Constrictive pericarditis physical examination: Difference between revisions
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{{ | __NOTOC__ | ||
{{CMG}} | {{Constrictive pericarditis}} | ||
{{CMG}}; {{AE}} {{Hudakarman}} | |||
==Overview== | |||
Physical findings of patients with constrictive pericarditis may include general, cardiovascular and other organ systemic findings. General findings could be indistinct or could include muscle wasting, [[cachexia]], or [[jaundice]]. Cardiovascular Findings include [[sinus tachycardia]], distant or muffled heart sounds, pericardial knock, [[cardiac murmur]], pulsus paradoxicum (paradoxus), [[kussmaul sign]] (elevation of systemic venous pressures with inspiration). Other systemic findings include [[hepatomegaly]], [[spider angiomata]], [[palmar erythema]], [[peripheral edema]]. | |||
==Physical Examination== | ==Physical Examination== | ||
Physical findings of patients with constrictive pericarditis may include general, cardiovascular and other organ systemic findings <ref name="pmid22493608">{{cite journal| author=Sohn DW| title=Constrictive Pericarditis as a Never Ending Story: What's New? | journal=Korean Circ J | year= 2012 | volume= 42 | issue= 3 | pages= 143-50 | pmid=22493608 | doi=10.4070/kcj.2012.42.3.143 | pmc=3318085 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22493608 }}</ref> | |||
===General Findings=== | ===General Findings=== | ||
The physical examination may show that your neck veins protrude, suggesting increased blood pressure in the area. This condition is called Kussmaul's sign. During the physical examination the doctor may note weak or distant heart sounds when listening with a stethoscope. | The physical examination may show that your neck veins protrude, suggesting increased blood pressure in the area. This condition is called Kussmaul's sign. During the physical examination the doctor may note weak or distant heart sounds when listening with a stethoscope. | ||
*Indistinct physical findings (early findings) | *Indistinct physical findings (early findings) | ||
* | *Muscle wasting, [[cachexia]], or [[jaundice]] (advanced findings) | ||
*Pericardial constriction could be present with symptoms such as: [[pleural effusion]], [[hepatomegaly]], [[jugular venous distention]], or [[ascites]]. | *Pericardial constriction could be present with symptoms such as: [[pleural effusion]], [[hepatomegaly]], [[jugular venous distention]], or [[ascites]]. | ||
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*[[Sinus tachycardia]] | *[[Sinus tachycardia]] | ||
*Distant or muffled heart sounds | *Distant or muffled heart sounds | ||
* | *Pericardial knock | ||
*[[Cardiac murmur]] | *[[Cardiac murmur]] | ||
*Pulsus paradoxicum (paradoxus) | *Pulsus paradoxicum (paradoxus) | ||
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The physical exam may also reveal liver swelling and fluid in the belly area. | The physical exam may also reveal liver swelling and fluid in the belly area. | ||
== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Up-To-Date cardiology]] | |||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 18:24, 27 December 2019
Constrictive Pericarditis Microchapters |
Differentiating Constrictive Pericarditis from other Diseases |
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Treatment |
Case Studies |
Constrictive pericarditis physical examination On the Web |
American Roentgen Ray Society Images of Constrictive pericarditis physical examination |
Risk calculators and risk factors for Constrictive pericarditis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Huda A. Karman, M.D.
Overview
Physical findings of patients with constrictive pericarditis may include general, cardiovascular and other organ systemic findings. General findings could be indistinct or could include muscle wasting, cachexia, or jaundice. Cardiovascular Findings include sinus tachycardia, distant or muffled heart sounds, pericardial knock, cardiac murmur, pulsus paradoxicum (paradoxus), kussmaul sign (elevation of systemic venous pressures with inspiration). Other systemic findings include hepatomegaly, spider angiomata, palmar erythema, peripheral edema.
Physical Examination
Physical findings of patients with constrictive pericarditis may include general, cardiovascular and other organ systemic findings [1]
General Findings
The physical examination may show that your neck veins protrude, suggesting increased blood pressure in the area. This condition is called Kussmaul's sign. During the physical examination the doctor may note weak or distant heart sounds when listening with a stethoscope.
- Indistinct physical findings (early findings)
- Muscle wasting, cachexia, or jaundice (advanced findings)
- Pericardial constriction could be present with symptoms such as: pleural effusion, hepatomegaly, jugular venous distention, or ascites.
Cardiovascular Findings
- Sinus tachycardia
- Distant or muffled heart sounds
- Pericardial knock
- Cardiac murmur
- Pulsus paradoxicum (paradoxus)
- Kussmaul sign (elevation of systemic venous pressures with inspiration)
Kussmaul sign can also be a symptom for patients with right ventricular failure, restrictive cardiomyopathy, right ventricular infarction, and tricuspid stenosis.
Other Organ System Findings
- Hepatomegaly in about 70% of patients
- Spider angiomata
- Palmar erythema
- Peripheral edema (less prevalent in younger patients)
The physical exam may also reveal liver swelling and fluid in the belly area.
References
- ↑ Sohn DW (2012). "Constrictive Pericarditis as a Never Ending Story: What's New?". Korean Circ J. 42 (3): 143–50. doi:10.4070/kcj.2012.42.3.143. PMC 3318085. PMID 22493608.