pericardial diseases dennis j. esterbrooks m.d.. pericardial functions maintain relation between...
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Pericardial Diseases
Dennis J. Esterbrooks M.D.
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Pericardial Functions Maintain relation between right
and left ventricles Limit acute cardiac dilatation Facilitate atrial filling Anatomically anchor the heart Avoid spread of infection to the
heart
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Disease of the Pericardium Acute pericarditis Pericardial tamponade Chronic constrictive pericarditis
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Acute Pericarditis Definition
Acute Pericardial Inflammation Which Is Manifest As A Clinical Triad of Chest Pain, Pericardial Friction RubAnd ECG Changes
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Common Etiologies of Pericarditis Idiopathic Viral Pyogenic Uremic Neoplastic Cardiac Injury Collagen Vascular Diseases
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Acute Pericarditis Diagnostic Studies CBC Sed Rate FANA Blood Cultures Renal Function TB Skin Test
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Acute Pericarditis Diagnostic Studies Chest X-Ray ECG Echocardiography
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Pericarditis Acute ECG Changes
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Pericarditis Evolutionary ECG Changes
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ECG Acute Injury
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ECG Early Repolarization
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2-D Echo Pericardial Effusion
IF268.mov
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Acute Pericarditis Management Bed Rest and Observation Non-steroidal Anti-inflammatory
Agent Steroids Pericardial Drainage
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Pericardial Tamponade Definition
Elevated CVP Secondary to Compression of the Heart By Pericardial Fluid
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Pericardial Effusion Rate of Accumulation
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Tamponade Physiology
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Pericardial Tamponade Physical Findings Elevated Jugular Venous Pressure Tachycardia Narrow Pulse Pressure Paradoxical Pulse “ Small Quiet Heart “
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Pericardial Tamponade Diagnostic Studies ECG Radiographic Echocardiography Hemodynamics
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Cardiac Tamponade
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2-D Echo Tamponade
IF269.mov
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Transmitral Flow Tamponade
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Tamponade Paradoxical Pulse
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Hemodynamics Tamponade
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Pericardial Tamponade Management Fluid Expansion Inotropic Support Pericardial Drainage
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Tamponade Pericardiocentesis
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Chronic Constrictive Pericarditis Definition
Elevated CVP Secondary to Compression of the HeartBy the Pericardium
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Constrictive Pericarditis Physical Findings Elevated Jugular Venous Pressure Kussmal’s Sign Pericardial Knock Narrow Pulse Pressure Hepatosplenomegaly Ascites Peripheral Edema
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Constrictive Pericarditis Diagnostic Studies ECG Radiographic Echocardiography Hemodynamics
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Constriction Chest X-Ray
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2-D Echo Constriction
IF274.mov
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Transmitral Flow Constriction
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Venous Wave form Constriction
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Cardiac Compression Venous Wave Forms
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Hemodynamics Constriction
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Constrictive Pericarditis Management The Sub acute Phase May Respond
to Non-steroidal Anti-inflammatory Agents
Chronic Constrictive Pericarditis Is Best Managed By Pericardial Stripping
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Comparison of Tamponade and Constriction
------------------------------------------------------------------Feature Tamponade Constriction------------------------------------------------------------------
Effusion Present AbsentCalcification Absent Often PresentDip-plateau Inconspicuous ProminentVenous Waveform X or Xy XY or xYPulses Paradox Present InconspicuousKussmal’s Sign Absent Often PresentPericardial Knock Absent Often Present
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Echocardiography Effusion
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Echocardiography Tamponade
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Echocardiography after Pericardiocentesis
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Echocardiography Constriction
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Echocardiography Tamponade