pericardial disease Flashcards

1
Q

myocarditis

A

inflammatory disease of the myocardium.
Inflammation with degeneration and necrosis of cardiac myocytes.
Conduction disruption is common.

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2
Q

most common cause of myocarditis

A

viruses.
Coxsackie viruses A & B

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3
Q

myocarditis can range from a _ disorder to a _ condition.

A

mild; lethal

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4
Q

pericarditis

A

the pericardium undergoes inflammation, fluid accumulates in the pericardial space.

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5
Q

pericardial effusion

A

the fluid that surrounds the heart.
this is an example of 3rd spacing.

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6
Q

cardiac tamponde

A

fluid accumulates to 200 mL or greater, it can compress the heart. The heart chambers are restricted by the surrounding pericardial fluid so they cannot stretch and fill with blood

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7
Q

Signs of Acute Pericarditis

A

chest pain
fever
dyspnea
pericardial friction rub
ECG: ST elevations
beck triad
Pulsus paradoxus

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8
Q

what does the chest pain for pericarditis feel like?

A

sharp and worsens with deep breathing

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9
Q

what does a Pericardial friction rub sound like?

A

scratching sound that can be heard through the stethoscope

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10
Q

what is Beck triad?

A

The Symptoms of cardiac tamponade is called Beck triad.
symptoms: Hypotension, Jugular vein distention, Muffled heart sounds.

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11
Q

Pulsus paradoxus

A

a decrease in systolic blood pressure of 10 mm Hg or more with inspiration

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12
Q

Pericarditis treatment

A

NSAIDs
ASA
Corticosteroids (+/-)
Colchicine: gout med, recently for pericarditis refractory to NSAIDs.

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