Cardiac tamponade resident survival guide: Difference between revisions

Jump to navigation Jump to search
Line 31: Line 31:
{{familytree | | | | | | | E01 | | | | | | | | |E01= '''Echocardiography'''}}
{{familytree | | | | | | | E01 | | | | | | | | |E01= '''Echocardiography'''}}
{{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | }}
{{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>♦[[ESR]] <br> ♦[[CRP]] <br> ♦[[LDH]] <br> ❑ Markers of myocardial lesion: ♦[[Troponin I]] <br> ♦[[CK MB]]</div> }}
{{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>♦[[ESR]] <br> ♦[[CRP]] <br> ♦[[LDH]] <br> ❑ Markers of myocardial lesion:<br> ♦[[Troponin I]] <br> ♦[[CK MB]]</div> }}
{{familytree | | | |!| | | | | | | | | | | | }}
{{familytree | | | |!| | | | | | | | | | | | }}
{{familytree/end}}
{{familytree/end}}

Revision as of 18:41, 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:
♦Fever
♦Malaise
♦Myalgia
❑ Retrosternal or left precordial chest pain
♦Radiates to trapezius ridge
♦Can be pleuritic
♦Can simulate isquemia
♦Varies with posture

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Auscultation:

Pericardial rub
♦Monophasic
♦Biphasic
♦Triphasic

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Perform ECG:

❑ Convexly elevated J-ST segment
❑ Determine stage

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Echocardiography
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Evidence of pericardial effusion
 
 
 
 
 
Order lab tests:
❑ Inflammation markers:
ESR
CRP
LDH
❑ Markers of myocardial lesion:
Troponin I
CK MB
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Dos

Don'ts

References

  1. 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.

Template:WH Template:WS