Condition Info - BotMed Application

ConditionName

Pericarditis

ConditionDescription

Symptoms

LUQ pain; sharp, stabbing pain referred to left shoulder or trapezius ridge; Pleuritic pain; 
usually worse during coughing or deep breathing; 
worse lying down; 
can be relieved by sitting;

PhysicalFindings

Fever before onset of pain; 
Increased pain when you take a deep breath, or change positions especially when you lean forward (DDx with angina/MI);
Tachycardia; 
Pericardial friction rub  (20-30% of cases);
Constrictive pericarditis: Kussmaul sign;

ClinicalTests

WBC; ESR; ECG; chest xRay; Echocardiogram;
ECG – best initial test. Diffused ST sig elevation EVERYWHERE, without Q wave 
PR depression - most specific;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Infection (viral (coxsackie B, adenovirus, echovirus, TB, HIV) – most common in general);
Inflammatory disorder (RA);
Post-MI;
Connective tissue disorder (lupus – most common);
Any trauma or cancer;

TreatmentOptions

Treat the cause!

PharmOptions

For virus:
NSAID (ibuprofen, naproxen);
Colchicine – decrease recurrence;

WebLink

https://www.merckmanuals.com/professional/cardiovascular-disorders/myocarditis-and-pericarditis/pericarditis | https://www.aafp.org/afp/2014/0401/p553.html