of the pericardium; however, even a large pericardial effusion does not necessarily present a rub. The rub is best heard during the maximal movement of the heart within the pericardial sac, namely, during atrial systole , ventricular systole, and ...
Water Bottle Heart is a descriptive term used in radiology to describe the appearance of the cardiac silhouette on a chest X-ray when it resembles the shape of a water bottle. This sign is associated with pericardial effusion , a medical condition characterized by the accumulation of fluid in the pericardial cavity surrounding the heart.
The differential diagnoses of Kussmaul's sign includes constrictive pericarditis, restrictive cardiomyopathy, pericardial effusion, and severe right-sided heart failure. [ citation needed ] With cardiac tamponade , jugular veins are distended and typically show a prominent x descent and an absent y descent as opposed to patients with ...
Viral causes include coxsackievirus, herpesvirus, mumps virus, and HIV among others. [4] Also observed by James Blachly, Strep Throat can also cause pericarditis due to the heart sac filling up. Pneumococcus or tuberculous pericarditis are the most common bacterial forms. Anaerobic bacteria can also be a rare cause. [13]
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