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Joint aspiration

…symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease. Contraindications Infection of the…

Pericardial Effusion & Cardiac tamponade

…in acute volume loads. Pericardial Effusion: fluid in the pericardial space Normally, the pericardial sac contains 25 to 50 ml of liquid. This volume is…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…the term perimyocarditis . Hemodynamic effects of pericardial effusion and cardiac tamponade Intrapericardial pressure increases as fluid accumulates in the pericardial space. Intrapericardial pressure may reach…

Pleural aspiration and chest drain

…recurrent malignant effusion (often combined with pleurodesis), and in chest trauma and postoperatively. Emergency needle decompression: a clinical suspicion of tension pneumothorax in a haemodynamically…

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…

ECG parameters

…to adults in sinus rhythm, recorded at a paper speed of 50 mm/s with 1 mV = 10 mm. At 50 mm/s a…

Post-Infarction Pericarditis and Dressler Syndrome

…particularly when the effusion develops in the early post infarction period. Clinical presentation and symptoms The characteristic clinical syndrome consists of: Malaise Fever Pericardial or…

Cardiac Tamponade: Recognition and Pericardiocentesis

…of shock in advanced cases The presentation may be abrupt or subacute. Acute haemopericardium may cause sudden hypotension, syncope, or circulatory collapse. Slowly accumulating effusions…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…involvement of the adventitia, requiring urgent imaging because of the risk of rupture. Type A IMH may cause: Aortic regurgitation Haemopericardium or pericardial effusion Aortic…

Pericarditis, myocarditis & perimyocarditis: ECG, criteria & treatment

…cavity ( pericardial effusion ). Hemodynamic compromise may occur if accumulation of fluid in the pericardial sac compromises the relaxation and/or contraction of the ventricles and…

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