Pericarditis Flashcards Preview

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Flashcards in Pericarditis Deck (7):
1

Who does it normally affect?

20 to 50 year old men

2

What is the pathogenesis?

Acute inflammation with leukocyte infiltration and fibrin deposition

3

Causes of pericarditis (name 5)

MI, Dressler's syndrome, cardiac surgery, coxsackie B, adenovirus, echovirus, influenza, mumps, HIV, staph, strep, salmonella, tb, fungus (aspergillus), autoimmune, metabolic, malignancy, drugs, irradiation, trauma

4

What are the symptoms of pericarditis?

Dyspnoea, orthopnoea, relieved by leaning forward, breathlessness, pericardial effusion, tachypnoeic, tachycardic, pericardial friction rub on left lower sternal edge, fever

5

What investigations would you do?

RFT, TFT, RBC (leukocytosis, Raised ESR, raised CRP), CXR (often normal), ECG (concave ST elevation) looks very similar to an MI

6

Management?

NSAID + treat underlying cause + bed rest. Avoid NSAIDs post MI however

7

What is pericarditis?

Inflammation of one of the layers of the pericardium