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2.1
Acute Pleuropericarditis

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]

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]

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]

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]

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]

treatment did not develop cardiac tamponade. [bcmj.org]

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]

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

Overview Pericarditis can be caused by both infectious and noninfectious etiologies. [pathwaymedicine.org]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

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]

Abstract One hundred and 15 hospitalized patients with acute pericarditis were analyzed retrospectively for their etiology, management and longterm prognosis. [jstage.jst.go.jp]

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]

Knowledge of this basic epidemiologic fact is essential for the development of a rational management protocol that, on the one hand, avoids the unnecessary use of invasive pericardial diagnostic procedures in patients with idiopathic pericarditis and [revespcardiol.org]

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]

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]

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]

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