Cardiac tamponade resident survival guide: Difference between revisions
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==Management== | ==Management== | ||
Shown below is an algorithm showing acute pericarditis management.<ref name="pmid15120056">{{cite journal| author=Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y et al.| title=Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. | journal=Eur Heart J | year= 2004 | volume= 25 | issue= 7 | pages= 587-610 | pmid=15120056 | doi=10.1016/j.ehj.2004.02.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15120056 }} </ref> | Shown below is an algorithm showing acute pericarditis management.<ref name="pmid15120056">{{cite journal| author=Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y et al.| title=Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. | journal=Eur Heart J | year= 2004 | volume= 25 | issue= 7 | pages= 587-610 | pmid=15120056 | doi=10.1016/j.ehj.2004.02.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15120056 }} </ref> | ||
{{familytree/start |summary=PE diagnosis Algorithm.}} | |||
{{familytree | | | | | | | A01 | |A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:'''<br> | |||
❑ Prodrome:<br> | |||
-Fever <br> -Malaise <br> -Myalgia<br> | |||
❑ Retrosternal or left precordial chest pain<br> | |||
- Radiates to trapezius ridge<br> -Can be pleuritic <br> -Can simulate isquemia <br> -Varies with posture <br> | |||
</div> }} | |||
{{familytree | | | | | | | |!| | | | | | | }} | |||
{{familytree | | | | | | | C01 | | | | | | |C01=<div style="float: left; text-align: left; line-height: 150% ">'''Auscultation:'''<br> | |||
❑ [[Pericardial rub]]<br> | |||
-Monophasic<br> -Biphasic<br> -Triphasic <br> | |||
</div>}} | |||
{{familytree | | | | | | | |!| | | | | | | }} | |||
{{familytree | | | | | | | D01 | | | | | | |D01=<div style="float: left; text-align: left; line-height: 150% ">'''Perform ECG:'''<br> | |||
❑ Convexly elevated J-ST segment<br> | |||
❑ Determine stage<br> | |||
</div>}} | |||
{{familytree | | | | | | | |!| | | | | | | | }} | |||
{{familytree | | | | | | | E01 | | | | | | | | |E01= '''Echocardiography'''}} | |||
{{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | }} | |||
{{familytree | | | F01 | | | | | | F02 | | | | |F01='''Evidence of pericardial effusion''' |F02=<div style="float: left; text-align: left; line-height: 150% ">'''Order lab tests:''' <br> ❑ Inflammation markers <br> ❑ Markers of myocardial lesion</div> }} | |||
{{familytree/end}} | |||
==Dos== | ==Dos== | ||
Revision as of 17:12, 17 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]
Definitions
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Management
Shown below is an algorithm showing acute pericarditis management.[1]
Characterize the symptoms: ❑ Prodrome: | |||||||||||||||||||||||||||||||||
Auscultation: ❑ Pericardial rub | |||||||||||||||||||||||||||||||||
Perform ECG: ❑ Convexly elevated J-ST segment | |||||||||||||||||||||||||||||||||
| Echocardiography | |||||||||||||||||||||||||||||||||
| Evidence of pericardial effusion | Order lab tests: ❑ Inflammation markers ❑ Markers of myocardial lesion | ||||||||||||||||||||||||||||||||
Dos
Don'ts
References
- ↑ Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y; et al. (2004). "Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology". Eur Heart J. 25 (7): 587–610. doi:10.1016/j.ehj.2004.02.002. PMID 15120056.