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Sample:
Pericardial Effusion:
Accumulation of fluid in the pericardial sac from any disease causing systemic edema, metastatic cancer, trauma, pericarditis, LV rupture, or aortic dissection
Can be asymptomatic to life threatening (tamponade) depending on the rate of accumulation
MUFFLED HEART sounds and EWART sign (dullness to percussion over the left lung at the angle of the scapula)
Chest x-ray with an ENLARGED cardiac silhouette and ECG with low voltage and electrical alternans
Low voltage and electrical alternans (alternating QRS complex height)
Enlarged cardiac silhouette
5. Echocardiogram is diagnostic
6. TREATMENT: manage underlying disease process and OBSERVE large effusions without intervention unless have hemodynamic compromise (tamponade)