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Differential Diagnosis For Paradoxical pulse/Pulses paradoxicus

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List of current finding(s):

Iatrogenic, Self Induced Disorders
Positive pressure respirator treatment
Allergic, Collagen, Auto-Immune Disorders
Asthma
Anatomic, Foreign Body, Structural Disorders
Hemopericardium
Tamponade, cardiac
Pericardial effusion
Heart rupture/ventricular wall
Cardiomyopathy, restrictive
Pericarditis, chronic constrictive
Arteriosclerotic, Vascular, Venous Disorders
Right ventricle infarction
Reference to Organ System
Hypovolemic shock
Congestive heart failure
Emphysema/COPD/Chronic lung disease
Pathophysiologic
Hypovolemic status
Synonyms
Blood pressure systolic inspiratory decreased, Finding of paradoxical pulse volume, Finding of paradoxical pulse volume (finding), Kussmaul pulse, Kussmauls sign positive, Kussmaul's sign positive, Paradoxical pulse, Paradoxical pulse volume, Paradoxical pulse volume finding, Positive Kussmauls sign, Positive Kussmaul's sign, PULSE PARADOXICAL, Pulsus paradoxus, Pulsus paradoxus (finding)
Definition

A decrease of 10-12 mm Hg or more in the first appearance of Korotkoff Phase I sounds in expiration compared with when the Karotkoff Phase I sounds are heard continually in inspiration. Pericardial tamponade pathophysiology is likely with this sign.

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External Links Related to Paradoxical pulse/Pulses paradoxicus
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PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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