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Joint aspiration

…Haemarthrosis after trauma. A symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease…

Pericardiocentesis

…the only absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy…

Pleural aspiration and chest drain

… ultrasound guidance is mandatory) Relative A very small or loculated effusion — consider image guided puncture in the radiology department The thresholds for the INR and…

Cardiac Tamponade: Recognition and Pericardiocentesis

…circulatory collapse. Slowly accumulating effusions may produce a large pericardial collection with initially limited symptoms because the pericardium has had time to adapt. Hypotension and…

Cardiac tamponade causing cardiac arrest

…It is uncommon for chronic pericardial effusions to cause sudden cardiac arrest since these cases tend to be recognized and managed before circulatory collapse occurs…

Pericardial Effusion & Cardiac tamponade

Echocardiography Pericardial diseases: effusion and tamponade A long series of conditions can affect the pericardium (pericardium). The most common of these are acute pericarditis (perimyocarditis…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

ECG Genetic and miscellaneous conditions Eletrical alternans: an ECG sign of pericardial effusion and cardiac tamponade The pericardial space (cavity) always contains a small amount…

ECG parameters

…40 ms Left atrial enlargement Low voltage QRS < 5 mm in the limb leads or < 10 mm in the chest leads Pericardial effusion…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…Type A IMH may cause: Aortic regurgitation Haemopericardium or pericardial effusion Aortic rupture Proximal aortic complications Malperfusion and pulse deficits are less common in type…

Post-Infarction Pericarditis and Dressler Syndrome

…characteristic clinical syndrome consists of: Malaise Fever Pericardial or chest discomfort Leukocytosis Elevated erythrocyte sedimentation rate Pericardial effusion Pericardial pain is often sharp and pleuritic…

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