Presentation
A rationalisation of the 1350 boxes used throughout the book gives a simpler and clearer presentation of the various categories. [books.google.com]
Abstract Acute pericarditis as a presenting sign of adrenal insufficiency is rarely reported. We present a rare case that highlights pericarditis as a clinical presentation of secondary adrenal insufficiency later complicated by cardiac tamponade. [cureus.com]
Fulminant clinical tamponade presents with symptoms that depend on its etiology. [textbookofcardiology.org]
A 57-year-old woman presented with persistent “chest congestion” starting 4 days prior. [jucm.com]
Entire Body System
- Anorexia
Anorexia and weight loss have been reported and may persist long after termination of this medication. Pain at tumor site, phlebitis, and other local reactions have been reported. Malaise has been reported. [rxlist.com]
Leucopenia Frequency not reported : Pancytopenia, thrombocytopenia, anemia, neutropenia Postmarketing reports : Immunologic Frequency not reported : Sepsis Musculoskeletal Very common (10% or more): Scleroderma, chills Metabolic Very common (10% or more): Anorexia [drugs.com]
Metabolic: Renal insufficiency, Hypothyroidism, anorexia nervosa. [en.my-ekg.com]
[…] while supine and decreases when upright Pericardial friction rub Increased heart size with pericardial effusion greater than 250 mL Diffuse concave upward ST-segments, PR- segment depression Abnormality noted in more than 90 percent of cases Pneumonia Anorexia [aafp.org]
(e) Clinical features of Uraemia: Patients with a raised urea may have non-specific features of nausea, vomiting, anorexia and itching. Pericarditis may occur in association with chronic or acute kidney injury. [rcemlearning.co.uk]
- Arm Pain
Treatment Patients with acute idiopathic or viral pericarditis should rest in bed or in an arm chair while inflammatory symptoms persist (pericardial pain and fever). [revespcardiol.org]
Respiratoric
- Pleuritic Pain
C 19 Patients with pleuritic pain should have chest radiography to evaluate for underlying pneumonia. C 9 Nonsteroidal anti-inflammatory drugs should be used to control pleuritic pain. [aafp.org]
Abdominal pain occurs occasionally in children. Differential diagnosis Other causes of chest pain - in particular: Myocardial infarction or ischaemia. Pleuritic pain. Pulmonary infarction. Peptic ulcer disease or oesophagitis. [patient.info]
Pleuritic pain has some elements in common with pericarditis, but the pain is located at the sides of the chest. Pericarditis may coexist with pleuritis (pleuropericarditis), and pain therefore has mixed characteristics. [revespcardiol.org]
Gastrointestinal
- Loss of Appetite
[…] of appetite Less Common Changes in fingernails or toenails weight loss Bleomycin may cause a temporary loss of hair in some people. [drugs.com]
Cardiovascular
- Pericardial Friction Rub
Diagnosis is based on the presence of two of the following: chest pain, pericardial friction-rub, ECG changes (new widespread ST-elevation or PR depression) and pericardial effusion. [icrjournal.com]
Its main clinical manifestations are: chest pain, pericardial friction rub and fever. [dialnet.unirioja.es]
The condition typically presents with fever, pleuritic chest pain, and a pericardial friction rub heard on auscultation. [amboss.com]
Pericarditis defined as typical chest pain with at least one of: pericardial friction rub, serial compatible ST-T changes, pericardial effusion on echocardiography. [bestbets.org]
- Pleuropericardial Friction Rub
Our patient had a pericardial friction rub that remains unexplained. This patient developed the pleuropericardial friction rub after dialysis was instituted, so it did not appear to be a uremic manifestation. [cjasn.asnjournals.org]
- Pericardial Disorder
Pericardial Disorders The pericardium is a membrane, or sac, that surrounds your heart. It holds the heart in place and helps it work properly. Problems with the pericardium include Pericarditis - an inflammation of the sac. [icdlist.com]
Musculoskeletal
- Arthralgia
Possible noninvasive clues for autoimmunity are antinuclear (3) or antiheart (4) antibodies (50% of adults), dry eyes, arthralgias, and a subacute course. [onlinejacc.org]
A 25 year old female presents with fatigue, arthralgias, and a rash. She reports that she has been having joint pain with worsened stiffness and swelling in the mornings for the past three months. [rheumatology.org]
Introduction Adult-onset Still's disease (AOSD) is a multisystemic inflammatory disorder characterized by a high spiking fever, a transient rash and arthritis/arthralgia ( 1 ). [spandidos-publications.com]
Disorder (OMIM) Gene Locus Protein involved Pattern of inheritance Major clinical findings Treatment FMF (249100) MEFV 16p13.3 Pyrin (marenostrin) AR fever, serositis (peritonitis, pleuritis, pericarditis), arthralgias or arthritides, erysipelas-like [omicsonline.org]
[…] diagnostic test results Connective tissue disorders Prior diagnosis of systemic lupus erythematosus, rheumatoid arthritis, or other connective tissue disorder should raise suspicion, but pleuritic chest pain may be initial presentation Fever; arthritis or arthralgias [aafp.org]
Psychiatrical
- Withdrawn
In any case, it seems reasonable to limit physical exercise, especially when corticosteroid or antiinflammatory treatment is being withdrawn. [revespcardiol.org]
Fluid is withdrawn until intrapericardial pressure falls below right atrial pressure, usually to subatmospheric levels. A plastic catheter may be passed through the needle into the sac and the needle withdrawn if continued drainage is needed. [ceufast.com]
Workup
Endocrinology was consulted for further workup and management of adrenal insufficiency of unclear etiology. [cureus.com]
It is concluded that in hospitalized patients with pericarditis, an extensive workup may not reveal the major etiologies, and the disease may be more complicated than previously thought. [jstage.jst.go.jp]
Cardiac workup was otherwise negative; the patient improved with conservative measures. In this case report, we describe a little known complication after upper endoscopy. [casereports.bmj.com]
A routine fever workup was negative. She was discharged the following day. The patient was readmitted three months later with recurrent pleuritic chest pain, which did not improve with resumption of NSAID therapy. [the-hospitalist.org]
Serum
- Neutrophilia
Laboratory evaluation revealed hemoglobin of 11.9 gm/dl, WBC count of 23.37 k/cumm with neutrophilia. [cureus.com]
The patient in the current study met the following criteria: Fevers lasting >1 week; leukocytosis with neutrophilia; sore throat; temporal rash; transient arthralgia; abnormal liver enzymes; polyserositis; liver functional abnormality; splenomegaly; and [spandidos-publications.com]
Blocks
- Right Bundle Branch Block
branch block and left posterior fascicular block 426.52 Right bundle branch block and left anterior fascicular block 426.53 Other bilateral bundle branch block Bifascicular block NOS Bilateral bundle branch block NOS Right bundle branch with left bundle [theodora.com]
[…] ventricular overload (T-wave inversion in right precordial leads, S 1 Q 3 /S 1 Q 3 T 3, transient right bundle branch block, pseudoinfarction, S 1 S 2 S 3 ) Cancer, immobilization, estrogen use, or recent surgery Dyspnea, syncope View/Print Table Table [aafp.org]
Other fascicular block I44.7 Left bundle-branch block, unspecified I45 Other conduction disorders [ edit ] I45.0 Right fascicular block I45.1 Other and unspecified right bundle-branch block I45.10 Unspecified right bundle-branch block Right bundle-branch [en.wikisource.org]
T Wave
- T Wave Inversion
T-wave inversions (negative T-waves) ST elevations are normalized slowly in pericarditis. It may take weeks for the ST elevations to resolve. Thereafter, T-wave inversion typically ensues. [ecgwaves.com]
It is characterised by the normalization of the ST segment and widespread T wave flattening. Stage 3 Acute Pericarditis, Stage 3 T wave inversion. [en.my-ekg.com]
Twenty-four hours after the episode, T wave inversions insisted in leads I, aVL, V4-V6 and flattened T waves appeared in leads II and aVF (Figure 1C). [hippokratia.gr]
As the disease progresses so may the ECG: there may be notched T waves, biphasic T waves or T wave inversion. These T wave changes may last for weeks or months but are of no clinical significance if the patient has recovered clinically. [rcemlearning.co.uk]
Stage II : ST segments return to baseline; T-wave flattening. Stage III : T-wave inversion. Stage IV : gradual resolution of T-wave inversion. [patient.info]
- Flattened T Wave
Twenty-four hours after the episode, T wave inversions insisted in leads I, aVL, V4-V6 and flattened T waves appeared in leads II and aVF (Figure 1C). [hippokratia.gr]
Stages 2, 3, and 4 ECG findings consist of ST-segment normalization and T wave flattening, T wave inversion, and normalization of T waves, respectively. [cfp.ca]
Treatment
Pharmacology and Therapeutics for Dentistry, 6th Edition describes how to evaluate a patient’s health and optimize dental treatment by factoring in the drugs they take. [books.google.com]
Treatment is with aspirin or NSAIDs. [emedicine.medscape.com]
However, viral pericarditis almost always resolves without antiviral treatment. [wattletreecardiology.com.au]
Other Types of Treatment If you have serious complications from pericarditis, you may need treatments that require hospital stays. [heart.org]
During colchicine treatment, only 7 of the 51 patients had recurrences. In addition, the symptom-free period was significantly longer after starting colchicine treatment: 3.1 months vs 43 months. [clevelandclinicmeded.com]
Prognosis
The long-term prognosis was good, although 21.9% of the patients suffered from recurrent episodes of pericarditis. [jstage.jst.go.jp]
Though the child may be critically ill with a poor prognosis, the outlook is better than it was in preantibiotic days. [pediatrics.aappublications.org]
Significantly raised WCC is an indicator of poor prognosis and will therefore make inpatient management more likely. [rcemlearning.co.uk]
Prognosis of the disease is excellent, as severe complications are rare. [textbookofcardiology.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Overview Pericarditis can be caused by both infectious and noninfectious etiologies. [pathwaymedicine.org]
Abstract One hundred and 15 hospitalized patients with acute pericarditis were analyzed retrospectively for their etiology, management and longterm prognosis. [jstage.jst.go.jp]
Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol. 1995;75:378-382. Troughton RW, Asher CR, Klein AL. Pericarditis. Lancet. 2004;363:717-727. [the-hospitalist.org]
Etiology Viral or idiopathic Autoimmune diseases (e.g. [compendiumapp.com]
Epidemiology
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
The epidemiology of the postpericardiotomy syndrome: A common complication of surgery. American Heart Journal, 116, 1323–1329. PubMed CrossRef Google Scholar 5. Hargreaves, M., & Bashir, Y. (1994). [link.springer.com]
Linguistic Variant - Portuguese, Brazil) 2015AB LNC-RU-RU (LOINC Linguistic Variant - Russian, Russia) 2015AB LNC-TR-TR (LOINC Linguistic Variant - Turkish, Turkey) 2015AB LNC-ZH-CN (LOINC Linguistic Variant - Chinese, China) 2015AB MCM (Glossary of Clinical Epidemiologic [doctor.am]
"Epidemiology and Causes of Heart Failure." Retrieve April 4, 2014 from UpToDate.com [ceufast.com]
Epidemiology Accounts for 5% of Emergency Department Chest Pain cases Most typical patient is a male aged 20 to 50 years old However occurs in both genders and at all ages III. [fpnotebook.com]
Pathophysiology
Although the specific pathophysiology of pleuropericardial disease in patients with IBD remains unclear, the response to systemic steroids is usually adequate. [utsouthwestern.influuent.utsystem.edu]
Pathophysiology The pericardium is a fibrous sac surrounding the heart consisting of two layers: a thin visceral layer attached to the pericardium and a thicker parietal layer. [unboundmedicine.com]
Postcardiac injury syndrome is presumed to have autoimmune pathophysiology, triggered by the damage of pericardial or pleural mesothelial cells. 2 The syndrome is characterized by an acute pleuropericarditis consisting of fever, pleuritic chest pain, [amjmed.org]
They are most often “idiopathic”, with a still incompletely understood pathophysiology, involving autoimmunity and autoinflammation of various degrees, and usually set off by microbacteriological or postinjury triggers. [dovepress.com]
The pathophysiologic mechanism of the acute chest pain described during bleomycin infusion remains unclear. [hippokratia.gr]
Prevention
Preliminary data have shown that it may be effective also in treatment of the index attack of pericarditis and the prevention of further recurrences. [clinicaltrials.gov]
Other times, more intense treatment is needed to prevent complications. Treatment may include medicines and, less often, procedures or surgery. You usually can't prevent acute pericarditis. [surgery.ucsf.edu]
Can Pericarditis Be Prevented? Usually, acute pericarditis can't be prevented. You can take steps to reduce your chance of having another acute episode, having complications or getting chronic pericarditis. [heart.org]
The drug is currently approved in the U.S. for daily prevention of gout, to treat acute gout flare-ups and for the treatment of Familial Mediterranean Fever (FMF). It also has been studied in other heart disease conditions. [medpagetoday.com]
Early intervention with dialysis may prevent the development of uremic pericarditis. Maintenance of adequate dialysis therapy lessens the likelihood of a patient developing dialysis-associated pericarditis. [emedicine.medscape.com]