d

Question 1

presentation of pts w/ chronic cardiac tamponade

Answer 1

• dyspnea - fatigue - peripheral edema - hepatomegaly - hepatic dysfunction - ascites withOUT pulmonary congestion

Question 2

dx for chronic cardiac tamponade may be suggested by risk factors for tamponade, which are?

Answer 2

• metastatic LUNG and BREAST cancers (MCC) - recent cardiac surgery - dissecting aneurysm - recent viral or bacterial pericarditis - systemic rheumatic disease

Question 3

PE findings for chronic cardiac tamponade

Answer 3

• JVD - pulsus paradoxus - tachycardia - reduced heart sounds - hypotension - Kussmaul sign (CVP increases w/ inspiration)