35-year-old woman with cardiac tamponade

disease e.c pericardial effusion

Khairunnisa (130611002)
Annisa Hafsari Hasrimi (130611035)
Nuri Pratiwi (140611021)

Supervisor :
dr. Yuri Savitri, Sp. JP. FIHA

MEDICAL FACULTY OF
MALIKUSSALEH UNIVERSITY
 CUT MEUTIA NORTH ACEH HOSPITAL
2020
04/02/2021
• thirty five years old woman was admitted the emergency
department of the cut meutia public hospital with
complaints of shortness of breath that had been felt by
the patient since ± 1 week ago, but had gotten worse in
these 3 days. half sitting or lying on the left side, the
patient also complains of a swollen face and legs, this
complaint is also accompanied by complaints of heart
palpitations, chest discomfort, complaints of nausea and
vomiting are denied, and the patient also complains of
occasional coughing when experiencing shortness of
breath.
04/02/2021
• history of disease patient was:The patient had
a history of pulmonary TB in 2018, with
category 1 pulmonary TB treatment by going
through the complete phase of 6 months,
hypertensive disease refuteddiabetes mellitus
deniedcomplaints with the same disease in
the family were denied

04/02/2021
• Physical examination on former admission
were sens: fully alert, BP: 110/80 x/i, RR: 28
x/i,T:36,5’C. Pale conjunctiva and icteric of the
sclera were not found. Chest examination
revealed: S3 gallops positive. Ronchi and
wheezing were not found either. Physical
examination of extremities were withim
normal limit. edema of the face, and in the
right and left legs
04/02/2021
 Electrocardiogram findings showed sinus rhytme, axis normal, PR interval 0,20
second, P wave (+) normal, QRS Low voltage, ST-T changes was not found, left
ventricular hypertrophy was not found, ventrikular extra systole was not
found. The conclusion was sinus rhytme with possible left atrial enlargement.

04/02/2021
 Chest X ray showed cardiomegaly with cardio thoracic ratio about 55%,
aortic segmen and pulmonary segmen were normal, cardiac wedge was not
found, congestion and infiltrate were not found. The conclusion was
cardiomegaly.

04/02/2021
 On echocardigraphy, there is a picture of pericarditis
effusion

04/02/2021
• We have given medical treatment for the
patient in Cut Meutia Hospital North Aceh. We
have given drugs in the form of diuretics
(furosemide), metil prednisolon 3x4 mg
,lansoprazole 2x1, paracetamol tabet 500 mg
(if necessary), antibiotics (inj.Ceftriaxone 1
gram/12 hours), and continue OAT Category 1
intensive 1x 4 tablets

04/02/2021
• then the patient had pericardiosynthesis to
overcome and improve the pericardial
effusion that the patient experienced

04/02/2021