Changes

* Right-sided congestive heart failure: jugular venous distension, jugular pulses, ascites, pleural effusion

* Right-sided congestive heart failure: jugular venous distension, jugular pulses, ascites, pleural effusion

* Weak pulses due to poor cardiac output

* Weak pulses due to poor cardiac output

* Pulsus paradoxicus (pulse quality varies excessively with respiration)

* '''Pulsus paradoxicus''' (pulse quality varies excessively with respiration)

* Sinus tachycardia, compensatory mechanism for reduced cardiac output in order to maintain systemic blood pressure

* Sinus tachycardia, compensatory mechanism for reduced cardiac output in order to maintain systemic blood pressure