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In patients with large pericardial effusions the motion of the pericardium may be:

a) damped
b) increased
c) unchanged
d) paradoxical

1 Answer

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Final answer:

The motion of the pericardium in patients with large pericardial effusions is typically damped due to the pressure of the excess fluid inhibiting the heart's ability to relax and refill properly.

Step-by-step explanation:

In patients with large pericardial effusions, the motion of the pericardium may be damped. This is because the excess fluid within the pericardial cavity puts pressure on the heart, hindering its ability to relax and refill with blood efficiently with each heart cycle. Over time, this can lead to cardiac tamponade, a severe condition in which decreased ventricular filling results in lowered cardiac output and can be life-threatening if not promptly treated. The fluid accumulation, whether it is from pericarditis, trauma, cancer, or cardiac surgery, could result in a need for drainage tubes to be inserted to remove the excess fluid to prevent or manage cardiac tamponade.

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