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
- Hepatomegaly
- Ascites
- Hepatojugular reflux may be present
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Extremities
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