Tuesday 7 August 2012

tamponade

Hope everyone had a nice long weekend,

Today we talked about pericardial effusions, and ruling out tamponade.

Here is the JAMA physical exam paper for assessing for tamponade in a patient with pericardial effusion.

Of course we also alluded to the 'ever important' Ewart's sign: of dullness to percussion, egophony and bronchial breath sounds at the inferior angle of the scapula when the effusion is large enough to compress the left lower lobe. (thank you Drs. Willie, McIntosh.... and Dr. Wikipedia)

Here is a NEJM review.

happy tuesday.
:O)

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