Cardiac Tamponade

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Cardiac Tamponade

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DrVirgo
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01/09/08 - 07:53 AM

If we see Hypotension, JVD, and muffeled heart sounds (Beck's Triad for Pericardial Tamponade), do we then have to confirm with ultrasound or can we go ahead and treat with pericardiocentesis/ pericardial window?

In which cases would we FIRST confirm with U/S? And in which cases would we go ahead and treat?

Thanks.

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GOGETA
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01/09/08 - 08:01 AM

Can a bohar give you the same?
rupture of the esophagus giving you wide mediastinum and also compressing the heart.

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sadiq naveed
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01/09/08 - 08:11 AM

as kaplan says if ur diagnosis is clear,go for evucation of fluid,u will go for usg if ur diagnosis is equivocal

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DrVirgo
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01/09/08 - 08:14 AM

sadiq naveed wrote:
as kaplan says if ur diagnosis is clear,go for evucation of fluid,u will go for usg if ur diagnosis is equivocal

So having beck's triad is enough for diagnosis? we can treat in this case?

Can you give a case in which dx would be uncertain? thanks.

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multifactorial
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01/09/08 - 12:13 PM

Beck's triad is enough to start treatment of cardiac tamponade as this is an emergency in most of the cases.

DrVirgo
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01/09/08 - 12:38 PM

GOGETA wrote:
Can a bohar give you the same?
rupture of the esophagus giving you wide mediastinum and also compressing the heart.

Boerhaves will present with subcutaneous emphysema like a popping/crackling which you can feel. They won't have JVD or distant heart sounds... hypotension, yeah maybe depending on the situation.

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DrVirgo
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01/09/08 - 12:38 PM

multifactorial wrote:
Beck's triad is enough to start treatment of cardiac tamponade as this is an emergency in most of the cases.

Ok, thanks. smiling face

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