1. CARDIAC TAMPONADE Dr. Mansoor Khan MBBS, FCPS I, Resident, Surgical “C”, KTH Peshawar. Jan 5th, 2009

2. “ Compression of all cardiac chambers due to excessive accumulation of pericardial fluid leading to compromised cardiac out put ”

4. Pericardium typically has 20-50 ml of fluid

8. Dyspnea, Chest pain, Abdominal pain, Fatigue, Fever, Cough, Weakness, Palpitation, Maybe in shock, thus not able to elicit symptoms S YMPTOMS

9. Beck’s Triad S I G N S Hypotension JVP Diminished heart sounds

10. Hepatomegaly Evidence of chest wall trauma Pulsus paradoxsus > 12 mm Hg Kussmaul sign - paradoxical increase in venous distention and pressure during inspiration S I G N S

11. low voltage, sinus tach, PR depression, electrical alternans E K G

12. Enlarge cardiac silhouette, water bottle shaped heart C X R

19. THANKS