pericarditis Flashcards
what is pericarditis
inflammation of the pericardium and may be associated with an effusion
aetiology of pericarditis
virus
idiopathic
bacterial
related to an aortic dissection ]
symptoms of pericarditis
high temperature
muffled heart sounds
raised JVP if there is an effusion
effusion may be associated
shortness of breath
pain relieved by leaning forward
chest pain
muffled heart sounds
low blood pressure
syncope
fatigue
investigations of pericarditis
ECG -widespread ST elevation
bloods - troponin elevated
treatment of an effusion
drainage if the effusion is bacterial
treatment of a viral effusion
can be treated by not drainage
pericardial effusion aetiology
pericarditis which causes tamponade
symptoms of tamponade
fatigue
dizzy with low blood pressure
low blood pressure raised JVP
low blood pressure
muffled heart sounds
investigation of a tamponade
ECHO
CXR which shows a large cardiac shadow
management of a tamponade
drainage of the excess fluid band samples sent to microbiology
what to look out for in a sample sent to the lab
exudate / transudate ?
neoplastic cells . protein
aetiology of constrictive pericarditis
idiopathic
radiation
post surgery
autoimmune
renal failure
sarcoid
symptoms of tamponade
hepatomegaly
af
pleural effusion
raised JVP
ascites
jaundice
