Pericardtis

Question 1

Types of pericarditis

Answer 1

Fibrinous - Dressler syndrome, Uremia, Radiation

Serous - viral SLE + rheumatoid arthritis

Suppurative purulent - bacteria (strep, pneumococ)

Question 2

What cause constrictive pericarditis

Answer 2

TB!!, idiopath, scar from surgery ->

Thick parietal pericard = (dyst. calcifi) ->

⬇️️filling of chambers

Question 3

What causes long QT syndrome

Answer 3

Inherited ion channel defect -> depol issue ->

Torsades de Pointes = LONG QT interval

Question 4

What’s wolf Parkinson’s

Answer 4

Instead of going to AVN, go down bundle of Kent = quicker - SVT - depol quicker

See DELTA WAVE + wide QRS + ⬇️PR interval

Question 5

How does pericarditis present?

Answer 5

Sharp pain

Worse @ inspiration + leaning forward
Better @ sitting up

Friction rub, wide ST segment elevation/PR depress