pericarditis…

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pericardium, pericarditis, pericarditis, inflammation, the pericardium, sac-like covering, the heart, pericarditis, complication of viral infections, most commonly echovirus, cocksackie viruses, less frequently, influenza, hiv infection, infections, bacteria, lead to bacterial pericarditis, purulent pericarditis, fungal infections, produce pericarditis, pericarditis, associated, systemic diseases autoimmune disorders, rheumatic fever, tuberculosis, cancer, leukemia, kidney failure, hiv infections, aids, hypothyroidism, heart disorders, cause pericarditis include heart attack, post-mi pericarditis, myocarditis, radiation therapy, chest, medications that suppress the immune system, induce this condition, pericarditis, result from injury, surgery, trauma, chest, esophagus, heart, quite often, cause of pericarditis, case it, idiopathic pericarditis, pericarditis most often affects men aged 20-50, following respiratory infections, occur in children, where it, commonly, adenovirus, coxsackie virus, chest pain, inflamed pericardium rubbing against the heart, relieved by sitting up, leaning forward, pleuritis type, a sharp, stabbing pain, radiate, neck, shoulder, abdomen, increases, deep breathing, lying flat, increase, coughing, swallowing, breathing difficulty, lying down, patient prefers standing, sitting upright, splinting of ribs, bending over, holding the chest, breathing, dry cough, ankle, feet, leg swelling, anxiety, fatigue, fever, sweating, listening, heart, a stethoscope, hear a typical sound, a pericardial rub, heart sounds muffled, distant, other signs of fluid, in the pericardium, pericardial effusion, disorder is severe, crackles, in the lungs, decreased breath sounds, signs of fluid, in the space around the lungs, pleural effusion, fluid has accumulated, in the pericardial sac, chest x-ray, echocardiogram, chest mri scan, heart mri, heart ct scan, radionuclide scanning, tests show enlargement, the heart from fluid collection, in the pericardium, signs of inflammation, scarring, contracture, the pericardium, constrictive pericarditis, findings vary depending on the cause of pericarditis, an ecg is abnormal in 90% of patients, acute pericarditis, ecg changes generally evolve in stages, disease process, mimic the ecg changes of a heart attack, to rule out heart attack, serial cardiac marker levels, ck -mb, troponin i, ordered, laboratory tests, blood culture, cbc, increased wbc count, c-reactive protein, erythrocyte sedimentation rate, esr, pericardiocentesis, chemical analysis, pericardial fluid culture, pericarditis must be identified, in most types of pericarditis, necessary to treat the pain, analgesics, pain killers, inflammation, the pericardium is treated, anti-inflammatory drugs(nsaids, aspirin, ibuprofen, corticosteroids, diuretics, remove excess fluid accumulated, in the pericardial sac, buildup of pericardial fluid makes the heart function poorly, produces cardiac tamponade, necessary to drain the fluid, pericardiocentesis, removal of excess fluid, pericardial sac, pericardiocentesis either percutaneous, using a needle to reach the pericardium, guided, echocardiography, procedure room, surgical, in the operating room, a minor surgery, bacterial pericarditis, antibiotics, fungal pericarditis, antifungal agents, pericarditis is chronic, recurrent, results in constrictive pericarditis, advisable to perform pericardiectomy, cutting, removal of part, the pericardium, pericarditis, range from mild cases that resolve on own, to life-threatening cases complicated by significant fluid buildup around the heart, poor heart function, outcome is good disorder is treated promptly, most people recover in 2 weeks to 3 months, arrhythmias, atrial fibrillation, pericarditis accompanies myocarditis, arrhythmias present, supraventricular tachycardia, svt, complete heart block, cardiac tamponade, constrictive pericarditis, where inflammation, the pericardial sac results in fibrosis, thickening, the pericardium, adhesions, sticky scars, between the pericardium, heart, pericardium creates a rigid "case" around the heart, severly limit the ability, the heart to fill, blood, diastole, relaxation phase, the next heartbeat, patients, constrictive pericarditis, develop heart failure which responds poorly to treatment, constrictive pericarditis needs to be differentiated, a chronic heart condition, restrictive cardiomyopathy, produces symptoms, signs similar to constrictive pericarditis, symptoms indicate pericarditis present, life threatening, untreated, many cases, not be preventable, treat respiratory infections, disorders promptly.