Pericardial Diseases Notes
This is a sample of our (approximately) 3 page long Pericardial Diseases notes, which we sell as part of the Clinical Cardiology Notes collection, a 2:1 package written at Bristol University in 2014 that contains (approximately) 39 pages of notes across 18 different documents.
The original file is a 'Word (Docx)' whilst this sample is a 'PDF' representation of said file. This means that the formatting here may have errors. The original document you'll receive on purchase should have more polished formatting.
Pericardial Diseases Revision
The following is a plain text extract of the PDF sample above, taken from our Clinical Cardiology Notes. This text version has had its formatting removed so pay attention to its contents alone rather than its presentation. The version you download will have its original formatting intact and so will be much prettier to look at.
ACUTE PERICARDITIS o Inflammation of pericardium
Viral (Coxsackie; Flu; E-B; Mumps; Varicella; HIV)
Bacteria (pneumonia; RF; staphs; streps; MAI in HIV)
Drugs (procainamide; hydralazine; penicillin; comolyn Na)
Others= Uraemia; RA; SLE; Myoedema; Trauma; Surgery; Malignancy o Clinical
Central chest pain
Worse when lying flat and on inspiration; Relieved sitting forward
Pericardial friction rub may be heard
Look for pericardial effusion or cardiac tamponade o Tests
ECG Concave ST elevation; May be normal
Bloods FBC, ESR, U&E, Troponin (may be up); Viral serology; Cultures
X-Ray Cardiomegaly (pleural effusion) o Treatment
Analgesia (ibuprofen 400mg/8h PO)
Colchicine before steroids if relapse/continuing (15-40%
PERICARDIAL EFFUSION o Accumulation of fluid in pericardial sac (same causes as pericarditis) o Clinical
Bronchial breathing at L base
Look for cardiac tamponade signs o Diagnosis
CXR Enlarged globular heart
ECG Low voltage/alternating QRS
Echo Echo free zone around heart o Management
Pericardiocentesis (diagnostic or therapeutic)
CONSTRICTIVE PERICARDITIS o Heart encased in rigid pericardium o Clinical features
Raised JVP; Kussmaul's sign
Soft, diffuse apex beat
Quiet heart sounds
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