Pericarditis Flashcards
1
Q
what is it
A
inflammation of pericardium
often occurs with myocarditis
2
Q
what are symptoms
A
sharp, central chest pain - exacerbated by movement, respiration and lying down relieved by sitting forward may be referred to neck or shoulders fever fatigue nausea
3
Q
what are signs
A
pericardial rub (best heard with diaphragm at lower left sternal edge at end of expiration with patient leaning forward)
4
Q
what are causes
A
ECHO virus
bacteria (extension from elsewhere - pneumonia)
fungi - post transplant
TB (caseous material in sac)
5
Q
how is it diagnosed
A
symptoms
auscultation
ECG
CXR, echo
6
Q
what does it look like on ECG
A
concave upwards (saddle shaped) ST elevation must be differentiated from MI
7
Q
how is it treated
A
bed rest
analgesia
oral NSAIDs
8
Q
what are complications
A
cardiac tamponade
9
Q
what is signs of this complication
A
raised JVP, hypotension, muffled heart sounds, pulsus paradoxus
10
Q
what is treatment of this complication
A
pericardiocentisis if not resolved itself
