Pericarditis
Summary
Symptoms
Analgesia (NSAID) --> Treat cause (Avoid steroids - inc recurrence)
--END OF SUMMARY--
Symptoms
- Sharp chest pain on inspiration
- Alleviated by sitting forward
- (Fever)
- Hx of AMI (Dressler's)
- Mediastinal surgery
- Autoimmune diseases
- Malignancy
- DXT/ trauma
- Pericardial friction rub/ scratch
- Bedside: ECG (saddle ST segment across all leads)
- Bloods: FBC+CRP, ESR, troponin, UEC, CMP, viral serology, blood culture, autoab
- Imaging: CXR, Echo
Analgesia (NSAID) --> Treat cause (Avoid steroids - inc recurrence)
--END OF SUMMARY--
Definition
Inflammation of pericardial pleura
Aetiology
Risk Factors
Clinical Features
Symptoms
Investigations
Management
Analgesia (NSAID) --> Treat cause (Avoid steroids - inc recurrence)
Source
OHCM 9th Ed 2014
Inflammation of pericardial pleura
Aetiology
- Virus (Coxsackie B, flu, EBV), bacteria (rheumatic fever, pneumonia, TB), fungi
- MI (Dressler's)
- Meds (Hydralazine, penicillin, isoniazid)
- Autoimmune (RA, SLE, sarcoidosis)
- Malignancy
- DXT/ surg/ trauma
- Idiopathic
Risk Factors
- Hx of AMI (Dressler's)
- Mediastinal surgery
- Autoimmune diseases
- DXT
Clinical Features
Symptoms
- Sharp chest pain on inspiration
- Alleviated by sitting forward
- (Fever)
- Pericardial friction rub/ scratch
Investigations
- Bedside: ECG (saddle ST segment/ rule out AMI)
- Bloods: FBC+CRP (infection), ESR (autoimmune), troponin (rule out AMI), UEC+CMP (uraemia), viral serology, blood culture (bacteruria), autoab (RA/SLE)
- Imaging: CXR (cardiomegaly - pericardial effusion), Echo (if effusion)
Management
Analgesia (NSAID) --> Treat cause (Avoid steroids - inc recurrence)
Source
OHCM 9th Ed 2014