Cardiology BPT 2
Pericarditis aetiology - ANS-Infectious - viral, Tb, fungal infection
Autoimmune
Cancer
Metabolic conditions
Drug-related causes
Iatrogenic causes
Other
Drug-related causes of pericarditis - ANS-Hydralazine
Procainimide
Minoxidil
ATRA
Pericarditis need for admission - ANS-Temp >38
Subacute onset
Large pericardial effusion >20 mm
Tamponade
oral anticoagulation
Lack of response after 1 week of treatment
Adenosine deaminase >50 U/L - ANS-100% sensitive for Tb
Constrictive pericarditis Tx - ANS-3 months of inflammatory agents
Colchicine
Pericardial stripping if refractory
Infective endocarditis major criteria - ANS-Typical microogranisms in 2 positive blood
samples 12 hours apart, 3 or four cultures, culture positive of coxiella burnetti
Echocardiogram
- New valvular regurgitation
IE minor criteria - ANS-Predisposition
Fever
Vascular phenomena
Immunologic phenomena - GN, osler nodes, Roth spots, RF
Microbiologic evidence
Pericarditis aetiology - ANS-Infectious - viral, Tb, fungal infection
Autoimmune
Cancer
Metabolic conditions
Drug-related causes
Iatrogenic causes
Other
Drug-related causes of pericarditis - ANS-Hydralazine
Procainimide
Minoxidil
ATRA
Pericarditis need for admission - ANS-Temp >38
Subacute onset
Large pericardial effusion >20 mm
Tamponade
oral anticoagulation
Lack of response after 1 week of treatment
Adenosine deaminase >50 U/L - ANS-100% sensitive for Tb
Constrictive pericarditis Tx - ANS-3 months of inflammatory agents
Colchicine
Pericardial stripping if refractory
Infective endocarditis major criteria - ANS-Typical microogranisms in 2 positive blood
samples 12 hours apart, 3 or four cultures, culture positive of coxiella burnetti
Echocardiogram
- New valvular regurgitation
IE minor criteria - ANS-Predisposition
Fever
Vascular phenomena
Immunologic phenomena - GN, osler nodes, Roth spots, RF
Microbiologic evidence
