Pericarditis Flashcards Preview

Internal Medicine > Pericarditis > Flashcards

Flashcards in Pericarditis Deck (6)
1

Define

Inflammation of pericardium

2

Etiology

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

Clinical presentation

Chest pain
++On inspiration
Releived by leaning forward
Pericardial friction rub
Look for evidence of pericardial effusion/tamponade

4

Investigations and findings

ECG->concave ST segment
FBC
ESR/CRP
Viral serology
Blood cultures
Serum troponin
CXR
EchoC

5

General management

NSAID->ibuprofen
Proton pump inhibitor
Colchicine if recurrent

If antibiotics required->Vancomycin + gentamicin/ceftriaxone

6

Patient instructions

1. It is advised that vigorous exercise should not be performed until after the chest pain resolves.
2. Specific recommendations exist regarding participation in competitive sport.
3. Athletes should be temporarily excluded from all competitive and amateur sporting events until after clinical resolution (at least 3 months following clinical presentation).
4. Resumption of sports activities can occur when there is no clinical evidence of active disease and serum inflammatory markers have normalised.
5. Constrictive pericarditis excludes patients from all competitive sports.