Pericarditis Flashcards

1
Q

Who does it normally affect?

A

20 to 50 year old men

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2
Q

What is the pathogenesis?

A

Acute inflammation with leukocyte infiltration and fibrin deposition

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3
Q

Causes of pericarditis (name 5)

A

MI, Dressler’s syndrome, cardiac surgery, coxsackie B, adenovirus, echovirus, influenza, mumps, HIV, staph, strep, salmonella, tb, fungus (aspergillus), autoimmune, metabolic, malignancy, drugs, irradiation, trauma

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4
Q

What are the symptoms of pericarditis?

A

Dyspnoea, orthopnoea, relieved by leaning forward, breathlessness, pericardial effusion, tachypnoeic, tachycardic, pericardial friction rub on left lower sternal edge, fever

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5
Q

What investigations would you do?

A

RFT, TFT, RBC (leukocytosis, Raised ESR, raised CRP), CXR (often normal), ECG (concave ST elevation) looks very similar to an MI

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6
Q

Management?

A

NSAID + treat underlying cause + bed rest. Avoid NSAIDs post MI however

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7
Q

What is pericarditis?

A

Inflammation of one of the layers of the pericardium

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