Constrictive pericarditis physical examination: Difference between revisions
Jump to navigation
Jump to search
(New page: {{Template:Pericardial constriction}} {{CMG}} ==Physical Examination== The physical examination may show that your neck veins protrude, suggesting increased blood pressure in the area. T...) |
No edit summary |
||
| Line 4: | Line 4: | ||
==Physical Examination== | ==Physical Examination== | ||
===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) | |||
*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. | |||
==Sources== | ==Sources== | ||
Revision as of 17:43, 6 July 2011
Template:Pericardial constriction Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
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.