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. | ||
{{IncludeFlash | {{IncludeFlash | ||
|flash_string=< | |flash_string=<html5media height="350" width="279" autoplay="true" loop="true">File:Swingingheart.mp4</html5media> | ||
|Description=An apical 4 chamber view of a swinging heart | |Description=An apical 4 chamber view of a swinging heart | ||
|file_name=Swingingheart | |file_name=Swingingheart | ||
Revision as of 00:01, 23 February 2016
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.
| <html5media height="350" width="279" autoplay="true" loop="true">File:Swingingheart.mp4</html5media> |
| An apical 4 chamber view of a swinging heart |
 enlarge |
Continue to Case 2