Pericarditis Flashcards Preview

Medicine > Pericarditis > Flashcards

Flashcards in Pericarditis Deck (9):
0

Friction rub best heard where?

Left sternal border

1

Cause of acute pericarditis?

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

2

Classic description of pericarditis garnered from hx?

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

3

EKG findings in acute pericarditis?

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

4

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

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

5

EKG findings seen in MI but not in pericarditis?

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

6

Symptomatic differences of pain between MI and pericarditis?

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

Treatment of acute pericarditis?

NSAIDs, Colchicine, steroids

8

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

Uremic pericarditis. Dialysis

Decks in Medicine Class (106):