Pericardial disease Flashcards by Holly O'Flanagan | Brainscape

Q

Features of acute pericarditis

A

Chest pain- pleuritic, relieved sitting forward

Non-productive cough, dyspnoea, flu-like symptoms

Pericardial rub

Tachypnoea

Tachycardia

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Q

Causes of acute pericarditis

A

Viral- coxsackie

TB

Uraemia (causes fibrinous pericarditis)

Trauma

Post MI (Dressler’s)

Connective tissue disease

Hypothyroidism

Malignancy

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Q

ECG changes

A

Widespread changes

Saddle shaped ST elecation

PR depression- most specific ECG marker

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Q

Investigations

A

ECG

Transthoracic echocardiography

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Q

Management of acute pericarditis

A

Treat underlying cause

NSAIDs and colchicine

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Q

Causes of constrictive pericarditis

A

Any cause of pericarditis

Particularly TB

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Q

Features of constrictive pericarditis

A

Dyspnoea

Right heart failure

JVP shows prominent x and y descent

Pericardial knock (loud S3)

Kussmaul’s sign positive

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Q

Kussmaul’s sign

A

Paradoxical rise in jugular venous pressure on inspiration

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Q

Right heart failure signs

A

Elevated JVP

Ascites

Oedema

Hepatomegaly

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Q

CXR findings

A

Pericardial calcification

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