Pericarditis Flashcards

1
Q

Identify three causes of acute pericarditis

A
  • Viral pericarditis
  • Post MI pericarditis (Dressler’s syndrome)
  • Uraemic pericarditis
  • Bacterial pericarditis
  • Tuberculous pericarditis
  • Fungal pericarditis
  • Malignant pericarditis
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2
Q

Identify two causes of a pericardial effusion

A
  • Tuberculous pericarditis

- Malignant pericarditis

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3
Q

Identify three risk factors for pericarditis

A
  • Male sex
  • Age 20 to 50 years
  • Cardiac surgery
  • Viral and bacterial infections
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4
Q

Identify three clinical features of acute pericarditis

A
  • Sharp retrosternal pain relieved by sitting forward
  • Pericardial friction rub heard during expiration
  • Referred pain to left shoulder, arm or abdomen
  • Fever
  • Arthralgia
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5
Q

Identify three clinical features of chronic constrictive pericarditis

A
  • Kussmaul’s sign (rise in JVP during inspiration)
  • Pulsus paradoxus (fall in BP during inspiration)
  • Systemic venous congestion (ascites, hepatomegaly, peripheral oedema)
  • Pulmonary venous congestion (dyspnoea, cough, orthopnoea).
  • Fatigue
  • Hypotension
  • Tachycardia
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6
Q

What is seen on ECG in acute pericarditis?

A
  • Saddle shaped ST elevation

- ST elevation inn leads aVR and V1

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7
Q

What is seen on ECG in chronic pericarditis?

A
  • Low voltage QRS complexes

- T wave inversion

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8
Q

What is seen on CXR and echo in acute pericarditis?

A
  • Cardiomegaly
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9
Q

What is seen on CXR and echo chronic pericarditis?

A
  • Small heart
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10
Q

Identify three differential diagnoses of pericarditis

A
  • Myocardial infarction
  • Pulmonary embolism
  • Pneumothorax
  • Costochondritis
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11
Q

What is the management of pericarditis?

A
  • Bed rest
  • NSAIDs
  • Corticosteroids for immune causes where there is a risk of recurrence
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12
Q

Identify three clinical features of cardiac tamponade

A
  • Cough
  • Breathlessness
  • Dysphagia
  • Hoarseness
  • Pulsus paradoxus
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13
Q

What is Beck’s triad?

A
  • Collection of 3 clinical signs found in cardiac tamponade
  • Hypotension
  • Muffled heart sounds
  • Distended jugular veins
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14
Q

What is seen on ECG in cardiac tamponade?

A
  • Electric alternans

- Low voltage QRS complexes

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15
Q

What is seen on CXR in cardiac tamponade?

A
  • Cardiomegaly
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16
Q

Identify three differential diagnoses of pericarditis

A
  • Constrictive pericarditis
  • Restrictive cardiomyopathy
  • Cardiogenic shock
17
Q

Outline the treatment of cardiac tamponade

A
  • Pericardiocentesis
  • Vancomycin and gentamicin when TB or malignant purulent pericardial effusion is suspected
  • Pericardial window to allow slow release of fluid