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Flashcards in Pericarditis Deck (9)
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0
Q

Cause of acute pericarditis?

A
  1. Infectious
  2. Vasculitis (autoimmune, postradiation)
  3. Immunologic (Dressler)
  4. MI
  5. Trauma
  6. Neoplasms (breast, lung, lymphoma)
1
Q

Friction rub best heard where?

A

Left sternal border

2
Q

Classic description of pericarditis garnered from hx?

A
  1. Substernal chest pain
  2. worsens with inspiration and recumbency
  3. radiates to trapezius ridge
  4. improved by sitting and leaning forward
3
Q

EKG findings in acute pericarditis?

A
  1. Diffuse ST segment elevation
  2. PR segment depression
  3. Opposite findings to above in aVR and V1
4
Q

Why is it important to distinguish between an MI and pericarditis?

A

Thrombolytics is treatment for infarction but could cause pericardial hemorrhage and cardiac tamponade if patient has pericarditis

5
Q

EKG findings seen in MI but not in pericarditis?

A
  1. ST segment depression in other leads
  2. Loss of R wave amplitude
  3. Q waves
6
Q

Symptomatic differences of pain between MI and pericarditis?

A

MI – gradual onset with crescendo pattern, pressure-type pain, pain does not vary with inspiration, pain relieved with nitrates

Pericarditis – sharp pain, varies with respiration

7
Q

Treatment of acute pericarditis?

A

NSAIDs, Colchicine, steroids

8
Q

Patient with pericarditis end-stage renal disease – likely cause? Tx?

A

Uremic pericarditis. Dialysis

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