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7 Cards in this Set

  • Front
  • Back
What is Pericarditis?
Inflammation of pericardial sac: 2 layers rub together when inflamed causing irritation.
Common causes of Pericarditis
Myocardial infarction (2-3 days after event),
Connective tissue disorders (Lupus, rheumatoid arthritis),
Renal Failure,
Mediastinal injury,
Neoplasms or Radiation,
Infectious Processes
What Subjective History might be indicative of Pericarditis?
Pleuritic chest pain: may radiate to Left shoulder, may be relieved by leaning forward
Pain is oppressive, sudden onset,
General Malaise,
Fever,
Dyspnea or cough
What PMH might be significant if suspecting Pericarditis?
TB,
Immune or Collagen disorders,
Recent MI (Dressler's Syndrome)
Recent Radiation,
Hemodialysis,
Anything related to the heart.
What Objective data might be indicative of Pericarditis?
Tachycardia
Tachypnea
Fever
Pericardial friction rub (heard with pt. leaning forward)
What are some diagnostic tests for Pericarditis?
CBC: elevated WBC
Blood Cultures
Pericardial fluid analysis
Chest x-ray
ESR prob elevated
Echo is the best!!
What is the treatment for Pericarditis?
Anti-inflammatory agents,
Anti-pyretics,
Antibiotics,
Colchicine for cases related to gout,
Diuretics,
Possible pericardiocentesis.