Ewart sign is seen in?
A) CP
B ) CT
C) HOCM
D) DCM
Ans. b(CT)
In acute Pericarditis, effusion is usually associated with pain and ecg changes, as well as with enlargement of the cardiac silhouette. Pericardial effusion is especially important clinically when it develops within a relatively short time as it may lead to cardiac tamponade. Differentiation from cardiac enlargement may be difficult on physical examination, but heart sounds may be fainter with pericardial effusion. The friction rub may disappear, and the apex impulse may vanish, but sometimes it remains palpable, albeit medial to the left border of cardiac dullness. The base of the left lung may be compressed by pericardial fluid, producing Ewart’s sign, a patch of dullness and increased fremitus (and egophony) beneath the angle of the left scapula. The chest roentgenogram may show a “water bottle” configuration of the cardiac silhouette but may also be normal.