Case 1: Difference between revisions
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(New page: =Case 1= A 46 year old male diagnosed with [http://en.wikipedia.org/w/index.php?title=Kahler%27s_disease Kahler's disease], complains of fast progressive dyspnea. Physical examination reve...) |
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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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Latest revision as of 19:36, 1 December 2023
Case 1
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 his 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.
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| An apical 4 chamber view of a swinging heart |
 enlarge |
Continue to Case 2