8. Pericardial Disease Flashcards

1
Q

outer pericardium layer

A

fibrous

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2
Q

inner pericardium layer

A

serous

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3
Q

small effusion stretches

A

elasin fibers

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4
Q

large effusion stretches

A

stiff collagen fibers

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5
Q

what happens with increased RV filling

A

shifts intraventricular septum left

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6
Q

most common pericardial disorder

A

pericarditis

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7
Q

pericarditis classification

A

acute: 2-4 weeks
incessant: 1-3 months
chronic: > 3 months
recurrent: recurrence after 4-6 weeks no symptoms

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8
Q

pericarditis diagnosis

A

pleuritic chest pain
pericardial friction
diffuse ST elevation
PR depression

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9
Q
A

pericarditis

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10
Q
A

pericardial effusion

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11
Q

how to differentiate pericarditis from STEMI

A

pain is not relieved by NTG
incr inflammatroy markers
no reciprocal ST depression in EKG III

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12
Q

exudative

A

incr permeability

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13
Q

transudative

A

incre pressure to drive fluid movement

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14
Q

what does the a-line show during tamponade

A

pulsus paradoxus

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15
Q

pulsus paradoxus inspiration

A

decr pressure

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16
Q

pulsus paradoxus expiration

A

incr pressure

17
Q

effusion symptoms

A

SoB
orthopnea
cough
chest pain

18
Q

tamponade symptoms

A

becks triad
hypoperfusion
low/alternating EKG

19
Q

beck’s triad

A

muffled heart tones
hypotension
jugular distenstion

20
Q

primary diagnosis for effusion

A

echo

21
Q

small effusion

A

< 10 mmg

22
Q

mod effusion

A

10-20 mmg

23
Q

large effusion

A

> 20 mm

24
Q
A

effusion

25
Q

hemopericardium diagnosis

A

CVP
TEE

26
Q

hemopericardium treatment

A

pericardiocentesis
surgical drainage w/pericardial window

27
Q

what induction drug is best for tamponade

A

ketamine

28
Q

pericardial decompression syndrom

A

hypotension
severe HF
pulm edema

29
Q

constrictive pericarditis cause

A

tuberculosis

30
Q

effusion/constrictive pericarditis managment

A

avoid hypovolemia
normal sinus
avoid PPV
avoid SVR decrease
min PIP/PEEP
avoid hypoxemia
avoid PEEP

31
Q

commotio cordis

A

impact trauma causing R-on-T phenomena