Pericarditis Flashcards
1
Q
Define
A
Inflammation of pericardium
2
Q
Etiology
A
Viruses->Coxsackie, EBV, mumps, varicella, HIV Bacterial->TB, RF, staph/streps Fungi MI->Dressler's Uremia RA SLE Myxedema Trauma Surgery Malignancy Radiotherapy Sarcoidosis
3
Q
Clinical presentation
A
Chest pain \++On inspiration Releived by leaning forward Pericardial friction rub Look for evidence of pericardial effusion/tamponade
4
Q
Investigations and findings
A
ECG->concave ST segment FBC ESR/CRP Viral serology Blood cultures Serum troponin CXR EchoC
5
Q
General management
A
NSAID->ibuprofen
Proton pump inhibitor
Colchicine if recurrent
If antibiotics required->Vancomycin + gentamicin/ceftriaxone
6
Q
Patient instructions
A
- It is advised that vigorous exercise should not be performed until after the chest pain resolves.
- Specific recommendations exist regarding participation in competitive sport.
- Athletes should be temporarily excluded from all competitive and amateur sporting events until after clinical resolution (at least 3 months following clinical presentation).
- Resumption of sports activities can occur when there is no clinical evidence of active disease and serum inflammatory markers have normalised.
- Constrictive pericarditis excludes patients from all competitive sports.
