<?xml version="1.0"?>
<feed xmlns="http://www.w3.org/2005/Atom" xml:lang="en">
	<id>https://www.wikidoc.org/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=134.174.110.6</id>
	<title>wikidoc - User contributions [en]</title>
	<link rel="self" type="application/atom+xml" href="https://www.wikidoc.org/api.php?action=feedcontributions&amp;feedformat=atom&amp;user=134.174.110.6"/>
	<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php/Special:Contributions/134.174.110.6"/>
	<updated>2026-04-03T18:51:35Z</updated>
	<subtitle>User contributions</subtitle>
	<generator>MediaWiki 1.45.1</generator>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=WBR0001&amp;diff=777435</id>
		<title>WBR0001</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=WBR0001&amp;diff=777435"/>
		<updated>2012-10-18T19:53:01Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{WBRQuestion&lt;br /&gt;
|MainCategory=Endocrinology&lt;br /&gt;
|SubCategory=Pharmacology&lt;br /&gt;
|Prompt=A 23-year-old woman comes to your office with symptoms of depressive episodes, insomnia, and decreased appetite. She also reports episodes of excited mood and euphoria. You recognize her disorder as likely bipolar in nature and refer her to a psychiatrist in the area. After 2 months, she returns to your office and states her symptoms of mood swings as well as very high and low periods of excitation have improved after her psychiatrist placed her on medication, although she can&#039;t remember the name. However, she does complain of recent menstrual irregularities, constipation, and fatigue. What medication was likely used to control her bipolar type symptoms?&lt;br /&gt;
|AnswerA=Carbamazepine (Tegretol).&lt;br /&gt;
|AnswerB=Gabapentin (Neurontin).&lt;br /&gt;
|AnswerC=Venlafaxine (Effexor).&lt;br /&gt;
|AnswerD=Amitriptyline.&lt;br /&gt;
|AnswerE=Lithium (Lithobid). &lt;br /&gt;
|RightAnswer=E&lt;br /&gt;
|Explanation=This patient has likely been placed on lithium (Lithobid) for mood stabilization, one side effect of which is hypothyroidism that can not only be counterproductive to therapy but also cause for discontinuation of the medication.&lt;br /&gt;
|Answer=Carbamazepine (Tegretol).,Gabapentin (Neurontin). ,Venlafaxine (Effexor). ,Amitriptyline.&lt;br /&gt;
}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=WBR0006&amp;diff=776696</id>
		<title>WBR0006</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=WBR0006&amp;diff=776696"/>
		<updated>2012-10-17T18:04:27Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: Created page with &amp;quot;{{WBRQuestion |MainCategory=Neurology |SubCategory=Microbiology |Prompt=A 32-year-old man is brought to the emergency room and he states that for the past month he has been lo...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{WBRQuestion&lt;br /&gt;
|MainCategory=Neurology&lt;br /&gt;
|SubCategory=Microbiology&lt;br /&gt;
|Prompt=A 32-year-old man is brought to the emergency room and he states that for the past month he has been losing feeling and motor function of both his lower extremities. This problem has progressed until now when he cannot walk and must be carried onto the exam bed. He states that he has not had a history of trauma and the only illness was nausea, vomiting, and diarrhea 3 months earlier, although he recovered fully without medications. On exam, motor strength is 1/5 in both legs and deep tendon reflexes are impaired. What is the most likely organism responsible for this illness? &lt;br /&gt;
|Answer=Streptococcus pyogenes.,Clostridium species. C. Staphlococcus aureus.,E. Neisseria meningitides. &lt;br /&gt;
|RightAnswer=Campylobactor species&lt;br /&gt;
|Explanation=This patient has symptoms and history suggestive of Guillian-Barre syndrome. This disease usually occurs after a self-limited abdominal infection in which Campylobactor species is involved.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645655</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645655"/>
		<updated>2012-05-10T17:28:07Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645652</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645652"/>
		<updated>2012-05-10T17:25:06Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645650</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645650"/>
		<updated>2012-05-10T17:24:01Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Cardiology]]&lt;br /&gt;
[[Category:Emergency medicine]]&lt;br /&gt;
[[Category:Intensive care medicine]]&lt;br /&gt;
[[Category:Mature chapter]]&lt;br /&gt;
[[Category:Up-To-Date]]&lt;br /&gt;
[[Category:Up-To-Date cardiology]]&lt;br /&gt;
&lt;br /&gt;
{{WH}}&lt;br /&gt;
{{WS}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645648</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645648"/>
		<updated>2012-05-10T17:22:53Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Cardiology]]&lt;br /&gt;
[[Category:Emergency medicine]]&lt;br /&gt;
[[Category:Intensive care medicine]]&lt;br /&gt;
[[Category:Mature chapter]]&lt;br /&gt;
[[Category:Up-To-Date]]&lt;br /&gt;
[[Category:Up-To-Date cardiology]]&lt;br /&gt;
&lt;br /&gt;
{{WH}}&lt;br /&gt;
{{WS}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645645</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645645"/>
		<updated>2012-05-10T17:22:27Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Cardiology]]&lt;br /&gt;
[[Category:Emergency medicine]]&lt;br /&gt;
[[Category:Intensive care medicine]]&lt;br /&gt;
[[Category:Mature chapter]]&lt;br /&gt;
[[Category:Up-To-Date]]&lt;br /&gt;
[[Category:Up-To-Date cardiology]]&lt;br /&gt;
&lt;br /&gt;
{{WH}}&lt;br /&gt;
{{WS}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645643</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645643"/>
		<updated>2012-05-10T17:20:17Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Cardiology]]&lt;br /&gt;
[[Category:Emergency medicine]]&lt;br /&gt;
[[Category:Intensive care medicine]]&lt;br /&gt;
[[Category:Mature chapter]]&lt;br /&gt;
[[Category:Up-To-Date]]&lt;br /&gt;
[[Category:Up-To-Date cardiology]]&lt;br /&gt;
&lt;br /&gt;
{{WH}}&lt;br /&gt;
{{WS}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645642</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645642"/>
		<updated>2012-05-10T17:19:12Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;br /&gt;
&lt;br /&gt;
==Epidemiology and Demographics==&lt;br /&gt;
Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections. [[Pericarditis]] in developed countries are usually due to viral infections such as [[echovirus]] and [[coxsackie virus]], while in developing countries it is usually secondary to [[tuberculosis]] or [[HIV]] infection. The incidence of pericarditis following [[MI]] has greatly reduced with the use of early [[thrombolytic]] agents and revascularization.&lt;br /&gt;
&lt;br /&gt;
==Natural History, Complications and Prognosis==&lt;br /&gt;
Pericarditis is often self-limited and most people recover in 2 weeks to 3 months. However, the condition can be complicated by significant fluid buildup around the heart (a [[pericardial effusion]] or [[cardiac tamponade]]) and may require urgent intervention including [[pericardiocentesis]].  If scarring of the sac around the heart (the [[pericardium]]) occurs, then this is called [[constrictive pericarditis]] which may require surgical stripping of the scar.&lt;br /&gt;
&lt;br /&gt;
==Causes==&lt;br /&gt;
Pericarditis is usually a complication of viral infections, most commonly [[echovirus]] or [[coxsackie virus]].  In addition, pericarditis can be associated with diseases such as [[autoimmune disorders]], cancer, [[hypothyroidism]], and [[kidney failure]].  Often the cause of [[pericarditis]] remains unknown, or idiopathic.&lt;br /&gt;
&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
===Physical Examination===&lt;br /&gt;
A careful physical examination must be performed to exclude the presence of [[cardiac tamponade]], a dangerous complication of pericarditis.  If [[cardiac tamponade]] is present, then [[pulsus paradoxus]], [[hypotension]], an elevated [[jugular venous pressure]] and [[peripheral edema]] may be present.&lt;br /&gt;
&lt;br /&gt;
===ECG===&lt;br /&gt;
In the presence of a large effusion or tamponade, there may be diminished voltage and [[electrical alternans]] (alternation of [[QRS complex]] amplitude or axis between beats).&lt;br /&gt;
&lt;br /&gt;
===Echocardiography===&lt;br /&gt;
Echocardiographys is generally performed to assess for the presence of a [[pericardial effusion]] and to assess and monitor its size. Echocardiography is critical in confirming the clinical suspicion [[cardiac tamponade]].  &lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
In cases that are thought to be due to viral pericarditis, treatment includes [[aspirin]] or a [[nonsteroidal anti-inflammatory drug (NSAID)]] such as [[ibuprofen]] for inflammation of the [[pericardium]]. [[Corticosteroids]] such as [[prednisone]] and / or [[Colchicine]] may be be necessary in refractory cases. [[Diuretics]] may be prescribed to remove excess fluid in the [[pericardial sac]].&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{Reflist|2}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Cardiology]]&lt;br /&gt;
[[Category:Emergency medicine]]&lt;br /&gt;
[[Category:Intensive care medicine]]&lt;br /&gt;
[[Category:Mature chapter]]&lt;br /&gt;
[[Category:Up-To-Date]]&lt;br /&gt;
[[Category:Up-To-Date cardiology]]&lt;br /&gt;
&lt;br /&gt;
{{WH}}&lt;br /&gt;
{{WS}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645640</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645640"/>
		<updated>2012-05-10T17:17:20Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==&lt;br /&gt;
[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.&lt;br /&gt;
{{#Widget:SchemaSnippet}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645638</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645638"/>
		<updated>2012-05-10T17:15:00Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Overview==[[Pericarditis]] is a condition in which the sac-like covering surrounding the heart (the [[pericardium]]) becomes inflamed.  Symptoms of [[pericarditis]] include [[chest pain]] which increases with deep breathing and lying flat.{{#Widget:SchemaSnippet}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
	<entry>
		<id>https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645635</id>
		<title>User:Matt Pijoan</title>
		<link rel="alternate" type="text/html" href="https://www.wikidoc.org/index.php?title=User:Matt_Pijoan&amp;diff=645635"/>
		<updated>2012-05-10T17:12:30Z</updated>

		<summary type="html">&lt;p&gt;134.174.110.6: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{#Widget:SchemaSnippet}}&lt;/div&gt;</summary>
		<author><name>134.174.110.6</name></author>
	</entry>
</feed>