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(New page: A 46 year old male diagnosed with [http://en.wikipedia.org/w/index.php?title=Kahler%27s_disease&redirect=no Kahler's disease], complains of fast progressive dyspnea. Physical examination r...) |
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The apical 4 chamber echocardiogram shows severe pericardial effusion and a swinging heart. | The apical 4 chamber echocardiogram shows severe pericardial effusion and a swinging heart. | ||
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|Description=An apical 4 chamber view of a swinging heart | |Description=An apical 4 chamber view of a swinging heart | ||
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Revision as of 22:45, 14 November 2013
A 46 year old male diagnosed with Kahler's disease, complains of fast progressive dyspnea. Physical examination reveals tachcardia (140 beats per minute). Upon measuring hois blood pressure the nurse notices a pulsus paradoxus of 30 mm Mercury. Further examination shows decreased lung sounds on the right and dampened percussion on his back on both sides.
You see the ECG which shows a tachcardia and a pulsus alternans, typical for pericarditis
The apical 4 chamber echocardiogram shows severe pericardial effusion and a swinging heart.
| <html5media height="300" width="400" autoplay="true" loop="true">File:example.mp4</html5media> |
| An apical 4 chamber view of a swinging heart |
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