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: The accumulation of fluid in the pericardial space in the quantity sufficient to cause serious obstruction to inflow of blood into ventricles results in cardiac tamponade. The three principal features of cardiac tamponade termed as BECK'S TRIAD. Hypotension Absent or muffled hea sounds Elevated JVP with prominent x descent but absent y descent. The impoant clue to presence of cardiac tamponade consists of greater than normal(10mmHg) inspiratory decline in systolic blood pressure termed as PARADOXICAL PULSE. Ref Harrison 20th Ed pg 1445
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