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HIV induced pericarditis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

Overview

The vital signs of a patient with small pericardial effusion are often normal. Fever suggests an underlying infectious or inflammatory cause, and the presence of a purulent effusion must be ruled out.

Physical examination

Physical examination

Vitals

Tachycardia, pulsus paradoxus and hypotension in cardiac tamponade

Neck

Jugular venous distension with a prominent Y descent and Kussmaul’s sign

Chest

Pleural dullness, decreased breath sounds, and distant heart sounds


Extremities

Ankle edema in chronic cases

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Abdomen

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Extremities

References

References

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