The Rational Clinical Examination
David L. Simel, Drummond Rennie
Cardiac Tamponade
Christopher L. Roy, Melissa A. Minor, M. Alan Brookhart, Niteesh K. Choudhry
The patient has a pulsus paradoxus in the setting of a known pericardial effusion, and although...
Topics Discussed:
cardiac tamponade, diagnosis, differential, pericardial effusion, pulsus paradoxus
Excerpt:
"The patient has several important negative findings, notably
an absence of a pulsus paradoxus, a jugular venous pressure that
is not elevated, and no enlargement of the cardiac silhouette on
chest radiograph. Knowing that these are relatively sensitive findings,
you are reassured that despite her known effusion, cardiac tamponade
is unlikely, and you entertain other possibilities to account for her
symptoms...."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95