BotMed
Calculator
DDX
Topics
Conditions
Conditions by Topic
Cases
About
Log in
Condition Info
ConditionName
Tamponade
ConditionDescription
Symptoms
Anxiety and restlessness; Weakness Chest pain radiating to your neck, shoulders, or back; Trouble breathing or taking deep breaths; Rapid breathing; Fainting, dizziness, and loss of consciousness;
PhysicalFindings
Hypotension; Tachycardia Distended neck veins Clear lungs Pulses paradoxus – decrease of more that 10 mmHg in systolic BP on inhalation (most specific) Discomfort that’s relieved by sitting or leaning forward;
ClinicalTests
Echocardio: right atrial and ventricle diastolic collapse (most appropriate initial test); EKG (different height of QRS); xRay – global heart ; R side catherization - most accurate test (not used);
RiskFactors
IsRedFlag
IsNPLEX
Consequence
ProgressionFromCondition
TreatmentOptions
Acute treatment: Pericardiocentesis (needle); IV fluids;
PharmOptions
NEVER DEURETICS!
WebLink
https://www.merckmanuals.com/en-ca/professional/injuries-poisoning/thoracic-trauma/cardiac-tamponade
Back to Conditions