myocarditis/pericarditis/tamponade

Question 1

Causes of myocarditis

Answer 1

infection
toxins/drugs
autoimmune disorder
chronic myocarditis

Question 2

myocarditis on echo

Answer 2

dilated/hypertrophied ventricles
dysfunction
WMA

Question 3

myocarditis symptoms

Answer 3

chest pain
exercise intolerance
SOB
fever

Question 4

causes of pericarditis

Answer 4

injury
infarct
cancer
surgery
hiv
infection

Question 5

acute onset of pericarditis symptoms

Answer 5

PERICARDIAL FRICTION RUB
ST ELEVATION
SHARP STABBING CHEST PAIN

Question 6

chronic onset of percarditis

Answer 6

less common to have friction rub or ekg changes
pericardial effusion

Question 7

constrictive pericarditis effects what chambers

Answer 7

all 4 chambers

Question 8

constrictive pericarditis etiology what happens to the pericardium

Answer 8

parietal and visceral pericardium thicken and scar and calcify

Question 9

constrictive pericarditis on echo

Answer 9

ventricular size and systolic function usually normal
bi atrial enlargement due to impaired diastolic filling
ivs septal bounce
pericardial effusion

Question 10

constrictive pericarditis m mode

Answer 10

LAE
bright and thick pericardium
paradoxical septal motion
PV premature opening

Question 11

large pericardial effusion is > than

Answer 11

20 mm

Question 12

small percardial effusion is < than

Answer 12

10 mm

Question 13

pericardial effusion symptoms

Answer 13

hoarseness
difficulty swallowing
compression
pain
syncope,nausea,SOB

Question 14

how to differentiate a pericardial effusion to a pleural effusion

Answer 14

a pericardial effusion is anterior to the descending aorta

Question 15

best echo view to visualize effusion

Answer 15

PLAX

Question 16

becks triad for tamponade

Answer 16

1.hypotension weak low pulse due to decreased cardiac output
2. muffled heart sounds
3. distended neck veins JVD

Question 17

pulsus paradoxus

Answer 17

exaggerated decrease in systolic BP with inspiration

Question 18

tamponade on echo

Answer 18

1. RA late diastolic collapse
2. RV diastolic collapse
3. paradoxical septal motion
4. dilated hepatic veins

Question 19

LV respiratory diastolic dimension with inspiration during tamponade

Answer 19

decreases
30% is diagnostic

Question 20

during tamponade the doppler of mitral valve inflow increases or decreases with inspiration

Answer 20

decreases

Question 21

during tamponade the doppler of the tricuspid valve inflow increases or decreases with inspiration

Answer 21

increases