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Kaplan Qbank USMLE



Author3 Posts
  #1

hi, can any one tell me how can we differentiate cardiac tamponade and Pulmonary embolism clinically,,any strong differentiating features...HERE IS A Q...

A). ,,,A 60 yr old man brought to ER by paramedics,with sudden onset dyspnea,, s1 s2 normal, s3 heard, clear lungs, pco2-16, po2-70,.etc.....

B) ,,,. a 60 yr old man brought to ER by paramedics,with sudden onset dyspnea,, s1 s2 normal, s4 heard, diffuse crackles...., pco2-16, po2-70,...etc...rest of the data is the same...

so ..which one is tamponade and which one is PE....PLS HELP...

TAHNX N GL

  #2

i once read that there r clear lung fields in cardiac tamponade but not in pulmonary embolism

  #3

What will be the answer if the q states, dyspnea,low BP, HR - 120/bmp,JVP Increased,S4,and a right parasternal heave,with mild alkalosis on ABG and CLEAR LUNGS ?
Is this embolism or tamponade?

Edited by Aashi on 11/11/06 - 06:09 AM

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