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Pulsus Paradoxus

Aka: Pulsus Paradoxus, Paradoxical Pulse
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  1. Definition
    1. Inspiratory decrease in arterial pressure >10 mm Hg
    2. Inspiratory venous pressure unchanged (Kussmaul's Sign)
  2. Causes
    1. Pericardial Effusion
    2. Adhesive Pericarditis
    3. Cardiac Tamponade
    4. Pulmonary Emphysema
    5. Severe Asthma
    6. Para-mediastinal effusion
    7. Endocardial fibrosis
    8. Myocardial Amyloidosis
    9. Scleroderma
    10. Mitral Stenosis with right Heart Failure
    11. Tricuspid stenosis
    12. Hypovolemia
    13. Pulmonary Embolism
  3. Signs
    1. Palpable decrease in pulse with inspiration
    2. Inspiratory systolic Blood Pressure decreased
      1. Over 10 mm Hg less than expiratory pressure

Pulsus paradoxus (C0232118)

Concepts Finding (T033)
SnomedCT 52099006, 248645000
English PULSE, PARADOXICAL, PULSUS PARADOXUS, Pulsus Paradoxus, pulsus paradoxus, pulsus paradoxus (physical finding), Blood pressure systolic inspiratory decreased, Kussmaul's sign positive, Kussmauls sign positive, Positive Kussmaul's sign, Positive Kussmauls sign, paradoxical pulses, paradoxical pulse, Kussmaul pulse, Pulsus paradoxus, Paradoxical pulse, Paradoxical pulse volume, Finding of paradoxical pulse volume, Pulsus paradoxus (finding), Finding of paradoxical pulse volume (finding), Paradoxical pulse volume - finding
Italian Pressione arteriosa sistolica inspiratoria ridotta, Polso paradosso, Segno di Kussmaul positivo
Dutch Kussmaul's teken positief, positief Kussmaul's teken, Kussmauls teken positief, pulsus paradoxus, paradoxale pols, positief Kussmauls teken, bloeddruk systolisch inspiratoir verlaagd
French Signe de Kussmaul positif, Pouls paradoxal, Pulsus paradoxus, Pression artérielle systolique inspiratoire diminuée
German positives Kussmaulzeichen, Kussmaulzeichen positiv, Pulsus paradoxus, Blutdruck systolsich inspiratorisch erniedrigt
Portuguese Sinal de Kussmaul positivo, Pulso paradoxal, Tensão arterial sistólica inspiratória diminuída
Spanish Pulsus paradoxus, Signo de Kussmaul positivo, Pulso paradójico, pulso de Kussmaul, pulso paradójico (hallazgo), pulso paradójico, volumen del pulso paradójico - hallazgo (hallazgo), volumen del pulso paradójico - hallazgo, Presión arterial sistólica inspiratoria disminuida
Japanese 吸気時収縮期血圧低下, 奇脈, クスマウル徴候陽性, ｷﾐｬｸ, ｷｭｳｷｼﾞｼｭｳｼｭｸｷｹﾂｱﾂﾃｲｶ, ｸｽﾏｳﾙﾁｮｳｺｳﾖｳｾｲ
Czech Kussmaulův příznak pozitivní, Paradoxní tep, Paradoxní puls, Krevní tlak systolický inspirační snížený, Pozitivní Kussmaulův příznak
Hungarian Pulzus paradoxus, Paradox pulzus, Szisztolés vérnyomás belégzési csökkent, Kussmaul tünet pozitív, Pozitív Kussmaul-tünet, Pozitív Kussmaul tünet
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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