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Joint aspiration

…shoulder), 0.5–0.6 × 25 mm for small joints (wrist, finger joints). A 20–50 mL syringe for a knee with a large effusion…

Post-Infarction Pericarditis and Dressler Syndrome

…AMI pericardial effusion is not automatically attributable to Dressler syndrome. A pericardial effusion measuring more than 10 mm at end diastole after AMI should prompt…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…acute myocardial infarction. Clinical examination may reveal pericardial friction rub and the echocardiogram may show increased fluid in the pericardial cavity ( pericardial effusion ). Hemodynamic compromise…

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…

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…

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…

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…

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