Presentation
mediastinopericarditis. // Taber's Cyclopedic Medical Dictionary;2005, p1318 A definition of the medical term "mediastinopericarditis" is presented. [connection.ebscohost.com]
Other possible presentations result from rupture, infection (see Figure 5 ), and hemorrhage (3,4). [rb.org.br]
Patient with large mediastinal mass they may present also with cardiac or respiratory arrest at initial or during anaesthesia. [omicsonline.org]
See Case 1: Shortness of Breath and Abdominal Pain Tuberculosis (TB) pericarditis is the most common pericardial disease in sub-Saharan Africa and may present as pericardial effusion, constrictive pericarditis, or effusive-constrictive pericarditis.(1,2 [hivinsite.ucsf.edu]
Patients can present with acute abdominal pain. Cardiac tamponade Patients may present subacutely with symptoms of anxiety, dyspnea, fatigue, or altered mental status. [odlarmed.com]
Entire Body System
- Congestive Heart Failure
Association, American Society of Nephrology, and Central Society for Clinical Research Disclosure: Genzyme Honoraria Speaking and teaching G Shawn Lynchard, MD Consulting Cardiologist, Medical Director of Cardiac Care Unit, Congestive Heart Failure Clinic [medscape.com]
heart failure I50.31 Acute diastolic (congestive) heart failure I50.32 Chronic diastolic (congestive) heart failure I50.33 Acute on chronic diastolic (congestive) heart failure I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure [en.wikisource.org]
Its development correlates with the extent of necrosis, is more common with anterior than inferior infarcts, and is associated with a higher 1-year mortality rate as well as a higher incidence of congestive heart failure. 7 The diagnosis of post-MI pericarditis [clevelandclinicmeded.com]
[…] disease (CHD) 先天性心疾患 congestive heart failure (CHF)うっ血性心不全 constrictive pericarditis 収縮性心膜炎 continuous murmur連続[性]雑音 contractility収縮性、収縮能 contrast medium造影剤 cor心 cor pulmonale肺性心 coronary angiography (CAG) 冠[状]動脈造影[法] coronary angioplasty冠[状]動脈形成術 coronary [tokyo-med.ac.jp]
(639.8) labor or delivery (668.1, 669.4) 428.0 Congestive heart failure, unspecified Congestive heart disease Right heart failure (secondary to left heart failure) Excludes: fluid overload NOS (276.6) 428.1 Left heart failure Acute edema of lung with [theodora.com]
- Pulmonary Valve Stenosis
[…] as congenital (Q22.1, Q22.2, Q22.3) pulmonary valve disorder specified as rheumatic (I09.89) I37.0 Nonrheumatic pulmonary valve stenosis I37.1 Nonrheumatic pulmonary valve insufficiency Nonrheumatic pulmonary valve incompetence Nonrheumatic pulmonary [en.wikisource.org]
- Pseudotumor
Findings were consistent with a chronic inflammatory process resulting in the formation of a pseudotumor. Figure 1. Chest x-ray (lateral view) showing extensive pericardial calcifications. L indicates lateral. Figure 2. [circ.ahajournals.org]
Respiratoric
- Pneumonia
[…] suppurative CaseousSerous pericarditis Mild inflammation with sterile serous effusion Causes noninfectious inflammatory diseases such as rheumatic fever, SLE, tumors, uremia infections contagious to the pericardium (upper respiratory tract infection, pneumonia [documents.tips]
Empyema is a suppurative infection of the pleural cavity that is usually related to extension of a necrotizing pneumonia or lung abscess. [clinicaladvisor.com]
[…] arachnoiditis. (05 Mar 2000) adhesive atelectasis Alveolar collapse in the presence of patent airways, especially when surfactant is inactivated or absent, especially in respiratory distress syndrome of the newborn, acute radiation pneumonitis, or viral pneumonia [kmle.co.kr]
In children, mediastinal masses are more likely to cause tracheobronchial compression and stridor or symptoms of recurrent bronchitis or pneumonia. Symptoms and signs also depend on location. [merckmanuals.com]
Example: Pneumonia, empyema, lung abscess, subphrenic abscess, liver abscess etc or during cardiotomy. Most common causative organisms are Staphylococci, Streptococci, and Pneumococci. [histopathology-india.net]
- Pleural Effusion
A large amount of pericardial effusion is noted. Left pleural effusion is also detected. Due to the patient’s severe discomfort, he underwent urgent ERCP for endoscopic drainage. [pancreas.imedpub.com]
There was 12 mm left hilar lymph node with no evidence of pleural effusion or pleural-based disease. [omicsonline.org]
Empyema could be confused with parapneumonic (uninfected) pleural effusions (culture negative, WBC counts below 500/cc, normal pH), lung abscess without pleural collection, malignant pleural effusion, chylothorax or hemothorax. [clinicaladvisor.com]
Gr. pleuron, rib, side Gr. pleuron, rib, side pleuroclysis pleural effusion pleurocentesis L. pleura, -ae Subscribe to view the full document. paries, periet is, wall / viscus, viscer is, organs 22 L. diaphragma, diaphragmatis, n. [coursehero.com]
- Mediastinal Disease
Mediastinal diseases are conditions that arise from tissues in this cavity. [utswmedicine.org]
Thyroid mass mediastinal – a benign growth such as a goiter. These masses may develop into cancer. Middle mediastinal tumors include: Bronchogenic cysts - a disease in the respiratory system. Lymphadenopathy mediastinal - disease in the lymph nodes. [cedars-sinai.edu]
This sign is consistently a result of mediastinal disease, and we may only assume that it is mediastino-pericarditis when the history, onset, and course of the disease present as additional criteria for the diagnosis of pericarditis. [rwjms1.umdnj.edu]
This sign is consistently a result of mediastinal disease, and we may only assume that it is mediastino-pericarditis when the history, onset, and course of the disease present as additional criteria for the diagnosis of pericarditis.” [priory.com]
- Painful Cough
Depending on the location, nature, and size of the tumor or mass, symptoms may develop due to pressure on organs inside the chest and may include: Chest pain Coughing Fever, chills, night sweats Shortness of breath Weight loss Wheezing Diagnosis If we [utswmedicine.org]
Chest pain, cough, dyspnea, myasthenia gravis, and weight loss are observed frequently in symptomatic patients. Pericardial effusion may be present in approximately 20% of cases. [cardiothoracicsurgery.biomedcentral.com]
Gastrointestinal
- Dysphagia
The patient presented with orthopnea and dysphagia. [pancreas.imedpub.com]
Lesions in the posterior mediastinum may encroach on the esophagus, causing dysphagia or odynophagia. [merckmanuals.com]
Symptoms of cough, dyspnoea, hoarseness of voice, and dysphagia can be presentative feature of SVC syndrome and local invasion of the tumour. [omicsonline.org]
Common associated signs and symptoms include low-grade intermittent fever, dyspnea, cough, and dysphagia. In tuberculous pericarditis, fever, night sweats, and weight loss were commonly noted (80%). Patients can present with acute abdominal pain. [odlarmed.com]
- Abdominal Pain
See Case 1: Shortness of Breath and Abdominal Pain Tuberculosis (TB) pericarditis is the most common pericardial disease in sub-Saharan Africa and may present as pericardial effusion, constrictive pericarditis, or effusive-constrictive pericarditis.(1,2 [hivinsite.ucsf.edu]
Emergencies Imaging and Intervention 409 Acute Abdominal Pain Diagnostic Strategies 411 513 Imaging 413 514 Conclusion 429 References 431 Imaging of Acute Intestinal Obstruction 434 523 Diagnosis of Site 437 525 Diagnosis of Complications 446 526 Impact [books.google.com]
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Patients can present with acute abdominal pain. Cardiac tamponade Patients may present subacutely with symptoms of anxiety, dyspnea, fatigue, or altered mental status. [odlarmed.com]
- Nausea
Treatment involving chemotherapy and radiation can have serious side effects, such as: changes in appetite bleeding problems anemia constipation diarrhea fatigue hair loss infection nausea/vomiting pain swelling Radiation may also cause changes in the [healthline.com]
Other symptoms arise from the compression of surrounding structures (lung, stomach, phrenic nerve) or diastolic heart failure and include chest pressure or pain, dyspnea, nausea, abdominal fullness, and dysphagia. [clevelandclinicmeded.com]
- Epigastric Pain
CASE REPORT A 43-year-old Thai male with a history of cigarette smoking (2 packs/day) and 30 g/day of alcohol consumption for about 30 years was admitted to our hospital with a 2-week history of epigastric pain. [pancreas.imedpub.com]
- Abdominal Mass
Abdominal examination demonstrated a huge ill-defined abdominal mass with cystic consistency at the epigastrium with active bowel sound. He also had digital clubbing. The rest of the examination was unremarkable. [pancreas.imedpub.com]
Liver, Gall & Pancreas
- Jaundice
He had no jaundice. His skin showed no sign of chronic liver stigmata. Cardiac examination showed pericardial rub without physical signs of cardiac tamponade. [pancreas.imedpub.com]
Cardiovascular
- Chest Pain
Symptomology The prototypical symptom of acute pericarditis is retrosternal chest pain which may also refer to the back and shoulders. [pathwaymedicine.org]
The most common symptoms are chest pain and weight loss. Lymphomas may manifest with fever and weight loss. [merckmanuals.com]
Pericardial effusion - the buildup of fluid in the sac Cardiac tamponade - a serious problem in which buildup of fluid in the sac causes problems with the function of the heart Symptoms of pericardial problems include chest pain, rapid heartbeat, and [icdlist.com]
The patient, a 17-year-old male, presented with chest pain. A chest x-ray, computed tomography of the chest with contrast, and a CT-guided biopsy of the mass were performed preoperatively. [ctsnet.org]
- Hypertension
hypertension NOS 459.31 Chronic venous hypertension with ulcer 459.32 Chronic venous hypertension with inflammation 459.33 Chronic venous hypertension with ulcer and inflammation 459.39 Chronic venous hypertension with other complication 459.8 Other specified [theodora.com]
[…] primary) hypertension involving vessels of eye (H35.0) I11 Hypertensive heart disease [ edit ] Includes: any condition in I51.4-I51.9 due to hypertension I11.0 Hypertensive heart disease with heart failure Hypertensive heart failure Use additional code [en.wikisource.org]
[…] following medical societies: American College of Physicians, American Society of Hypertension, American Society of Nephrology, and International Society of Nephrology Disclosure: Nothing to disclose. [medscape.com]
There was mild pulmonary hypertension with a mean pulmonary artery pressure of 37 mm Hg and no significant rise with exertion. Figure 2. [circ.ahajournals.org]
Pediatric Neurological Emergencies 581 712 Clinical Findings 584 714 The Preterm Infant 585 715 The Term Infant 587 716 Congenital Infection 588 717 Acquired Infection 589 718 Nonaccidental Injury 590 719 Acute Disseminated Encephalomyelitis 592 7110 Hypertensive [books.google.com]
- Pericardial Friction Rub
Signs The typical auscultory finding of pericarditis is the "Pericardial Friction Rub" which is observed as a high-pitched, scratching sound likely caused by the inflamed pericardial layers rubbing against one another. [pathwaymedicine.org]
Physical Pericarditis Pericardial friction rub: The most common and important physical finding is a pericardial friction rub, which is best heard at the lower left sternal border or apex when the patient is positioned sitting forward or on hands and knees [odlarmed.com]
often idiopathic - SLE, tumors, uremia, viral - rheumatic fever Significance of fibrinous/serofibrinous fluid in pericarditis 1) serous fluid mixed w/ fibrinous exudate 2) seen w/ MI 3) assoc w/ pericardial friction rub --> Dressler's --> autoimmune [studyblue.com]
Clinically, most striking feature is loud pericardial friction rub. c) Suppurative pericarditis - almost invariably denotes invasion by infective organisms which reach the pericardial cavity by several routes: direct extension from neighboring inflammation [medpreponline.com]
- Retrosternal Chest Pain
Symptomology The prototypical symptom of acute pericarditis is retrosternal chest pain which may also refer to the back and shoulders. [pathwaymedicine.org]
chest pain, usually described as sharp or stabbing. [odlarmed.com]
chest pain, often radiating to the neck, shoulders, or back. [clevelandclinicmeded.com]
- 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
- Fracture
It is diagnosed with water-soluble swallowed contrast. mediastinal mass mediastinitis cardiac tamponade [13] pericardial effusion thoracic vertebrae fractures in trauma patients. [en.wikipedia.org]
Neurologic
- Stroke
[…] increased venous return, the interventricular septum bulges into the left ventricle reducing its size (hence the name “reversed Bernheim effect”), and increased pooling on blood in the expanded lungs decreases return to the left ventricle, decreasing the stroke [clinicalmedicineupdate.blogspot.com]
[…] breathing between the tip of the left scapula and the vertebral column) Hepatomegaly, ascites Pericardial fluid: As the volume of pericardial fluid increases, the capacity of the atria and ventricles to fill is mechanically compromised, leading to reduced stroke [odlarmed.com]
(1)拍動 (2)卒中、発作〈脳の〉 stroke index (SI)一回拍出係数 stroke volume (SV)一回拍出量 stunned myocardium気絶心筋 subacute bacterial endocarditis (SBE)亜急性細菌性心内膜炎 subclavian artery鎖骨下動脈 subendocardial心内膜下 【形】 sudden death急死〈頓死〉、突然死 superior vena cava (SVC)上大静脈 supraventricular [tokyo-med.ac.jp]
The increased volume in the right ventricle causes the interventricular septum to shift from right to left, consequently decreasing the left ventricle stroke volume and systolic pressure. (Valentin, 2003). [priory.com]
Urogenital
- Uremia
Infectious agents: Viruses Pyogenic bacteria Tuberculosis Fungi Parasites Immune mediated Rheumatic fever Systemic lupus erythematosis Scleroderma Drug hypersensitivity reaction Postmyocardial infarction (Dressler) syndrome Others Myocardial infarction Uremia [documents.tips]
(585.9) nocardiosis (039.8) tuberculosis (017.9) uremia NOS (586) Excludes: pericarditis (acute) (in): Coxsackie (virus) (074.21) gonococcal (098.83) histoplasmosis (115.0-115.9 with fifth-digit 3) meningococcal infection (036.41) syphilitic (093.81) [icd9cm.chrisendres.com]
They are as follows: a) Serous pericarditis - these are characteristically produced by noninfectious etiological agents such as RF, SLE, scleroderma, tumors and uremia. [medpreponline.com]
[…] erythematosus, tumours, uremia and primary viral infection (Example: Coxsackie). [histopathology-india.net]
Workup
Close follow-up should be assured so that, if there is an inadequate response to therapy, alternative diagnoses can be considered and a more exhaustive diagnostic workup can be undertaken. [hivinsite.ucsf.edu]
Other Pathologies
- Pancreatic Necrosis
Outcome following endoscopic transmural drainage of pancreatic fluid collections in outpatients. J Clin Gastroenterol 2005; 39:634-7. [PMID 1600093] Baron TH. Endoscopic drainage of pancreatic fluid collections and pancreatic necrosis. [pancreas.imedpub.com]
Pleura
- Pleural Effusion
A large amount of pericardial effusion is noted. Left pleural effusion is also detected. Due to the patient’s severe discomfort, he underwent urgent ERCP for endoscopic drainage. [pancreas.imedpub.com]
There was 12 mm left hilar lymph node with no evidence of pleural effusion or pleural-based disease. [omicsonline.org]
Empyema could be confused with parapneumonic (uninfected) pleural effusions (culture negative, WBC counts below 500/cc, normal pH), lung abscess without pleural collection, malignant pleural effusion, chylothorax or hemothorax. [clinicaladvisor.com]
Gr. pleuron, rib, side Gr. pleuron, rib, side pleuroclysis pleural effusion pleurocentesis L. pleura, -ae Subscribe to view the full document. paries, periet is, wall / viscus, viscer is, organs 22 L. diaphragma, diaphragmatis, n. [coursehero.com]
Treatment
We believe this is only the second reported case of successful resolution of vulval herpetic adhesion using topical potent corticosteroid as the primary early treatment. [connection.ebscohost.com]
Your doctor will tailor your treatment to your type of mediastinal tumor. Talk to your doctor to get more accurate information about your prognosis. [healthline.com]
The specific treatment will depend on the type of tissue, its location, size, and the overall health of the patient. [utswmedicine.org]
Treatments Mediastinal tumors may be treated with surgery, chemotherapy and radiation or a combination of these options. The treatment will depend on the type of tumor, location and the overall health of the patient. [cedars-sinai.edu]
Without surgical treatment, biventricular failure develops. [clevelandclinicmeded.com]
Prognosis
Prognosis Patients with mediastinitis, empyema and purulent pericaditis should be treated with broad spectrum antibiotics, supportive care and surgical drainage. The prognosis depends on the timeliness of surgical intervention and treatment. [clinicaladvisor.com]
Because complete resection and the type of the tumor are the most important factors determining prognosis, the resection should be performed with regard to pathological evaluation for thymic enlargements as much as possible. [cardiothoracicsurgery.biomedcentral.com]
Talk to your doctor to get more accurate information about your prognosis. [healthline.com]
Prognosis The prognosis after resection of a mediastinal tumor varies widely, depending on the type of lesion resected. After resection of mediastinal cysts and benign tumors, the prognosis is generally excellent. [9] Donahue JM, Nichols FC. [emedicine.medscape.com]
In adults, pericarditis may not occur with myocardial or valvular involvement, and it is associated with a better prognosis. The pericarditis usually appears 7-10 days after the onset of fever and arthritis. [pkductin.vn]
Etiology
Overview Pericarditis can be caused by both infectious and noninfectious etiologies. [pathwaymedicine.org]
Mediastinal granulomas; a revised concept of their incidence and etiology. PEABODY JW Jr, BROWN RB, SULLIVAN MB, CANNON A. PEABODY JW Jr, et al. J Thorac Surg. 1958 Mar;35(3):384-96. J Thorac Surg. 1958. PMID: 13514836 No abstract available. [pubmed.ncbi.nlm.nih.gov]
Additional diagnostic testing, usually imaging and biopsy, is indicated to determine etiology. CT with IV contrast is the most valuable imaging technique. [merckmanuals.com]
Etiology The most common form of acute pericarditis is idiopathic, which accounts for about 90% of cases ( Box 1 ). [clevelandclinicmeded.com]
International Although malignancy is the most common etiology of pericardial effusions in developed countries, tuberculosis should be considered in endemic areas. [odlarmed.com]
Epidemiology
[…] incidence of TB pericarditis in patients with HIV infection and pericardial disease.(3,4) HIV testing often is readily available, even in resource-limited countries, and can increase the pretest probability of TB pericarditis significantly based on epidemiological [hivinsite.ucsf.edu]
Epidemiology Approximately 60,000 patients develop pleural infections in the United States each year. Between 40-60% of pneumonias will be associated with parapneumonic effusions. [clinicaladvisor.com]
Epidemiology A review of collected series reveals that many mediastinal neoplasms and masses vary in incidence and presentation depending on patient age. [emedicine.medscape.com]
Pathophysiology
What is the pathophysiology of constrictive pericarditis? a. Healing of acute pericarditis may result in chronic (healed) pericardial dysfunction of two kinds: adhesive mediastinopericarditis and constrictive pericarditis. [coursehero.com]
Transposition of the Great Vessels (TGV) return to pathophysiology outlines return to pathophysiology return to home page [faculty.ccri.edu]
Pathophysiology [ edit ] Ordinarily the JVP falls with inspiration due to reduced pressure in the expanding thoracic cavity and the increased volume afforded to right ventricular expansion during diastole. [en.wikipedia.org]
It has unique clinical and pathophysiological features In contrast with systemic diffuse large B cell lymphoma, however identifying the gray-zone lymphoma is of paramount importance as highlighted by the WHO for diagnostic and therapeutic purposes. [omicsonline.org]
All of these are still used in the diagnostic assessment of patients despite the expansion of technology to confirm the diagnoses of pericardial tamponade, constrictive pericarditis, and metabolic acidosis. [2], [3] Physiology and Pathophysiology The [j-pcs.org]
Prevention
These type of tumors cannot be prevented. Mediastinal Tumor Menu The mediastinum is divided into three sections What are mediastinal tumors? Tumors (also called neoplasms) are masses of cells. They can be benign (not cancer) or malignant (cancer). [my.clevelandclinic.org]
In constrictive pericarditis or restrictive cardiomyopathy, the restriction to diastolic filling of the RV is prevented by the fixed, less compliant constricting pericardium or myocardium, respectively. [j-pcs.org]
This could be demonstrated also at the carotid arteries as well as the radials: palpation of the femoral arteries was prevented by the edema. Respirations were between 27 and 30 and on exertion rose to and over 40 per minute. [rwjms1.umdnj.edu]
Severe rheumatoid spondylitis or disease of the bony thorax: Wide changes in intrathoracic pressure prevented by the relative immobility of the chest wall. 6. Coexistent condition producing “reversed pulsus paradoxus”. [clinicalmedicineupdate.blogspot.com]