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Cases and Examples: Difference between revisions
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=Case 1:= | =Case 1:= | ||
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. | 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 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 | |||
Image | |||
The apical 4 chamber echocardiogram shows severe pericardiual effusion and a swinging heart. | |||
=Case 2:= | =Case 2:= | ||
[[TTE]] | [[TTE]] | ||
*[[2 chamber short axis]] | *[[2 chamber short axis]] | ||