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Pericardial Friction Rub

Pericardial Rub


Presentation

  • Abstract A patient is presented who manifested two previously undescribed complications of chlorpromazine therapy: a transient pericardial friction rub and "pseudo-giant P waves".[ncbi.nlm.nih.gov]
  • The book focuses on the analysis of the presenting signs and symptoms, history, and physical examination and the appropriate use of laboratory and radiologic studies to reach a definitive diagnosis.[books.google.de]
  • Case Clip icons present real-life emergent scenarios, showing what the nurse heard and how the rapid response team intervened to avert crisis. Age Alert icons offer guidelines on age-specific differences in sounds and assessment techniques.[books.google.com]
  • Three weeks earlier she presented to her rheumatologist with a butterfly rash, joint pain and fatigue and was given a diagnosis of systemic lupus erythematosus. A friction rub is present upon physical exam.[medbullets.com]
Renal Artery Stenosis
  • artery stenosis ) - Aortic dissection / Aortic aneurysm ( Abdominal aortic aneurysm ) - Aneurysm - Raynaud's phenomenon / Raynaud's disease - Buerger's disease - Vasculitis / Arteritis ( Aortitis ) - Intermittent claudication - Arteriovenous fistula[wikidoc.org]
Raynaud Phenomenon
  • phenomenon / Raynaud's disease - Buerger's disease - Vasculitis / Arteritis ( Aortitis ) - Intermittent claudication - Arteriovenous fistula - Hereditary hemorrhagic telangiectasia - Spider angioma - Dissection ( Carotid artery, Vertebral artery ) Veins[wikidoc.org]
Epilepsy
  • Adrenocortical Hyperfunction 339 Adrenocortical Hypofunction Insufficiency 342 Obesity 346 Thyroid Enlargement 349 Hypercalcemia 352 Hypocalcemia 356 Hyperlipidemia 359 Neurologic Problems 363 Delirium 368 Dementia 370 Headaches and Facial Pain 375 Syncope 378 Epilepsy[books.google.de]
Jaundice
  • Inhalt Ascites 192 Hepatomegaly 195 Jaundice 196 Hematologic Problems 201 White Blood Cell Abnormalities 213 Bleeding and Clotting Disorders 228 Antiphospholipid Syndrome 242 Renal Electrolyte BloodGas and AcidBase Problems 243 BloodGas and pH Abnormalities[books.google.de]
Heart Murmur
  • They are graded by intensity (see Table: Heart Murmur Intensity ) and are described by their location and when they occur within the cardiac cycle.[merckmanuals.com]
  • murmur Heart sound inaudible Heart sound volume variable Heart sounds abnormal Heart sounds different Heart sounds diminished Heart sounds exaggerated Holodiastolic murmur Increased area of cardiac dullness Irregular tachycardia Loud first heart sound[icd9data.com]
  • There may be a rubbing sound (called a pericardial friction rub, not to be confused with a heart murmur). Heart sounds in general may be weak or sound far away.[medlineplus.gov]
  • Red blood cell casts Heart murmur is present at some times during the disease but is generally not constant.[atsu.edu]
Low Back Pain
  • Back Pain 309 Neck Pain and Selected Cervical Syndromes 318 Endocrine and Metabolic Problems 321 Hypoglycemia 324 Failure to Mature 329 Amenorrhea 332 Adrenocortical Hyperfunction 339 Adrenocortical Hypofunction Insufficiency 342 Obesity 346 Thyroid[books.google.de]
Facial Pain
  • Pain 375 Syncope 378 Epilepsy Seizures 383 Dizziness and Vertigo 386 Weakness of Neuromuscular Origin 389 Selected Neurogenic Pain Syndromes 392 Spinal Fluid Findings in Disease 395 Normal Values of Standard Laboratory and Function Tests 401 Subject[books.google.de]
Amenorrhea
  • Problems 277 Peripheral Joint Arthritis 278 Myalgia 293 Painful Shoulder 298 Painful Hip 301 Painful Knee 304 Low Back Pain 309 Neck Pain and Selected Cervical Syndromes 318 Endocrine and Metabolic Problems 321 Hypoglycemia 324 Failure to Mature 329 Amenorrhea[books.google.de]
Intracranial Hemorrhage
  • hemorrhage / cerebral hemorrhage : Extra-axial hemorrhage ( Epidural hemorrhage, Subdural hemorrhage, Subarachnoid hemorrhage ) Intra-axial hematoma ( Intraventricular hemorrhages, Intraparenchymal hemorrhage ) - Anterior spinal artery syndrome - Binswanger's[wikidoc.org]

Workup

  • Henry Harold Friedman Lippincott Williams & Wilkins, 01.01.2001 - 441 Seiten Now in its updated Seventh Edition, this popular Spiral(R) Manual is a step-by-step guide to the diagnostic workup of 75 of the most common clinical problems in internal medicine[books.google.de]
  • 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]
Gastric Varices
  • varices, Caput medusae ) - Superior vena cava syndrome - Lymph ( Lymphadenitis, Lymphedema, Lymphangitis ) Other Hypotension ( Orthostatic hypotension ) - Rheumatic fever See also congenital ( Q20-Q28, 745-747 )[wikidoc.org]
Mycobacterium Avium Complex
  • Seite 20 - Mycobacterium avium complex or M. kansasii, disseminated or extrapulmonary Mycobacterium tuberculosis, any site (pulmonary or extrapulmonary) Mycobacterium, other species or unidentified species, disseminated or extrapulmonary Pneumocystis[books.google.de]
Bifascicular Block
  • block - Trifascicular block Pre-excitation syndrome ( Wolff-Parkinson-White, Lown-Ganong-Levine ) - Long QT syndrome - Adams-Stokes syndrome - Cardiac arrest - Sudden cardiac death Arrhythmia : Paroxysmal tachycardia ( Supraventricular, AV nodal reentrant[wikidoc.org]

Treatment

  • […] nurses, nurse practitioners, and physician assistants a solid basis for recognizing and differentiating among abnormal breath and heart sounds to help them accurately interpret what they hear and then apply that knowledge toward a proper diagnosis and treatment[books.google.com]
  • treatment consists of administration of aspirin or other nonsteroidal antiinflammatory drugs.[revespcardiol.org]
  • If found, treatment should be aimed at the causative illness.[the-hospitalist.org]
  • Treatment Treatment for viral or idiopathic pericarditis Anti-inflammatory medicines such as ibuprofen are usually given to ease the pain and reduce inflammation.[patient.info]
  • Early diagnosis and prompt treatment markedly enhance the chance of complete resolution of the hemodynamic complications of pericardial disease.[link.springer.com]

Prognosis

  • Treatment and prognosis Conservative management with non-steroidal anti-inflammatory agents and follow-up is usually performed.[radiopaedia.org]
  • What is the outlook (prognosis) if you have pericarditis? Most people with viral or idiopathic pericarditis recover fully within a few weeks, without any complications. However, in some cases the symptoms return 'on and off' for several months.[patient.info]
  • Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation. 2013 Jul 2;128(1):42-9.[escardio.org]
  • PROGNOSIS/DISPOSITION Almost all patients recover completely if no serious acute complication occurs. Most healthy young patients can be managed on an outpatient basis with good follow-up.[consultant360.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.[emedicine.medscape.com]

Etiology

  • Seite 372 - Either (1) or (2): (1) Evidence from the history, physical examination, or laboratory tests of a specific organic factor (or factors) judged to be etiologically related to the disturbance. (2) In the absence of such evidence, an etiologic[books.google.de]
  • 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]
  • The repercussions of these different etiologies can be classified into 3 basic types of clinical manifestations.[revespcardiol.org]
  • Etiology The most common form of acute pericarditis is idiopathic, which accounts for about 90% of cases ( Box 1 ).[clevelandclinicmeded.com]
  • MYOCARDIAL INFARCTION ETIOLOGY: Chylamydia pneumoniae, a Gram - , pleomorphic, obligate intracellular parasite.[atsu.edu]

Epidemiology

  • 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]
  • The aetiology is multifactorial and depends on the epidemiological background, patient population and clinical setting [ 3 ].[escardio.org]
Sex distribution
Age distribution

Pathophysiology

  • The companion Evolve website features 71 new narrated 3D pathophysiology animations that correspond to disorders content in the text.[books.google.de]
  • Pathophysiology-1 Uremic pericarditis results from inflammation of visceral & parietal layers of pericardium by metabolic toxins that accumulate due to renal failure.[slideshare.net]
  • Pathophysiology The initiating event results in a chronic inflammatory pericardial process, resulting in fibrinous scarring and occasionally calcification of the pericardium ( Figure 10 ).[clevelandclinicmeded.com]
  • Pathophysiology of cardiac tamponade. Chest 1998;113:1372–1378. A thoughtful review of the pathophysiology of cardiac tamponade. Tsang TSM, Oh JK, Seward JB. Diagnosis and management of cardiac tamponade in the era of echocardiography.[tele.med.ru]
  • The exact pathophysiology of AIP is not yet fully understood.[bmjopen.bmj.com]

Prevention

  • Perhaps with successful reperfusion of the infarct-related vessel, transmural myocardial necrosis is prevented and with it the development of pericarditis.[ncbi.nlm.nih.gov]
  • Pericarditis Prevention Since most causes of pericarditis are idiopathic and are never found, it is difficult to predict or prevent this disease process.[emedicinehealth.com]
  • The scarring constricts the movement of the heart during each heartbeat and can prevent the heart from expanding to accept blood returning from the body after each heartbeat.[medicinenet.com]
  • However a lot of fluid may prevent the heart chambers from filling normally and prevents the heart from pumping blood properly. This is called cardiac tamponade and is a life-threatening problem unless the fluid is quickly drained.[patient.info]
  • Deterrence/Prevention Early intervention with dialysis may prevent the development of uremic pericarditis. Maintenance of adequate dialysis therapy lessens the likelihood of a pt’s developing dialysis-associated pericarditis. 56.[slideshare.net]

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