Pericaridal Diseases Flashcards
0
Q
Most common cause of endocarditis
A
- coxsackie
- adeno
- HIV
1
Q
Acute/subacute/chronic pericarditis
A
- acute < 6 weeks (fibrinous)
- subacute 6 w-6 m (effusive/constrictive)
- chronic < 6 mo (constrictive)
2
Q
Chest pain in pericarditis
A
- aggravated by deep inspiration
- relieved by sitting up/leaning forward
3
Q
Diffused ST elevation in 1,2,3,aVf,V4,5 and 6
A
- suggests acute pericarditis
4
Q
Pericarditis trt
A
- rest
- ASA, ketorolac
- avoid roids
- treat underlying causes
- Nitro WILL NOT alleviate pain in pericarditis
5
Q
Dyspnea, cough, dysphagia, hoarseness, sense of abdominal fullness
- muffled heart sounds
- ewarts sign: dullness on percussion, and bronchial breathing on auscultation
A
Pericardial effusion
6
Q
Pericardial effusion Dx
A
- ECG: low amplitudes complexes
- X-ray: water bottle heart
- 2D echo: black space around heart
7
Q
- 200-2000 mL of fluid in pericardial space
A
- cardiac tamponade
8
Q
Dyspnea, tachycardia, decreased systolic and narrow pp, pulses paradoxus, elevated venous pressure, muffled heart sounds
A
- tamponade
9
Q
Becks triad
A
- decreased arterial pressure
- increased venous pressure
- distant heart sounds
10
Q
Pulses paradoxus
A
- exaggeration of normal variation in systolic during inspiration
- abnormally large decline in arterial systolic pressure
11
Q
Electoral alternans
A
- pacing strip amplitude alternates low-high every other beat
- it indicates cardiac tamponade
12
Q
Most common cause of constrictive pericarditis
A
- previous radiation therapy
13
Q
Dyspnea, fatigue, pericardial knock early diastolic sound
A
Constrictive pericarditis
14
Q
Common complication of acute bacterial endocarditis
A
- lung abcess
- the process is more infectious than thrombotic (despite janeways, oslers and Roth spots)
