Acute Pericarditis Case Study

1. Fatigue and dyspnea on exertion are two common symptoms associated with mitral valve dysfunction. Many patients may not even show any signs and symptoms in the initial years except tiredness and fatigue. According to Shipton & Wahba, signs and symptoms of mitral dysfunctions include dyspnea on exertion, palpitations, orthopnea, chest discomfort, paroxysmal nocturnal dyspnea, and eventually leading to signs of right-sided heart failure.
Although, mitral dysfunctional may be asymptomatic to begin with, exercises can trigger fatigue, dyspnea and palpitations in the early years.
2. Palpitation is often described by patient as an increased self-awareness of heartbeats – feeling of heart beating faster, harder or skipping a beat. Palpitation is purely a
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Heart burn is usually associated with change in taste, burning sensation rather squeezing sensation, intolerance to spicy and hot foods, abdominal bloating and often responsive to antacids.
8. Differentiating angina pain from acute pericarditis is very crucial when it comes to emergency care management. The type of pain and patient medical history will give some clue to the evaluating clinician in this given clinical scenario. Acute pericarditis will often associated with recent cardiac procedure, recent upper respiratory tract infection or any chest injury.

According to Glasier, Marinella, Shabetai & Spodick, 1999, pericarditis pain is characterized by sharp and stabbing in nature, radiating to the trapezius muscle and usually felt substernal.
Aggravating factors will be lying supine, coughing, sneezing and deep breaths. Pain will

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