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Cardiovascular: infections > Pericarditis > Flashcards

Flashcards in Pericarditis Deck (15)
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1

what is it?

This is inflammation of the pericardium

2

pericarditis often occurs with _______

myocarditis

3

It may be idiopathic or secondary to: 6

- viruses
- Bacterial
- Fungi
- Myocardial infarction,Dressler’s
- Drugs

4

which viruses may cause P? 6

Coxsackie, flu, Epstein–Barr, mumps, varicella, HIV

5

which bacteria may cause P? 6

pneumonia, rheumatic fever, TB, staphs, streps, MAI in HIV,

6

which drugs may cause P? 5

procainamide, hydralazine, penicillin, cromolyn sodium, isoniazid

7

what are some other associations of P?

- uraemia,
- rheumatoid arthritis,
- SLE,
- myxoedema,
- trauma,
- surgery,
- malignancy (and antineoplastic agents),
- radiotherapy,
- sarcoidosis.

8

what are the clinical features?

- central chest pain
- pericardial friction rub may be heard
- look for pericardial effusion or cardiac tamponade
- fever may occur

9

what are the characteristics of the pain?

worse on inspiration or lying flat and relieved by sitting forward

10

what investigations should be done?

- ECG
- Blood tests
- CXR
- Echo
- microbiology

11

which blood tests should be done?

FBC, ESR , U and E, cardiac enzyme (troponin may be raised)

12

which cardiac enzyme may be raised ?

troponin

13

what does an ECG classically show?

concave (saddle shaped ) ST segment elevation but may be normal

14

what does cardiomegaly on CXR inidicate?

pericardial effusion

15

what is the treatment?

supportive - analgesia

unless it is a bacterial cause - then you need antibiotics and drainage