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Pericarditis (Aetiology (Vascular
MI, Infection
Viral (Coxackie B, HIV)
…
Pericarditis
Aetiology
-
Infection
Viral (Coxackie B, HIV)
Bacterial (pneumonia, sepsis, TB
Autoimmune
Rheumatic fever
SLE, PAN, RA
-
Neoplastic
Local invasion (bronchus, breast)
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-
Diagnosis
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-
Investigations
Bloods
(FBC, CRP/ESR, U+E, blood cultures,
viral screen, troponins, amylase)
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ECG
Acute pericarditis: sinus tachy, AF/flutter, atrial ectopics,
concave ST elevation in most leads
Pericardial effusion: reduced QRS amplitude all leads
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-
Clinical presentation
Chest pain
Site
Central chest, retrosternal
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Character
Sharp, pleuritic
Radiation
Nil, possibly to shoulder
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-
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Exacerbating/relieving factors
Exacerbating: inspiration, position change,
exercise, swallowing
Relieving: sitting forwards