pericarditis

Question 1

dx pericarditis

Answer 1

diagnosed by the presence of at least 2 of the following criteria:

pericarditic chest pain
pericardial rubs
new widespread ST elevation or PR depression on electrocardiogram (ECG)
pericardial effusion (new or worsening).

other: increased crp, esr, wcc or vidence of pericardial inflammation on imaging

Question 2

causes of pericarditis

Answer 2

Infectivive- viral
Non infective- AI, neoplastic, metabolic, traumatic, post MI, iatrogenic

Question 3

ix for suspected pericarditis

Answer 3

ECG
CXR
CRP, ESR, WCC
Cardiac troponin concentration
TTE

Question 4

which RF are associated with a poor prognosis in pericarditis

Answer 4

high fever—more than 38oC
subacute course—symptoms developing over several days without a clear acute onset
large pericardial effusion
cardiac tamponade
failure to respond within 7 days to drug therapy.

Question 5

mgn of acute pericarditis

Answer 5

colchicine + aspirin/ibuprofen

Question 6

most specific ECG finding in acute pericarditis

Answer 6

PR depression