Pericarditis

Question 1

what is pericarditis

Answer 1

inflammation of the elastomuscular layer surrounding the heart

Question 2

causes

Answer 2

viral
previous MI
malignant causes
rheumatological conditions
hypothyroid
renal problems
IBD
behcet's syndrome

Question 3

signs

Answer 3

chest pain with a long history
pain is better when sitting forward
pleural rub can be heard

Question 4

investigations

Answer 4

ECG:
widespread ST elevation
PR depression

bloods:
high troponin

Question 5

management

Answer 5

NSAIDs
colchicine - aware of renal and hepatic impairment
steroids
antibiotics for bacterial infection

Question 6

what is NSAID is used

Answer 6

naproxen

Question 7

what is the name of the acute pericarditis that occurs after an MI

Answer 7

dressler’s syndrome

Question 8

what is behcet’s syndrome

Answer 8

systemic inflammatory disorder

signs:
oral and genital ulcers
anterior uveitis
erythema nodosum

Question 9

what is a complication

Answer 9

pericardial effusion

Question 10

what would be seen on an x-ray for pericardial effusion

Answer 10

globular appearance

Question 11

constrictive pericarditis pathology and signs

Answer 11

constant inflammation results in fibrosis of the pericardial wall, making it hard for heart to expand and constrict

right heart failure signs
kussmaul sign positive
3rd heart sound