Disease Information for Pericardial effusion

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Clinical Manifestations
Signs & Symptoms
PMI Displaced Lateral
Apical heart impulse/medial displacement
Apical impulse absent
Bilateral ankle swelling
Bilateral leg edema/swelling
Cardiac Symptoms/Signs
Cardiomegaly/Heart dilatation
Chest Pain
Chest pain, substernal/midline
Distended neck veins
Falling blood pressure/progessive/signs
Heart border dullness increased
Hepatojugular reflux
Jugular Veins Increased Volume
Jugular Venous Distension
Jugular venous pressure increased
Kussmaul venous pressure/Increases on inspiration/paradox
Left heart border/displaced left/percussion
Low Blood Pressure
Muffled heart sounds
Non-Pleuritic Chest Pain
Paradoxical pulse/Pulses paradoxicus
PMI inside left Cardiac Border
Postural Hypotension Non-neural
Quiet heart/soft sounds/distant
Tachycardia/Fast heart rate
Dysphagia Swallowing Difficulties
Palpable Liver/Hepatomegaly
Edema of Lower Extremities
Weak/Weak as a kitten (symptom)
Bronchial breath sounds
Consolidation left base/signs
Cough
Dullness to percussion lung base
Dyspnea
Dyspnea/upright position/platypnea
Ewarts sign/left lung base egophony
Localized dullness to percussion
Lung signs/abnormality
Orthopnea
Shortness of breath/SOB
Enervated/extreme acute fatigue
Weakness
Weakness non-neuromuscular/systemic
Demographics & Risk Factors
Established Disease Population
Patient/Pericarditis
Patient/Hypothyroidism (myxedema)
Laboratory Tests
Abnormal Lab Findings - Increased
Pericardial Fluid Abnormal
Diagnostic Test Results
Other Tests & Procedures
TEST/Cardiac output decreased/(Frick type/ice water/dye)
Isotope Scan
MUGA Scan/Diastolic first derivative slow
EKG (ECG)
EKG/Low voltage all leads (ECG)
EKG/Non-specific ST-T Wave changes (ECG)
EKG/Pericarditis-like ST-T segments (ECG)
EKG/ST elevation/no reciprocal depression (ECG)
EKG/ST-T changes (ECG)
EKG/Electrical alternans (ECG)
EKG/Low voltage/chest leads (ECG)
EKG/Low voltage/limb leads (ECG)
CT Scan
CT Scan/Mediastinal Abnormality/Chest
X-RAY
Fluoroscopy/Ventricular pulse diminished force
Xray/Cardiomegaly/Chest
Xray/Chest abnormal
Xray/Large heart shadow/Chest
Xray/Pseudocardiomegaly/Chest
Xray/Azygos vein enlarged/Chest
Xray/Chest film/extrapulmonary abnormal
Xray/Chest/Lung fields/Abnormal
Xray/Pleural fluid/Chest
Xray/Water bottle heart silhouette/Chest
Xray/Wide mediastinum/Chest
X-RAY With contrast
UGI/Esophagus extrinsic defect
Ultrasound
Echo/Distended IVC/Vena cava
Echo/Echocardiogram Abnormal
Echo/Normal IVC collapse absent
Echo/Pericardial disease
Echo/Pericardial fluid
Ultrasound/IVC Fails Collapse on Inspiration
Associated Diseases & Rule outs
Rule Outs
Cardiomyopathy, congested
Associated Disease & Complications
Cardiogenic shock
Compression of Esophagus/Extraluminal
Edema
Hypotension
Orthostatic hypotension syndrome
Pericardial effusion
Pleural Effusion
Tamponade, cardiac/pericardial
Cardiac death, sudden
Disease Mechanism & Classification
Class
CLASS/Cardiovascular (category)
CLASS/Pericardial disorder (ex)
CLASS/Serosal disorder (ex)
Pathophysiology
Pathophysiology/Diastolic-type heart failure/poor filling
Pathophysiology/High cardiac filling pressures/venous return
Process
PROCESS/Reference organ/system (category)
PROCESS/Structural/anatomic/foreign body (category)
Treatment
Other Treatments
TX/Pericardiocentesis.
Definition

An abnormal collection of fluid inside the sac that covers the heart.

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External Links Related to Pericardial effusion
Google
Wikipedia
Merck
Images
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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