Presentation
mediastinopericarditis. // Taber's Cyclopedic Medical Dictionary;2005, p1318 A definition of the medical term "mediastinopericarditis" is presented. [connection.ebscohost.com]
Although occurrence of tuberculous mediastinopericarditis is rare at the present time in Japan, this disease has not been exterminated and should be kept in mind. [jstage.jst.go.jp]
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]
Entire Body System
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Vietnamese
Abstract A case of vietnamese immigrant with tuberculous mediastinopericarditis was reported and the literature was reviewed. A 39 year-old man was admitted to our hospital with chief complaints of dyspnea and weakness. [jstage.jst.go.jp]
Respiratoric
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Mediastinal Disease
Mediastinal diseases are conditions that arise from tissues in this cavity. [utswmedicine.org]
Lymphadenopathy mediastinal - disease in the lymph nodes. Pericardial cysts which include growths that start in the lining of the heart. Tracheal tumors. Posterior mediastinal tumors include: Lymphadenopathy mediastinal - disease of 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]
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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
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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]
Liver, Gall & Pancreas
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Liver Dysfunction
Blood chemistry suggested the existence of congestive liver dysfunction. Chest X-ray film revealed marked cardiomegaly and a abnormal mass in the anteriorlysuperior area which was confirmed as anterior mediastinum on CT scan. [jstage.jst.go.jp]
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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
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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]
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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]
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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]
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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
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]
X-Ray
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Atelectasis
Synonym: obliterative 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 [kmle.co.kr]
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]
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]
Mortality/Morbidity The early diagnosis of significant pericardial and cardiac injuries can prevent morbidity and enhance survival. [odlarmed.com]