Cv 2 Lecture 11 Takudo Pericardial Disease

Front 1

List the 4 kinds of pericardial disease

Back 1

nonconstrictive carditis
constrictive carditis
relapsing carditis
pericardial effusions

Front 2

90% of nonconstrictive pericarditis is

Back 2

idiopathic and probably viral

Front 3

Nonconstrictive pericarditis is often preceded by

Back 3

viral URI or gastroenteritis

Front 4

Dressler syndrome define

Back 4

autoimmune process occurs after 1-2 weeks post op. Dx of exclusion after MI, PE, endocarditis, uremia, and CTD

Front 5

nonstrictive pericarditis chest pain improves with

Back 5

leaning forward

Front 6

sx of nonconstrictive pericarditis include pleuritic chest pain relieved by leaning forward, fever, tachy... and this sx which is dx if present the previous three

Back 6

friction rub

Front 7

EKG findings of nonconstrictive pericarditis

Back 7

diffuse concave up ST elevation (except AvR)
depressed PR segements (lead II)

Front 8

if you find elevated Ck in nonconstrictive myocarditis its secondary

Back 8

to myocarditis

Front 9

Tx for Nonconstrictive peri?

Back 9

NSAIDS, corticosteroids if severe or refractory to NSAIDS

Front 10

Constrictive pericarditis is best seen as _____ on lateral x ray

Back 10

calcifications within the pericardial sac

Front 11

CT/MRI shows pericardial thickness to be _____ in constrictive pericarditis

Back 11

>5 mm

Front 12

What is Kussmaul sign, and what is it found in?

Back 12

increased JVD during inspiration, found in constrictive pericarditis

Front 13

What are the two hallmark findings in constrictive pericarditis

Back 13

Kussmaul sign, large right sided x and y descents

Front 14

what kind of pulse can a pt with Constrictive pericarditis present with?

Back 14

pulsus paradoxus

Front 15

Tx for constrictive pericarditis?

Back 15

open thoracotomy/pericardiectomy

Front 16

right swan ganz cath shows what in constrictive pericarditis

Back 16

equilization of diastolic heart pressures through all chambers

Front 17

Sx of pericardial effusion?

Back 17

progressive dyspnea, chest pain, R/L HF, hypotension, narrowing pulse pressure

Front 18

What would you find on PE with a pt with a pericardial effusion

Back 18

beck's triad
hypotension
muffled heart sounds
JVD

Front 19

Becks triad, what is it, and where would you find it

Back 19

hypotension, muffled heart sounds, JVD
found in pericardial effusion/tamponade

Front 20

Dx for pericardial effusion?

Back 20

usually ECHO, but CT/MRI better at quantifying

Front 21

EKG may show ____ for pericardial effusion

Back 21

low voltage or electrical alterans