THEME 2.2 ANATOMICAL PATHOLOGY(PERICARDIAL DISEASES)

Question 1

PERICARDIAL DISEASES

Answer 1

DISEASES OF PERICARDIUM

Question 2

TYPES

Answer 2

ACUTE OR CHRONIC

Question 3

PERICARDIUM DISORDERS

Answer 3

INFLAMMATION
FLUID ACCUMULATION
FIBROUS CONSTRICTION

Question 4

PERICARDIAL EFFUSION

Answer 4

SEROUS-PLEURAL EFFUSION
BLOOD-HAEMOPERICARDIUM
PUS-PURULENT

Question 5

IF THE ACCUMULATION OF FLUID IS LONG STANDING

Answer 5

PERICARDIUM DILATES
SLOWLY ACCUMULATION EFFUSION CAN BECOME LARGE
NO EFFECT ON CARDIAC FUNCTION

Question 6

CHRONIC EFFUSION >500 ML

Answer 6

ASYMPTOMATIC WITH GLOBULAR ENLARGEMENT OF CARDIAC SHADOW ON CXR

Question 7

RAPIDLY COLLECTION OF 200-300ML

Answer 7

COMPRESSES ATRIA,VENA CAVAE AND VENTRICLES

Question 8

CLINICAL FEATURES

Answer 8

FALLIN BP
PARAXODICAL PULSE
JAGULAR VEIN DISTENTION
TACHYCARDIA
DISTANT/MUFFLED HEART SOUNDS

Question 9

CAUSES

Answer 9

INFECTIOUS AGENT(VIRUSES BACTERIA AND FUNGI)
IMMUNOLOGICAL MEDIATED(RHEUMATIC FEVER SCLERODERMIA)
MISCELLANEOUS(INFARCTION CURAEMIA)

Question 10

ACUTE PERICARDITIS 5

Answer 10

SEROUS
FIBRINOUS
HAEMORRHAGE
PURULENT
CAASEOUS

Question 11

SEROUS

Answer 11

PRODUCED BY NON-INFECTIOUS INFLAMMATORY DISEASE(RF SCLERODERMA)
ADJECENT BACTERIAL INFECTIONS

Question 12

FIBRINOUS

Answer 12

MOST FREQUENT
SEROUS FLUID + FIBRINOUS EXUDATES
CAUSES(MI URAEMIA,RF,SLE TRAUMA)

Question 13

PURULENT

Answer 13

INVASION OF PERICARDIAL SPACE BY MICROBES
ROUTINE:DIRECT EXTENSION FROM NEIGHBOURINFECTIONS
SEEDING FROM THE BLOOD
LYMPHATIC EXTENSILE
CARDIOTOMY
CLINICAL FEATURES:SPIKING TEM CHILLS FEVER

Question 14

CHRONIC

Answer 14

PLAQUE LIKE FIBROUS THICKENING