Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
Bacterial causes and treatment for Pericarditis:
Perry PHIMPSS will break your heart to the 3rd generation |
-H. Influenzae
-Meningocci -Pneumoccocci -Stapylococci -Streptococci -3rd generation cephalosporins |
|
|
MC Viral causes of pericarditis?
|
-echo virus
-influenza virus -coxsackie B -adenovirus -EBV -HIV -CMV -HSV Tx: COLCHICINE, Analgesics, NSAIDS |
|
|
MC Fungal causes of pericarditis?
|
-Histoplasmosis
-coccidioidomycosis -candidasis -blastomycosis Parasite: Echino Tx: COLCHICINE, Analgesics, NSAIDS |
|
|
Autoimmune causes of pericarditis and tx:
“MR RaPRS on Roids” |
-Mixed tissue
-Rheumatic fever -RA -Polyarteritis Nedosum -Reiter's syndrome -SLE -Tx: Stereoids |
|
|
What is Dressler's Syndrome?
|
-post MI syndrome that causes pericarditis
-4 major sx: a. fever b. chest pain c. pericardial effusion d. pleural rib |
|
|
What are the 4 major cardiac causes of pericarditis?
"To much DATA infects my heart" |
-Dressler's syndrome
-Aortic dissection -Takotsubo -Angiosarcoma (right atrial) |
|
|
What are the major malignancies that cause pericarditis?
"Melanie’s Breasts, Lungs, and Thighs are Bad A** Man" |
-Melanoma
-Breast Cancer -Lung Cancer -Thymus -B-lymphoma -AIDS Kaposi Sarcoma, -Mesothelioma |
|
|
What are Metabolic and Medication Causes of Pericarditis?
MOR HASTY |
-Mxydema (Hypothyroidism)
-Ovarian hyperstimulation syndrome -Renal Failure -Hypersensitivity (eg Penicillin) -Anthracyclines (Doxorubicin) -Serum sickness (Hyrazalines) -Talc (foreign substance rxn) -Yellow fever vaccine (rxn) |
|
|
What are the major clinical manifestations of pericarditis?
|
-Paroxysmal Pulsus
-Kussmauls -Chest pain -Tachycardia -Friction Rub -Hear distant heart sounds -ST elevation on EKG -Fever, Hypotension, Dry cough |
|
|
What are the 4 different stages of EKGs for a pt w/ pericarditis?
(only 50% have all 4 stages) |
1. ST elevation w/ concordance, occurs in the 1st 2 days after inflammation starts
2. Return to baseline, flattened T wave, last several days to weeks 3. 2nd-3rd week, T wave inversion 4. Normal EKG, may last up to 3 m |
|
|
What are 4 differences between pericarditis and acute MI?
|
1. Increase pain w/ inspiration
2. Friction rub on exhalation 3. Sitting up and forward will decrease the pain 4. No depressed ST or pathologic Q waves -New S3 for peri -Fever, malaise (prodrum) -Retrosternal |
|
|
General workup for someone with pericarditis?
4CE BEEPS |
-CRP,CBC, CXR, CHEST CT
-ECG -BUN -ESR -ECHO -PERICARDIOCENTESIS -SERUM TROPONIN |
|
|
Criteria for hospitalization for pericarditis
Features of High Risk |
-Fever and leukocytosis
-Evidence of cardiac tamponade -Large pericardial effusion (ie, an echo-free space > 20 mm) -Immunosuppressed state -Hx of oral anticoagulant therapy -Acute trauma -Fail to respond to NSAID (7days) -Elevated cardiac troponin, suggestive of myopericarditis |
