Cardiac tamponade resident survival guide: Difference between revisions
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{{familytree | | | | | | | A01 | |A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:'''<br> | {{familytree | | | | | | | A01 | |A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:'''<br> | ||
❑ Prodrome:<br> | ❑ Prodrome:<br> | ||
♦Fever <br> ♦Malaise <br> ♦Myalgia<br> | |||
❑ Retrosternal or left precordial chest pain<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> }} | </div> }} | ||
{{familytree | | | | | | | |!| | | | | | | }} | {{familytree | | | | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | C01 | | | | | | |C01=<div style="float: left; text-align: left; line-height: 150% ">'''Auscultation:'''<br> | {{familytree | | | | | | | C01 | | | | | | |C01=<div style="float: left; text-align: left; line-height: 150% ">'''Auscultation:'''<br> | ||
❑ [[Pericardial rub]]<br> | ❑ [[Pericardial rub]]<br> | ||
♦Monophasic<br> ♦Biphasic<br> ♦Triphasic <br> | |||
</div>}} | </div>}} | ||
{{familytree | | | | | | | |!| | | | | | | }} | {{familytree | | | | | | | |!| | | | | | | }} | ||
Revision as of 18:32, 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.