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Cardiology Final > Pericarditis > Flashcards

Pericarditis Flashcards

1
Q

Pericarditis

A

Inflammation of the pericardial sac

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2
Q

Myopericarditis

A

Pericarditis +myopericardial inflammation (myocarditis) with normal ventricular function

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3
Q

Perimyocarditis

A

Pericarditis + myocardial inflammation (myocarditis) with reduced ventricular function

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4
Q

Acute Pericarditis:
Subacute Pericarditis
Chronic Pericarditis

A

within days
weeks to months
persists more than 6 months

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5
Q

Pericarditis Causes:

A

VINDICATE

vascular
infection/inflammation 
neoplasms 
drugs. degenerative 
iatrogenic, idiopathic 
congenital/inherited/developmental 
autoimmune/allergy/anatomic 
trauma
endocrine/metabolic, environmental
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6
Q

Viral Infections that cause Pericarditis:

A

coxsackie virus
adenovirus
epstein barr virus
influenza

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7
Q

Bacterial Infections that cause pericarditis

A

mycobacterium tuberculosis

staph, strep

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8
Q

Fungal Infection causes

A

Fungal:

histoplasmosis, aspergillum, blastomyces

Parasitic:

echonococcus, amoebic, toxoplasma

Other;

infective endocarditis

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9
Q

Rheumatologic Etiologies

A

SLE
RA
Systemic Sclerosis

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10
Q

Trauma etiologies

A

blunt trauma
heart surgery
post myocardial infarction

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11
Q

Medications

A

Procainamide
Hydrasalazine
Warfarin

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12
Q

Drug-Induced Lupus

SHIPPE-E

A 
Sulfa drugs 
hydralazine 
isoniazid 
procainamide 
Phenytoin 
Etanercept
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13
Q

Malignancy

A

lung or breast cancer
Hodgkin’s disease
leukemia
melanoma

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14
Q

What is in EKG in acute pericarditis?

A

it is diffuse ST elevation

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15
Q

Initial Diagnostic Testing

A

Echocardiogram –> ultrasound of the heart

chest x ray

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16
Q

Initial lab counts:

A
  1. c reactive protein
  2. ESR
  3. CBC
  4. CMP
  5. Troponin I and T
17
Q

2ndary Lab testing:

A 
Blood cultures
Pericardiocentesis 
Pericardial Biopsy 
Autoimmune work up: ANA 
RF: rheumatoid factor 
HIV serology 
PPD or Quantiferon Gold 
Thyroid Hormone
18
Q

2ndary Diagnostic Testing

A

CT/infrequently needed

19
Q

1ST line treatment

A

NSAID + colcichine

NSAIDs:

ASA (, Ibuprofen, indomethacin

20
Q

2nd line treatment

A

glucocorticoids + colchicine

21
Q

Other treatments

A
  1. therapeutic pericardiocentesis

2. surgery

22
Q

Dressler Syndrome:

A

immune mediated pericarditis that occurs after MI

Time Frame: 2-6 weeks after myocardial infarction

Treatment: acetylsalicylic acid + colchicine

23
Q

Peri-infarction pericarditis

A

Definition: fibrinous exudate

Time frame: 1-3 days

24
Q

Pericardial Effusion:

A

can lead through electrical alterans

25
Q

Complications of pericardial effusion

A

Cardiac Tamponade

26
Q

Pulsus Paradoxus

A

large decrease in systolic blood pressure (>10 mmhg on inspiration)

27
Q

Constructive pericarditis

A

sac like covering of the heart becomes thickened and scarred

Cardiology Final (14 decks)

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