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sailing boat
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06/21/07 - 10:11 AM             #1

ans plzzz

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Justice
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06/21/07 - 12:20 PM             #2

I personally want to see some EKG and Echo to decide what to do next. It may be metastatic pericarditis ==>> exudate, and may be constrictive pericarditis due to radiotherapy.
But (G) does make sense...

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tanmaynator
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06/21/07 - 12:26 PM             #3

pericardiocentesis..

young_doc
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06/21/07 - 04:25 PM             #4

G. pericardiocentesis.

This is Tamponade (not pericarditis).


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dr in trouble
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06/21/07 - 07:55 PM             #5

How u can decide on jugular venous distenntion and distant heart sounds that this is tamponade not pericarditis????

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sailing boat
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06/21/07 - 08:10 PM             #6

does distant heart sounds point towards cardiac tamponade too, just like muffled heart soundsm, sorry stupid question but had to ask

young_doc
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06/21/07 - 08:11 PM             #7

dr in trouble wrote:
How u can decide on jugular venous distenntion and distant heart sounds that this is tamponade not pericarditis????


look at the vitals


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tanmaynator
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06/21/07 - 10:44 PM             #8

hey sailing boat no question is stupidsmiling facesmiling face any mistake made in the exam by not asking questions before is stupidsmiling facesmiling face

the beck's triad is charecteristic of cardiac tamponade.. distended jugular veins distant heart sounds and weak pulse and hypotension.. so i think this is acute cardiac tamponade needing pericardiocentesis..

tanmaynator
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06/21/07 - 10:45 PM             #9

i really appreciate you putting up nbme questions here.. its really helpful sailing boatsmiling facesmiling face

sailing boat
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06/22/07 - 04:54 AM             #10

no worries tanmaynator, and thanks for the ans


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06/22/07 - 08:32 AM             #11

G

coolmavs
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08/02/07 - 10:32 AM             #12

Yes this is pericardiocentesis for tamponade!

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Drtweetie
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08/02/07 - 04:05 PM             #13

Agree w/ pericardiocentesis for cardiac tamponade!smiling face

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