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    Cardiology ملخص

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    Cardiology ملخص

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    49 views163 pages

    Cardiology ملخص

    Uploaded by

    Mohammed Arar
    Cardiology ملخص

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 163
    y eon} Couture idol Tnablay of Heart to suffi “issue: Needed For Their - ehitogy c rel} side . : RY Si Weise WO th Mityad Stenosis cor left edtiod Myyxomes > Promure. overload ty SYshemic WTN @ Aortic Stenosis @) Coavelation of aorta > ty Hyfer dynamic. Civeuletion i AR 4 MR @ PDA A vs Newlricular Foslwre Myocarditis @ Grdic nyotoiny - 1 (2) Myocerrdiol infarction] & Covding Taenfonade. (2 Cordtricive Pericarditis @ Restrichive Corio phat (oS\Gmman Curse afet ive > Mr ‘ + Sustemic. YT AL "RAW ste wh Ww Wwieus Ped shanosi¢ co Right eitriok MY yore, > a Pulmonan shonosic Palwonen'} ItyPerfention (3) Pulmonary} Enbbolism B Volum_ever load. cy WPardy namic m PR STR | 8h VSD 6D > (Myocarditis. 10. Cardio MJoRaTRY 1S. MYocerdial infarction . tt) Grdioe TeamPonade 123 Constrickive Pari andihir. -ar Restriclive Gorrdia syoPaliy ~ Mesh Common cuuce oh RE + + UE + © Pulmonary diteare Patho Phuysiole{y of, WE Cemodynamtc) 0) ComPomsedory Mechemism D PreciPijedie] Factor. ©_ ComPonsodor| Mechanism © Nertrieuloa dilation: ~ occurs in aes of increased Pre load — Tneveages Force of Gntraction within lim. = H emeed carlin umib lead to decrees Grtrachity ® Venlvieuloer } ' - F Wickness of cardiac muscle - % Force of Gntvaction. = TP exceed corbin, imih —o ischemia —0 b artrachity, on mechomism ¢- “Mars law = UR is inversely Proforbional to BP + Marked “ely Grdia May decreas C.0.P d2 waiattole 0 V Vertvieuloor Caiieg 5 cia? diversion of blood Crom less Mitel ovgams (Skin A Muscle) . to Moye vital offans. Chrain 4 Heart), + C0-P es aclivetion of. @ RAAS — Sympathetic slervous System. ---- > * Grtrachity E)_Alvial edviuvolic Paplide .¢ oVD ef affrent onleriole aie = vec oft effrent—_» > Prepered V-O (Arterial J, Venous) Argiolensinegen | Renin CFrom Kidney) oom x (OQ Preciplating Tactor ComPencadiod HE —PE 5, decomfonsatted Hf (Aon Manifested ) Cianifested) wy Tnection. (4 veed of tissues due fo 4 melabolicm 2 Tirogenic = Grlicosteroid $c 5 Aa, Hoe Relention. -C-¢-R 5 -Ve ecmofropic Acule nyocardiol infarction Arvbyiirmias Anomic 2 Thjvo te Xicasis ( Hyferd\namic Circulation) C¥ bteod Crom Qh: side a dean) Ciiwiced Pichure \ \ 4 wz At. wide 0 Common CP he side At & 4 SymPloms of. aS4mPlome off SuymPlom of. Pulmonar| Congetion low Cort Systemic Grfer fan © HmPloms of. Gure 2 = GmnPlicadion « cpdiety side Revd faliwre Signs w oy = Recurrent chet infechion, = + DysPaca a savin a eae 2 Hama Prysis_—__— + Brain___5_ diaziness 3S Headach B synch = Eyes 9) Blurring oft vision = Heer} —__» Angina + Kidney ——oolfuria + Muscle —_p Easy Fadique & intermittent claudia + SKin 5. Pattlor d Gldnes_ A ynosis a TyPiced ches). Paitin samnelaTa | eymPlome eral Si9nc ____GP ef Ron Sd ee a Sy ion, = brain Confection — Grfusion & insomnia. = GTA Grfection—o Anronia & slewsesr 2, Vomoti 4 dycPePsia 2 MAS = Edema of defendard Part = Abdominal swoting dz Ascites = igh} Iyfochondriunm Pain. ca Ver Grfestion (2) Symplomr of low co. Brain 5 dinzwess 4 peadache , Syrcofe Ye © blurring. of vision Hear} “5 Arginal Pain. Muscle_5 Gast aaique Kidney 6 oliquria SKin ——o© Pater, @ldnes » Cyonosic_ fe = hoe chronic Gugh 4 dysPrea 2, wheezer in CoPD ww Puls. - week excep in Nigh cio, ] | = Tachyondia excePl Potion Recive digitalic ABB | = Fulsus Allernans fe ~ low Sistolic. Brood Frescure. 1D SKing Colleness & Prepheral CYposic, tw) Choskw Pleural €ffusion. a2 GIGI of B4emicOngertion = lower limb edemo — Enlaed Tnder tiver 3 Wefedo-juflar Refunk a tere Gongeded Pulsadid vdeck Veins - o _ da. Grgerted GIA = Yauea, SER dance of Rv -§3 d2 Grape snyocdiun Enka] mont — Pam8ystolic Murmure_ ~ APex —o shifted out da Punchieonal 7 Q - Site —o diffuse da RY dillotion = Ve} Para sternal fusion = dullness in Rb border of : : Steynum if Rt atyiod Enlenged aa ine = Pericardial Puige Th eccure po) durieg child Hood i sans Jogat) signs NB _Couses ohh W Grgeshed iver (D__Mealignentt iver 3) inflammed_y 4) Feat * vapor aun prowpnus — -fpowPond) APPDUPOA , AUPOA oy & W400 « CwOPA T . nwa 77 ole eh ae “gprs $000 Youprsunja®) op 7 z me JB Puen « 38 te g 5 oF oe 2 nagoraayt | argos eo a f S| oper ne ai F women fest 23 wows wows wus 42 Foemg sono. loa a6 2 33 2 Bw Bie zt aa rae Ine AR FR é ee ee ees i a ; wownig 230A + YOU 0 « aan ec ot ania it Wo 4 woae go Iwes Sune hapeens JH Jo vorporyss0t9, Govestiqation 5, EEIG: > chomber Gataijment pm Couses of WE Mey afFear " MI» » Preciflatie| Faclr y= « arrhyinmiay & chamber GEnlesfinent m fulmonar{ Grgection in Ly F > Plurod effusion & Conse of Uf Mey etfPear vouve cutcifrcadian EchoGaliogioPhy- B® Chamisey.«Gnlen§ mend: ® Causes of WP say caffe DB Assessment Gnbactlih{ # Vealye lesion » by Maasurin] ejection Frackion & Chamber Gnlajment » Cause of ME anes epee + Asseccment Gnbrachiit} a & A ssessmomb Granan| avylers: sheducs — Veuve leslen de + Covdioc En24mes Por mr PGI! Shor Anam fost : bac Thyroid function Ror \- sspordynamic — © Tir fort coris 3 Ape aa + Mental Rest © Die, + orygen | Venosection Venoditator t Diuretices Dialysis. act on Pre load + 1— Bed rest = in Semi setting Postion to decrees Reduce. Metabolic eed o; aclon act on after load Contiachiiy + b ACEI coechot aminer i Ages poer Eka, cemiiiedet Digitale a= becker — Glucsfon MWdralaine Cocina Monoxidil Diazexide. NifroPrusside Venous Relurn F body - Side effect. DVT + Muscle wactie + Freumonia © Bed Save. 2 GrstiPation + osteo Precis Q- raental Rest Gedation bY DiazePam 2-5 mg 2 4. Dite = Sail Restriction —o + bleod Velum —o 4 Pre load + Fraid Restriction 0 ant ath pe Ove 295 Liban EsyoRps> So Ayyl> «Avoid Heavy meals « Areid Fedt} meals + Smoll Frequent mecs fo & work on Heart. + Reduction oF body weigh! in obese Patient - 4- 0X44en May be neded in Ge. cf Pulmonary edema -«_sever_dysPhean @ « Brags» = *Venosectio ie Orgs act on Pre tood BN Nemo disor st a ap + Diurelicr 2o-* Bite | oy gle & Venosection i. a © Ofen venosection Ye poe se & Closed. eno section - gat Pts Nis dip 3001 La UR Stas pace 8 3 Wis G3 bs, ks » Diallsis. sin Rened imfuirmerd « = fationd slob Resfond Jo clturedi » NenolDildor oe Wlilratern tnefs wr Se eye Meal alls Las suop>Pjouanss, Jo am pabuojoy lye aqspu aauky ena{ off oquacul ofr = nwa Ub — firmt ongone Wr METEOF OFO — 2 en oF }I9 phy sve Wee = pwaPid sgh ~ wpWaDian edit — pruaahib 224i | tonwanhed 25hH -pransoubons UBH | pan = H+ ID | ssopenpe 2rwavo14> OSH a ill “Pip ons Sopp = woped RH = -—>pr2eM(_sv pert Wh - aa pruaapou egy ~ 2 ' eae E «| avopiperypororyo +] P uupswriat + pee 2mhoeyis alk e prwasnad +! spreenyi oonyoouph «| § ~pwojap| oualgs AGO @ OW Jo wortdaasgnay iqmdur vorpezes 4H «| ppaqJ2 soponpevan fui + etn 12 Ae Sohkbid Av Gn duction wo Diurolic effect 6) ® excilablilit| of ofrium and Ventericule which Max lead to Acchy Tinta (fia on ECG = Prolonged P-R interval = SaJfing dePrecsion af ST seqment © Fied ov inveried T- wove. o Digitollic lo Aicity comcer diffvedd “Wap, of Avrbyjiienion nication ww Heed Failure. @ Alvial Arey ret, Conbra (nditakon. 5 ae at absolute PBbive w Digitalis torucity oy Partial Mew broek (@ Ventricular Tacky cordia Coy chante to GmP lat) Cmorg chanife. to VE) AY Noda Rhum 7 Crag lead to 4 48) (3) ByperbroPhic cardio. sMaaos eon ae Adrenalin. & co _» moi) Sensbize digitatic toxscit] ~ Alropin 2 Antaonise “fect of digitalis on Nels. o Pre Pavrottion » oral, interaVenout - ~ usual Route of Trdicoded in Administration: > Difonin - cxereated Merinty Kidney ® Digitorin—» melaboticed Maint Lb} iver Dose “etia) dose 0 2 Tab dit Fav 5a Maintinance poS—2.0 = - Aula Pulmonar} edema — RaPid atrial arhyTi Tamia, & Digoxin Camp) eS =I mg in $% Glucose over zomin Than-05-mg /.6h till TheraPul ic Resfonse aPPear Then —— Grdinie wit oral —Digitodis ho xicity -~ PFs HY Fo Kevlemicr Fea. (o BYPer €atcemion —3M tod ke & Reno imPrirment hu Hyperion Gardioc—iechemia. + Anorexia Naseer t wt + Vomotin§ - _4mflom* » Meourliial Manifestation + Blurring of Vision + Yellow Vision + Headche- 4 newalgias + Ps4chosis B® CAs Memiferbation — Premature beat = Alvial Futter ~ Difhrent dete of Wear block — Prow|smel suPra or ventricular Fach cendia: =~ vw 4 B® OTe 1 cronies = * doleod GaQulablity as digitalis causes i, Sbnormal_adivetion ef. clin) S4slem: Le - Orrecrnachll Citas Rig) simile to Ectvofen) a sf a Fro monk w StoP Digitalis i = @ Grrect Hy fokalemio, StoP. Diurebigs VG as K:-SafPlement (3) Digitalis amd bodies. & “Trdatment maniterlotion ol. lect. ~ Ark omadic Cor Yomobing Sate Arh TRmig, re Bra > atvePin Tach a ack: orrtyinc, Lo Cobechslamines: if: = Advenein Nov advonal in __doPutamin — dofiumine = HSB) @ B (oA 8) = 8 4 accordid 4o dose = pel on boiK a acl_on g— 4 ai B Reetlor Awided a+ RecePloro «1-5 wyskyimin Hf—o# @erdiae CARenal blood Flow vee # after load Gatracttity, + 5-lo wg /ky)mir 4 dove. Bb alter (act on ) Falter toad i sload o> fo wy [ly min = used, on on shock act on «) wie LS (tnd aabenla nloSP Lo Phostho Diedeyace. imbibibee (POET) - Mechauniom cahechelamings ach on & Recefloy ——p Activate Aden eyclase. —o FeAmP: — 6 _ stimulede._contrachiity she <— PD ( Maindain high vevet_af came casi ino aie effet Bila: aol reer eb feel Prafaredisl Cewrinone = & Milrinone. a Cenrdinc ot Ter : : eh Bina -b— AmiroPhylin __. Bronchealadimima “Achion ._ sii : +Ve inabroPic Diurelics Bronchaditeder — shimuode Qecp. center Nagodilator sup Recent Bela blocker used in? Mot a as Hb 1 wy decreas ecardial dame Guused b4 catecholaminy OC) UPRegulation of Bela RecePlor, la imProve— Prdfnosis th S650 W BB Pe WF cus eo si Ge SBR — St epics dose — Sic das Oct ots =F jn Bg 54 GF9i) BS ce diso Palmonorr| edema ie © whut (-@ AfePhosis Ge Hert Oi GLb Srdicabion — oy clonic WE 5 ModerebeL MEO NYHA> Classes TE dM) “Wire __ i Onde Second generation By biockers (Melo frolo!) “Third §eneradion Bi blockers ( cade diol) "Doreugtastll Bis hl + Stow} with extvemery. low dose (17g of Aafel dose), + Groduany > ‘dose. Over 1-2 weeks “Ti Rech affel dese (Fagfeh dose = 25 - so nq coved dais) ae © @ Cardiac TransPlant « OYe < bo Years = S years Survival Rate gos @__Cardio_mypPlash}-— a = __ Nerfridett 5 Lass. yedissiwus dena. a +.) SB Ciice maker Le Ags = donay 1S Ld 25 be JE Lop Kah a 8 a se Vedacle dheth She I a ht J eS @_ CRT (omdiac Resachroniredion TreroP ) ® 1 lesz visio sass slob —— 3 “Weakinent off cube Pulmoneni{n Gdemer + : Cocute WF) 2 inter Versuri WF GI td a Q) HosPifedizekion in Tou D) 2 Bed Rech in semi settieg Postion JG) Movlal Rett + MovPhinn—o venodiator_o 4 Prelead @ OxYIen inhaledion bY, Nasal Conley or Mask. 4 Te ar Mechantehat veddbston —) ©) -& Pre load ‘Diurtics + Furasamide Iv do mg. 30) B Dyaisis e- Ff Rone imPair ment U Ip Vena dilator. NitYoqNowrine rv infusion xo Sater load vasodilator’: ta‘ nitrePuctide I s Right cide Vefelation in se Endo cxrdik © Abnormal in blood Flow # shacis» _ olmer wy Fad Gmbolism in lonf bone Fracture. a) Air embolism (2) Bitharzial ova embote (4) amniotic Liuid embobi (s) Foveitn body Enboll © Embolis by Frajmend. Gmbolur From tet Side. Te Ritht side. oft Heard ae ERpect of Pulmonary} Embolirm depend on ig umber of emboli» \ 5 Size. of embolism © Stvile. or infected embolism ‘CHwicel Pictures. + AsymPlomatic .. —___ + RePeated showers of Small_emboli Couser acelucion of lar] number. of Pulmonor'| rrterisles —p Pulmonen HyParfention. Sacer | RL. + Pulmonary} inFarction ( < 60 % occlusion) AB Junf hasdovble blood suppl p> broncheal amrlieries el C Pulmonary} arteries - Pulmonarcf Fnfarction_witl_occure when byoncheal bleod Flow ff affected asin cases_of Low ca-P. + Patient of Pulmonar| intarction-Presom}= E42. | & Plurisy —p Plural Rub & HemoPtysis da infection & Evidence. of Hemorhafic blood effurion. B D4sPrea due. to—turg callatr ot Sibe of infarction & Tinge. off Jaundice d2_Nemoitsi_of Qe in inCeerclion ® wheery chest da Midiator Relaced Crem RRC d Platict © Acute massive Pulmonary} Cmbolitm (60 boy occlusion) Presorded bye Acute ched Pain doco? ob blood to Groner} ate seis Refiex dronan'| sPacm + = ~b Aaite dycPrea 5. cynosit Acie Rye = ap Shocks @ sudden dear OMe. , te -occlusion Fovestqation «. ® laborotorf testes) 5- Bg Dimer + ReFlect break dew of Fibrin bY Platmun + ff wegative © Alt fulmonary embolicm © FE Postive. —s not Confirm Pulmonary Gmbslisn: as it Postive. in go x of Pattrent UD FL PLOW due to increas hemet{sir of Reece 1} Elevated serum bilirubin d2 4, cle toe Fy Arterial blood gases showss iypoxia $4 Ro caPaia- dr Tach Fria Cc | TL Gaguletion Profile ; Beuchat ="P” Pulmonade d2 Qe atriad Enlai mont: — RBBB dd RA- Ventricular. Cater ment — S-T sefmart deprecion 42 Caw Strain) = SEAT po Oeep“s” in lead T “ a Palratefical Q in tead iil att = _— Bet or inverbed Tin tad UT B® sleNlgyails els Radiological Snvertiqation: @ CXR in Small emboli. —o. Ag Alermal %- Ray 2 in saedium Omboli—o-edileted Pulmonor obey wilh Sudden Tivminedion’ #4 Wwe} lomo, a © RV Gnlayfmend in cere Pulmend in lax} imbols —5 Show Pulmonar' infarction» wedge shaPe ofacity. — Plural efPusion Raised Pula of diaPhragm . - da collapse. © Radio isotoPic_seaning Cverkiiedion Perfusion scan) OSs ots Sere, Ventilating — Radio active Xenon. ey dial = Al Be Perfusion. «— Radio active albumin cbs > 2 ORL Ses 4m & Ventilation Measures ability of ally to Reach 40 lull + Perfusion sMeasures supPt| of lead ThraQh lag. x PulmonarEmbaliom et affleck santiiation scan. + Pulmonar} embelicrn_aPPewr os Perturion defect im Perfusion sean. @ Ramona ondagratis,. — + Accurte but invasive (adap Gees os dies) + Postive Result_cansist_of > Finting defect is Se. Uahecl cud off of a =. affected artery et m ® SPiral ¢-T scan . Aghly Sanstive. = defect Ver} smell emboli © mera Formed by Tv infection ef Sadolintum Low probability Moderate or high probably D-DIMER Vrascan of SpiaicT or MRA] Negative | | Positive Normal Non- High probability diagnostic (Woderate probability) f= Paper airasoundLt (or BVT] [Pulmonary anglorephy or CTPA Diagnostic algorithm for pulmonary embolism sind = RaOL = - | make : wep oe Pulmonary Gmbolicm” ty OlRey Guses of. Qeste check Pan w ~ ~ ~ “ dy sfroa ow ” ~ ~ Hema PAY SiS w Acute Right ventricular [iaiture: ww Shock Dike Caurec of Ralwonar| HT w Ambulation in Post oPerahive. cases * ProPhplachic adi confutend in PrediePased fadvend # Elastic “Stockings or Foot Pum? in Patient ~ Cut ambutsked oy ~ Gorbva indicated fo ond SQulant: Ca ue) ©. HosPitotinedion in Tou. @ SPeaFic Weodment- y Th Podiaa Hemodnonicaly TF Potion Ueweabbjnemial unclable. Robe. > Irombort-tic Trtray «clretlekineser p sleParin Ber IV por 250..c00 unite IV bolus fate) F days bY oo .000 units (hour for ark» HeParin + oral arti Followed ing ankcQutant. ~Gofulant Ror 5 days Ag WeParin tS) Se gt & Pulmonn embolectont. iy dot oral aii cages 3 - TP Patient tot Restond 4o V Picts #63 Trrembaiiclen TRrombolytic Therap] or & ond Coguleod Kee} Fors. Crtra indicoded Thiomboty4ic Aweeks WP Guse is reacted 4 monks if Guse un known. For fe Tf Gauce not arecel, B® Infevior vena caver Fier PF = Fated andi Oliulant & Grbve indicated = ‘Yom anil < Gnfiation Fen Asp ~ Sa¥Pted embs loctom ©. Colliceler ombeloclom| « © Ayptlonac Wesatt w Analgesic For Faun. (Pelhidine. So my Iv) 4B avoid MorPhine © Q 743en inbalodion Far dysPreer- © Jrealment = QV W) Jreatment chock. » 3 ae Goo > Vy Be inflammation of Pericardial sac @ IdioPathic (Probably Goxsaki virus or Echo Virus) Nest Griitn Q Tofection — viral —» Gxsaki 8 gy Echo virus aa TB «Bacterial —p strapto cocci or Staphylo Cocel « Fungal —p Gundidiasir eulbicans \ @ Infiammadion (FMF) @ Immunological (S-L-E 2 RA) @ Ttrojenic. —p» IWH 8 HydualoZine 4. -frocuinaméde @ Lvradiodion @ Renol Faiture. 5 $. Toxin. in blood —p: Perigerdils @® Rheumatic Fever @ fost Tramodia ib 10024 Post Cardiombpatadiey tyadrome @ Miyocardiod inferction — @ Malignant infittradion [ox : eo Chonitad Pchuve SHomPloms -2- TW Chest Poti. (a2 Fraction bebween 2 tesfer of Pevicentiam) + character —p stitchisg) Pain. + Site —_» over Pevicordiom + Radiotion 5 Shoulder , back °F by —_as _insPiration +e by 5 eanieg Forward TZ) Constitutional S4mplams.%n infiammaror| use. ( Fever, Weadche , malase , anronia) TH Shmploms oR Gad: as Rona Failure EL SyPtoms =f GmBlicationt: as Pericandica effusion Signs. W toca signy ( PericardiL Rub) «« + Guses ——p Fracticn between 2 layer of PeriGrdium + Nature ——» rit} Sound. + Site —» (Bare of heart & bear area) 2 #by —. Pressing St2TRoscafe qRanist chert wall 2 COREG Rw a co ae CZ SHRPRNGHPIBHER, Pci fsson. DD Eee + Ereveded ST cefmont + Fiad_ or inverted 7 a | + Mai show) Minimal Fluid in Perigadian | + May Show Guce— as MAT | B ‘beratorl) » 4 Esk | ofeorp_ & leucocylosis. Dp “4 DD of causes. of arb Pavicarditis (enya + D-p—of Guses of chet Pain « D-D_of Guses of Eteveded =F sefment Pencudie | AMT Fez melatonin Etavated ST | Concave™utward [convex upward | Fied — Eroveded ST fa all leads inSome leads Jin Some Ieads PorTotegica Q | Ab sort Present). | abrent Grbac cn2yme.! Normal Elewded lor meu we Ph failed Grice cleroid & “Treatment of Gure SES PS PeriCondial effusion ~ Collection of Fiuid in Pevicedium See Tire of Fuld Eniot 2 AN Guuses of dn] Raricandilig. ecPectatt Exudede re (Sere Pericardium) Viral & Rhumetic + Hemorrhoffic Pericarditis °s asever form of. |] SeroPericadium Cnladniigy maf REC. and Mey occure in TR » MI e RE & Mellignand infiltration Transudate. | » ft Hydroctahic Pressure. —-o Rb bide HE (iyd00 Poricardium) bo Tis dTR wed Jo Peri- “Sasi ( Adesemintahion fe P.s at Le PR os! © ¢ OSmolic Pressure: —~» NePhrotic 7 Ho Kiver colt fafvure Lo Male abiorPlin Lo Wy PoThsfroi diem + Obstruction of Thoracic ducl by Tumor or Flaviasis + RuPluire. of Thoracic ducl by Tuma: PYo PeriGerdium. | - Sever Inflammation of Pericardium due to infection bf Pfofente ovfoniim. « starh (Accumulation of | + strep Pas ) ‘HomoPoricerdium!| © RuPlure. Meal in Troma or MT ( Acumuletion | © Rupture. Gronaries: daring Gik&teri2ation of Blood)|» Rupture. of aorkic aneurysm «Hemorrhagic. bleed diseace..( Her Phaulirds Purfura «Ver anti Coafuland or Jyombalftic Thera Py, ec ue “Fransudede Cxudede. Pin. 3 Im + [cree geviy < 1016 > lore LOW <2ootIu/b > Yoo Tu/t calls < 1000 comm > lo00 Gam clylous _offusion + milky while © Cleo bY addtion of a Sloins vax) bY Sudan TE Poctmediom my bland Covdeininl RRC ag wih hath FA Grbed er PAIK Ploysioldhyy + EFfech of Paricndios effusion defend on. uy amount of. fuid m Rote of accumulation: SEL YS Fe sg ts ni, Pind f'n 4S See 65GB Loy ce Ady st5I wip a#190 ComPvession on Heard = v Shech. ees a9! 8rS DEL N09 cer Gn BU yh pen BS HE gd OD —- ComProsion on Heetrh NB amount of Ruuid negessor] fo Produce. Gwrdiac Jaimfonade 2 «200 ml when fluid Gllecd RaPiduy + 2000 ml When ftwd Gitect Slowr} » NB Cordiac Tamionod = Sever Gonfression i i af a ad pov Biting. eae (Ly pie Systane venous GrJetion Als oul Ful | cy Jar ub low Gurdtac aud pat eo Pressure. Manifestetion 2 Strech on PeriGurdium —s, Pin. + Grain GrGestion —o GrGusion A insomnia + GTA Grgeskon ——o Nausea, Yomobin ,anroria ,dacPePsia, + Ascites | “Lower timb edema J asctes Fouwed bY it elemg | CAsicites Precox) + Liner Confesion—__o QU. Hyfochondrium Pain | @ Shwfloms oP tow CoP) + Brain ___» dieznes & Headch & Synofe. 2 Cfe. —_p— blurvin of vision » Herd 5 _Anfina 2 Kidney» —Oliguria « Musde——o Easy Fodique © Skin—o Pullor $-Gldness & Cynosis- © Piesrure-SymPloms: + DysPrea.¢ imProved. ky leanie Corward ) + DyPhagia d2_ GmPresion on esophagus @ Pavicordiait Poxin, « Guse ——» Shrech of Poricordium + Nodurer —o Tull. aching Pain, + Rodiotion —> May Ratared to shoulder + Sife_——_» _ faricordio = by 5 Neem Forward. © SymplomeePGuve oc Te — want swedeg 8 Pin me) ow ob aPfitite OW Congested. Pulseding Aleck Vains @m Kussmali sign 4 fnsPiredor] iting of Aleck. vein durin} insPiretion caste Neck vein 1.5 vise hue A insabianlné gb)! a. 3ST S11 Diephisn I? G ial 0G Pevicndia vind] apo? SE Mea) cles ab ah df SnsPiraion 129 lap Pressure Haid Heard Ee opal pes 1a) 69 Meck Vent pa. bm Entonjed Tender liver. .s b> Ascites. befor edemal of L.L Castes Pre@x) s Gd deePy descent 2 Ratid emPghin} of Grferked tek vein SPiN? Jot Ten wal O35 > Pulse se Rapid weak Pulce #2 Pulsus Pardo xis - Hormally. during, insfivation Wee Wr @nfandi & acumodede Mere. amount af. blaod. “This Result inv Y Furs Volume BL Silico BP < 10 omy in Povianrdiol ofLurion . Ths Gondkion wiit_be : GCxafferated da Reduction. off venous Return. deb Pulsevolume .d, Why Systolic B-P > fb mmiy >» low blood Presure. i @ D ecubitus ——o Prajert “Postion. @ SRSBMIGS a re. ohat Frets ey Gyitakon +> dd. slew! Os als ec TI) HE YY © Gaydiae sans. ThesPection :- + weak or absent apical fulsation 2 Precrdial bulJe.. in cheldren. Percussion : + Dullness an Rb border of chernum ° + Duttness outside oPex- + Dultress in Pulmonoe’} oorea 2 Ghiltirg — Duttness + Stom) Dullnes in Bear avea + Duttness over toweretobe ch lal lung da GmPression CotlaPs km effusion . Ausorltedion. % Ttulfled Heard sound AS Rock's Tried + 4 BP ob IMeP Mulfhed Heard sound. sige Me ot 4 =” low Voltage. © DePressed ST se{mont « Flat ov inverted J —— + Electrical aternans susy Prevod Te iow + Flask shoPed peart © Smooth Gerdiac border with Ao ar§utadion + Double Grtour of Gerdive hortler 2 Chang ef hohe of Heard wit. chemi Pettion, + Chamgo Size of Heart Crom day to day + Obtuse. Gurdio Phrenic angled? Gilaire. Left lower tore. of tun} C Rotck+ sign) « Pulmonary} oliJemio. © & Gudiac Pulsodion under Seven. ® fh > Most Senstive fed to delech Pericardial effusion > Deleck severity. = Show Go? between. Gilhiter Tip (at THE ede often!) and. Prapheral Gredinc. shadow i © FRIBERG (cis ces) é asus Feature Gs Euudede 4 Trensydate a3 = 4 Chyb Pevicardium 4 emo Pari Gurdiiem. - FEN Meui}nanay @ Le DD of Rriaendiad effusion : © Ri side A Heart foulure on Jor of Ut side jefe @ Grttrictive. Pavicenditis- @ Resvackive. Grrdio myopathy - @_ liver Crrrhosis & NePhrotic Syndrome © TricusPed stanosic. @ D-D of auses of effusion Q_Aher Guuses of mediastinal Syadrome “Jraadment TD “Wreadmont cuuses. TRB ——5 adi Te drags. TA Paricerdiocerdesic: ( AsPiredion of €ffurion) «in Grdiac JomPonade. to. Relive. dysPrea d Cmfresion + in SuPPurtive effusion Je drcuine. Pus LE inject Add bioke. «jn Malignant fusion to injeck Cytotoxic dns - [3 Poricardio desis. Sn Matignant effusion to Praverd. Re-accumulodion Cinduce inflammotion _» adhesion bebween visceral , Parital ap Aeyey ed! Clare: /Pevicordiol sac); Poricrdisgato yng FB] Pericardio— Piura wwvindo'! For snassive 2 Recuvent effusion Net Resfoned to it . rs 7 def. Adhesion belween tow sewers of Pericardium Tio Pathic - Infection ~ 5 7. @ «Meck @mmen Ee tack viva 2 Fat OTinmunobgica “RA © Frrediodion a Fibrous cidhesvim bebween 2 lofoys of Pevicorun — Fibrosis timitadion © ¢xPandion ' and Reledakien Soishomic venous Grgethin S38 Lum ee i jouw cap — & pp dhe ho Wh 2i2ob pibies Aad tn Ferdi) Ho Pressure Mawiertadion |" Sipirne 2 3 p Gorgeled Tacakin eck vain. » Kussmaut’s Sign Lae ar ® Friedereichs sign ( diastolic GilaPs) « deep ¥ descent due to Rapid emPyting of atriod (Gnfested Aleck Vein) in Bhorl Time. after oPonin} of Tricucfed Vawe Enlowjed Tender. liver @ Riqatleniowcoh, - > Purse 2 RaPid weak Puls + Pulsuc Pomboxus « fare dae . @® Bes AP Gace TR po apical Cibrosie Le + Gvitedion —— — or absent aPjcal Pulsetion © Muffied seart sound dob mob Pericardial Knock (irda) Jas isi. Prin G Ady, RelAX 4.539 VodrideSN) © or Box of “Case M CEG) - low NoHofe + DePrewed g=1 sefmont Fled or inverted I~ + AF in Qox of Ger fa CYR: : © Hear| ss smut L CalGiication. of Piricardkum is. diagnostic 2 Pulmonar| of. Jemia 2d Grdiac pulsator. Under screen faEe arb. — Show PoriGndial Ihickining - cards MRL path we a Most Senctive in detection of Pevicordiol Trickining . (I o pin Show square Root sign AQ DB Vewdyientwor_ Caituye, pe 2) Pavicovdiok ofLusion Ul Restrichive Corrdia myopaiay dean, wn \iney Givrhesic By, aemeoke Y (9 J viCusPed Somosic at, (6) D-D ch Guse. TH Pavicerrdtoechomy Ate of Gus ly abo 2) aleall alls pSILus I eg) (le Fmeslant Point Dry Pericarditis Vinod Pericorditic The most Gran. cose One. of The most smpdrtant Gute. cher} Pain T Se4ment in ECG One off 2 ImPoriant Gaucec elevated Z Per card Rub. > > > > Prayers fashion Relieve dycfuea Pulcur Pardonus eck Vuln in . & The Gmman_ Cause > > fencardol knock te Gulsiftcatienin Chee, hae i > > Rettechue GrhomyapalRy 1< Thiimain,. D-D Pos CT or MRT 46 Ra tioct_ nor taithdainwichigaTion Bowtel » Lage > Courdiomya Paths els GrouP of ducondir Vred Prinvsil snow Hot due do —sypertertion & Gafentlal ‘ulmonar) & Vascular oy PeriGirdial abnormalit-es Classification Clinical clowiPicotion. Airofica classification. (WD Ditated Gredio myoraTay oy Primal 4. unknon cure w Grvdionyptl (Secondary. y- d2. Known cause. C Raecve Cerge Diteded Gerdiongopiny 4efg- Nasr} Fadlure associted wi diladion of one or bolkh Vardvicle - EWM — Primer |» faioPadicic eee ¢ Famiion ( Rhitht Vertviawlar AysPlatia) + Miva es. @xsactei ga Gack. D Pete Cmmpiodests & Homochromatosic & Ciescol Piclure SymPlone e— OF ShmPhoms of lund Gnfertion, W@W. ShmPloms of S4chomic. Gwheckion, D SYmPlome of low co.P BH YoPlome of ure G LmPlome of — GmnPlication as. — Embolic Memiestedion — Archyikmia » AE & VT = Sudden dec Signs Gomer signs W Siqns of lun] Srgertion @ Signe cof SYchomic. Gafertion . B® Sins fh low cop UW Siqne of Gase. S siqns ch Guiliation. a Poverhigation sw Riverdricular Gnlan§ment DePressed eT \nvorted or Clot > ArclyfTR mia esPeciatt, A A VT B cxR + Max show Grdiac enka'mont 2 Meth chou Wil Coredion + Mo show Pla oy Pavardia affuction FL Echaaerdiagrarhy, + May shoo chawber Cuvfment © Tnfalred Gorrackte [unction bY Measuring Glection Craction © Moy Show evidence. of Gute. 2 Nisy Show. GrePlicstion. A Grdiae- Glkatorirotionn © Same. aS Echocordifrarhy + Exclude. Coronary Heart de'seare. Freodment- TD) Wtatmort o peart failure. Cr bgt, aay D Treatmont of Guse + jmmuno suppressive: dvugs in SLE BY Weatmont RL Gupticaton © ArkGohuleat dru. We Prevent Thrombos o Anti chp dngs for arch Ti Grbac TremsPoritedion in Retractor] quce. SS mip ines eee Seer pans; Bat 9 BimPlow Crime sins ee) aN % € 0 ae Hyper roPhic: Gadiomyopalisy oe PO? oe “ee y ‘ ah Y Eccentric Hee Concentric. Tee \ ob JyPedrePhy involve Vaporkyothy invelve SkOrVedriculeey sePham, whole Re edtive smd out Cow oR aorta AR Velh Vertricle Etitoty, Primo - 2 Fdio RKic + Familion Seander| |. Pheochromoditoma- Paka —D Welt Newtiriculer dyPertroPhy leadin| fo @ Tmfrirad diastolic finchion oda 4 @mPliance —© Pulmons™ Grifestion . @ Obstruction of “Lv out Cow —o low coP @ Seflum Map bufe inte RY: Git} Geen, Font fay wae a Be ns B28 Gd Col out Low yd od MR JOU oro Sy Mitral wave 5 ol 28) i ad = or 8 2E vave 4 Bick Gr sein All Bo defoneradion ~ tess’ W Symptons of Purmononi} Grgection +. 12 SYmploms oP low Gwdiac—ouk Pub ++ ++ Signe Gameral Signs wy : Wy Sign of Jung Grgestion 22. — @ sign of a GOP shoot (@ Pulse. a Jerky. ()_Neck voin —»—Jiant "a waiye— Nocod siqns © insReckion & PurPation 2-— Sign of Ly enlarfmont 2 Auscuttation Sa over aPex do (F Presure on Lv > force atrial Grbracte = Syutolic aechion murmuye. on eft Skernal odie OY ArehpThwia ak A VTL 1 Gudden deoin JBY_\olVe__ deJon eration. Inwestigertion. Meee o LV Entaiiment 2 Deprened sh « inverted oy fed “T wove 2 Arrh{himia 2 Abnormal @ in inferior lead e lottevad clnect lead, WcxeR- s Lv Enlood monk © Pulmonon @rifertion. { Echo 2 Show LY Hyper trophy e Assess Gnivachity: Al Grdiae Ghaterication. «© AS Ethos 4 © Allow Groner} assestmont “Freedmod = + Av Dros ¥ Grbvachity. CBE. 2 cc-B) THe 109) Treokmort orhatnia — « amidlevone sd: @ Suical a Resection of WyPerdroPheid SePbum Sued coy by infection Abel in some septal Perherafer deh» increage. Myocardial Stiffness due ts fibyosi OF snfi Mra, Usually affect Right Ventrich Primay}. © Fado cordial fibrosis : Jo Endo Myocardia EsimoPhilic déteare ( {off lers Endocas Secondar|- |» infittrodion CAnyliodosis 8 Heme chromert 5s 4 Sarciodesit ) & Tmmunobfical (seleradermay Myocardial infiltrodion 5 Mypcordial Fbvomsic @ Impaired Diastolic Punction (4 GmPliance) 5 Venous Confection: @ imPoired Systolic Panchen (onbrechity) —p Low co? + Spe Conshickve Ne fo OU Ca Gaal &) + Pariconditis a TH Syraphoms. of s4stomic Venous Qngecton BD BrPloms of low coe B SymPloms of Guce. ‘Sqaee [DB signs of Syshomicus Wenous Confession. > Onjened Palsoding « mB Kussmauii signe & Priederch’ sign 1a tim b+ BE) signe cof tow clos @ RaPid weak’: Pure © fulsus Pardoxus * low blood Pressure . ae © insPection & Palfation 3 Percutsion wa Sqne of Rv Saecnpet— —_-. a «_Auscaacion: Sq over TicutPed: area dy ONey 4 q + q 4, 8 Th 3 4 3 ~ a fa ECG = to 39 -Notta}e Derressed ST segment © Flot or inmerted T © Moy Show arrhoThavio- fa xk © RV Enter mont © lund Gngestion. Echo Grdioqrapty.. 2 Show styoGrrdicl Thickinin] » © May show Jnflitradive. Podternin Ventricle. © assess Contre» 12) Girdiac Giketerizedion.. Square oot sign ‘ oD ~ Gonevickive Paricedific . ROM CP Periowdiod Kross Absent Mey. frevond Peviowdiaa Gucci Abroat nog Prered= Cocrdio mega late Beil. Abrod eT & MRL — Pervcondiol tric Kini z : Endo mo cadil se Pew Neural, Muiscub sklete Gastro intestinal Guses; canter] disease W Gro 12 Peri Cardibir @ Aortic dissection ) Aortic stenosis Pulmonar| Em bolism 4 Paris} @ Preumatrerae. & Pneumonia wy HerPes

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