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18 Cards in this Set
- Front
- Back
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What are the 4 classifications of pericardial disease?
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1. nonconstrictive pericarditis
2. constrictive pericarditis 3. relapsing pericarditis 4. pericardial effusions |
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90% of nonconstrictive pericarditis is due to what?
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idiopathic (probably viral)
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What may precede nonconstrictive pericarditis?
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1. viral URI or VGE
2. dressler's syndrome (autoimmune process following pericardiotomy) |
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What are some symptoms of nonconstrictive pericarditis?
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1. chest pain improves with leaning forward
2. fever 3. friction rub |
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What are ECG findings in nonconstrictive pericarditis?
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1. diffuse concave up ST elevation
2. depressed PR segments |
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What are the lab findings in nonconstrictive pericarditis?
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elevated CK
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What is the drug of choice in nonconstrictive pericarditis?
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NSAID's
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Which pericardial disease is characterized by scarring and loss of elasticity of the pericardial sac?
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constrictive pericarditis
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What are diagnostic indicators for constrictive pericarditis?
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1. lateral chest x-ray will show calcification of pericardial sac
2. CT/MRI will show pericardial thickness >5mm |
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What are 2 hallmark findings in constrictive pericarditis?
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1. kussmal sign (increased JVD during inspiration)
2. large right sided x and y descents |
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What is the treatment for constrictive pericarditis?
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open thoracotomy and pericardiectomy
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How frequently does relapsing pericarditis occur?
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rarely
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Pericardial effusion will demonstrate what s/s?
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1. progressive dyspnea
2. beck's triad (hypotension, muffled heart sounds, JVD) |
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What is pulsus paradoxus? What changes in cardiac tamponade?
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1. inhale deeply=BP drop by about 10mm/hg
2. BP drops >10mm/hg |
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What will the ECG show in pericardial effusion?
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low voltage or electrical alternans (beat-to-beat changes in one or more portions of the ECG)
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T or F: aspiration of pericardial fluid in pericardial effusion will help diagnosis.
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false (unless a malignancy is there)
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What must you rule out in PEA patients before you stop the code?
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pericardial effusion
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What is the treatment for chronic pericardial effusion?
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1. surgical drainage
2. pericardiocentesis 3. endomyocardial biopsy if TB is suspected |
