Pericarditis Flashcards
Etiology of pericarditis? (General)
“MAN RIP UI!”
Idiopathic
Infectious
MI
Post operative
Uremia
Radiation
Neoplasm
Autoimmune connective tissue disease
Trauma
What’re the infections that can cause pericarditis?
-Name the bacterial infection and viral
-What is most common?
Most common is viral (coxsackie B virus)
Bacterial: staphylococcus, streptococcus, or TB
Fungal
Toxoplasmosis (toxoplasma gondii parasite)
weeks to months after an acute MI, ______ syndrome is a cause of pericarditis
Dressler syndrome
What is the syndrome post operation that can cause pericarditis?
-Due to?
Postpericardiotomy syndrome
-Due to blunt or sharp trauma to the pericardium
Uremia can cause pericarditis due to what conditions?
Due to acute or chronic renal failure
What is an example of a neoplasm that can cause pericarditis?
Hodgkin lymphoma
What autoimmune connective tissue diseases can cause pericarditis?
Rheumatoid arthritis, systemic lupus, scleroderma)
Clinical features of acute pericarditis?
•Chest pain that improves on sitting or leaning forward
•Pericardial friction rub: high pitched scratching on auscultation
•Pericardial effusion
•Low grade intermittent fever, tachypnea, dyspnea, nonproductive cough
Clinical features of chronic pericarditis?
JVD, kussmaul sign, hepatic vein congestion, peripheral edema
Fatigue, dyspnea on exertion, tachycardia, pericardial knock, and pulses paradoxus
What’re the symptoms of hepatic vein congestion?
Hepatomegaly, painful liver capsule distention, and hepatojugular reflux
What is pulsus paradoxus?
Decreased blood pressure amplitude by 10 mm Hg during deep inspiration
What is a variant of pericarditis?
-what is it caused by?
Purulent pericarditis
-Caused by staphylococcus, streptococcus, or mycobacterium tuberculosis
What is purulent pericarditis?
Infection of the pericardium with macroscopic or microscopic evidence of pus in the pericardial space
What will an echo show in purulent pericarditis?
Pericardial effusion
Treatment of purulent pericarditis?
Pericardiocentesis
