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Retired NBME Step 2 CK Form 6 Answers
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aneurysmclip
Thats what I chose too, but the patient isn't in acute distress so we don't need to drain fluid right away. I read a couple of articles, all said the same thing, if patient is hemodynamically unstable then you do the paracentesis. this patient has had the symptoms for 4 days so you can wait until diagnosis confirmed and do the pericardiocentesis under image guidance etc. step2 Medbullets also says you can manage conservatively but mostly the goal is to get fluid out.
So I'm just remembering to poke the needle if the patient sick as shit, but if the patient seems stable than you should get the echo.
+3
encarnme
Do you mean pericardiocentesis?
Paracentesis would be used for ascitic fluid.
+5
My guy your confusing paracentesis with Pericardiocentesis
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submitted by โkeyseph(99)
Sharp chest pain, jugular venous distention, enlarged globular cardiac silhouette, and diffuse nonspecific ST-segment changes on EKG all point to pericardial effusion/cardiac tamponade.
Next best step would be to evaluate with echocardiography.