Pericarditis

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    • Pericarditis
      • Etiology
        • Viral—
          • pericarditis frequently occurs following a recent viral URI
        • Bacterial—TB, streptococci, staphylococci
        • Metastases—1° tumors usually breast or lung (MCQ)
        • Acute myocardial infarction:
          • Immediate post-MI pericarditis
            • occurswithin 24 hours of a transmural infarction due to direct pericardial irritation
          • Dressler’s syndrome(MCQ)
            • pericarditis occurring one week to months after an MI (MCQ)
            • due to an autoimmune response to infarcted myocardium, can progress to chronic condition(MCQ)
        • Uremia—chronic renal failure, mental status changes(MCQ)
        • Radiation—radiotherapy, occupational/environmental exposure
        • Drug reaction—hydralazine, procainamide, isoniazid(MCQ)
        • Collagen vascular tissue—SLE, scleroderma(MCQ)
        • Myxedema
        • Trauma
          • postpericardiotomy syndrome following CT surgery (usuallybrief clinical course)(MCQ)
        • Idiopathic
      • Signs and symptoms
        • Chest pain, often pleuritic (inspiratory), radiating to left trapezial ridge
        • Pain often relieved by sitting up and leaning forward(MCQ)
        • Pain does not respond to nitroglycerin.(MCQ)
      • Diagnosis
        • Auscultation—
          • pericardial friction rub on expiration(MCQ)
          • pathognomonic but variably present
        • ECG—
          • diffuse ST elevations and PR depressions(MCQ)
          • low voltage
        • CXR
          • possiblyenlarged cardiac silhouette 2° to pericardial effusion
          • Echocardiography—possible pericardial effusion
      • TREATMENT
          • NSAIDs to relieve pain and reduce inflammation (ASA, indometh-acin, ibuprofen)
          • Steroids for intractable cases (e.g., Dressler’s)(MCQ)


Pericarditis
Cardiovascular Disorders: Pericaditis. S/S, diagnostics, tx, nursing
Pericarditis & Chest Pain
Dr. Bob explains pericarditis, a condition in which the sac-like covering around the heart (pericardium) becomes inflamed.
Acute Pericarditis and ECG – Cardiology Presentation
This is a medical presentation about Acute Pericarditis which is the inflammation of the sac around the heart (pericardium). A typical characteristic feature of this condition is chest pain. There are multiple causes for Pericarditis: bacterial infections or viral infections of the pericardium, pericarditis due to heart attack, etc. This video gives a good overview on Acute Pericarditis combined with a pop quiz of different ECG pictures.
Pericardial Effusion and Pericarditis
Pericardial Effusion Pericardial Effusion
Histopathology Heart –Pericarditis, bacterial
Histopathology Heart –Pericarditis, bacterial
Kussmaul’s sign of constrictive pericarditis
A patient with constrictive-effusive pericarditis from tuberculosis. The Kussmaul’s sign is present and probably prominent X and Y descend of jugular venous pulsation
PERICARDITIS ABAD
MY MEANS OF A MEDIAN STERNOTOMY INCISION ,PERICARDIECTOMY IN A PATIENT WITH CALCIFIC CONSTRICTIVE PERICARDITIS