A pt presents with engorged neck veins, BP 80/50 and pulse rate of 100 following blunt trauma to the chest : Diagnosis is:
Correct Answer: Cardiac tamponade
Description: Answer is C (Cardiac Temponade) Cardiac Tamponade should be suspected in any patient who has a rapid down hill course and exhibits the features of rising venous pressure and falling aerial pressure following blunt injury to the chest. The triad of cardiac tamponade : Rising systemic venous pressure Falling Aerial pressure Quiet hea (distant hea sounds) We are often given a set of findings and asked to distinguish between cardiac temponade and constrictive pericarditis. Few guidelines to answer these kind of questions : Guidelines : If the question talks about any of the following, mark your answer as 'Cardiac Temponade' Elevated J.V.P. with a prominent x-descent (y-descent is diminutive or negative) Electrical Alternans Pulses paradoxus: Hallmark of cardiac Temponade. If the question talks about any of these, mark your answer as 'Constrictive Pericarditis'. Elevated J.V.P. with a prominent y-descent (along with a prominent x-descent) Kussumaul's sign, which is rare in cardiac temponade Pericardial knock, which is rare in cardiac temponade
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now