Case 1

Revision as of 15:24, 3 October 2007 by Vdbilt (talk | contribs) (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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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

 
ECG of a patient with pericarditis carcinomatosa and tamponade


The apical 4 chamber echocardiogram shows severe pericardial effusion and a swinging heart.

<flash>file=Swingingheart.swf
An apical 4 chamber view of a swinging heart
 enlarge

 download avi file to use in your powerpoint presentation


Continue to Case 2