THE CLINICAL AND ROENTGENOLOGIC DIAGNOSIS OF PERICARDIAL EFFUSION
Authors: N M FENICHEL, B S EPSTEIN
Journal: Annals of Internal Medicine (1946)

Article1 March 1946THE CLINICAL AND ROENTGENOLOGIC DIAGNOSIS OF PERICARDIAL EFFUSIONNATHAN M. FENICHEL, M.D., BERNARD S. EPSTEIN, M.D.NATHAN M. FENICHEL, M.D.Search for more papers by this author, BERNARD S. EPSTEIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-24-3-401 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPericardial effusion frequently presents a confusing clinical and roentgenological picture. The multiplicity of diagnostic criteria is indicative of the troubled attitude towards this question. Differential diagnosis may be further complicated by pleural effusion or other basilar pulmonary disease.The principal causes of massive pericardial effusion are rheumatic fever and tuberculosis. Lupus erythematosus disseminata, pyogenic infections, malignant disease, myxedema, and the terminal phase of cardiorenal failure are less frequent etiologic agents.The symptoms noted with pericardial effusion may vary considerably, and may be absent until the effusion produces a tamponade effect. The most common complaint is precordial discomfort or a sense...Bibliography1. CONNER LA: On the diagnosis of pericardial effusion, Am. Heart Jr., 1926, i, 417-433. Google Scholar2. WINTERNITZLANGENDORF MR: The electrocardiogram in pericarditis, Acta med. Scandinav., 1938, xciv, 141-274. Google Scholar3. SANTE LR: Principles of roentgen interpretation, 1944, Edwards Brothers, Ann Arbor, Michigan, p. 224. ROESLER, H.: Clinical roentgenology of the cardiovascular system, 2nd edition, 1943, Charles C. Thomas, Springfield, Illinois, chapter XI. Google Scholar4. ORGAIN S: Pericarditis with effusion due to meningococcus, Am. Heart Jr., 1939, xviii, 368-371. WISE, A. W., SHAFER, L. E.: Purulent pericarditis treated with penicillin given intrapericardially, Jr. Am. Med. Assoc., 1945, cxxvii, 583. CrossrefGoogle Scholar5. ADCOCKLYONSBARNWELL JDRHJB: The circulatory effects produced in a patient with pneumopericardium by artificially varying the intrapericardial pressure, Am. Heart Jr., 1940, xix, 283-291. CrossrefGoogle Scholar6. WOLFF L: Acute pericarditis with special reference to heart size, New England Jr. Med., 1943, ccxxix, 423-431. CrossrefGoogle Scholar7. LEVINE SA: Clinical heart disease, 2nd edition, 1942, W. B. Saunders, Philadelphia, p. 80. Google Scholar8. GEVALTLEVINE FCSA: Significance of Ewart's sign, Internat. Clin., 1940, iv, 1-5. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, New York*Received for publication July 13, 1945.From the Medical Service of Dr. A. Louria and the Radiologic Service of Dr. M. G. Wasch, The Jewish Hospital of Brooklyn, Brooklyn, New York. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byChicken on a fence sign: Pericardial effusionPerikarditisErkrankungen des PerikardPERICARDITIS WITH EFFUSION: NEW OBSERVATIONS, WITH A NOTE ON EWART'S SIGN*†ISRAEL STEINBERG, M.D., F.A.C.P.RADIOLOGICAL DIAGNOSIS OF RHEUMATIC PERICARDIAL EFFUSIONMassive hydropericardium with compression and angulation of the inferior vena cava 1 March 1946Volume 24, Issue 3Page: 401-412KeywordsInfectious diseasesLupus erythematosusMedical servicesMetastasisPleural effusionPulmonary diseasesRheumatic fever ePublished: 1 December 2008 Issue Published: 1 March 1946 PDF downloadLoading ...