Pericarditis
Definition
Pericarditis is inflammation of the visceral and parietal pericardium with or without the onset of fluid in the pericardial space that is a transudate or exudate or serosanguinous or purulent and is caused by a variety of causes.
Signs and Symptoms
Pain, dry cough, fever, fatigue, anxiety, pulsus paradoxus, jugular vein distention, CRT down, impaired mental status, increased creatinine, increased cardiac markers, cardiac markers rise, ST segment elevation, PR segment depression except aVR.
Manifestations of constrictive pericarditis varies depending on the weight, distribution, and speed the scar. The signs of constrictive pericarditis in the order, namely dyspnea, peripheral edema, abdominal enlargement, abdominal disorders, fatigue, orthopnea, palpitations, cough, nausea, and paroxysmal nocturnal dyspnea.
Most patients (60%) complained of chest pain. In accordance with the amount of fluid that collects in the pericardial space, it can cause hemodynamic disturbances will arise and shortness of breath and symptoms of venous dam. When accompanied by myocarditis (pancarditis) as often found in rheumatic pericarditis, there is also a picture of congestive heart failure. Criteria for acute pericarditis pain and sharp decreases with changes in position.
Examination found a child who is severely ill, dyspnea, tachycardia, and there palsus paradoxus is weakening pulse tau loss on a real inspiration look at blood pressure measurement.
When the existing dam vein, it would seem jugular venous pressure elevation and enlargement of the liver are difficult to distinguish from congestive heart failure. In ictus cordis is invisible and on palpation is also difficult to determine ictus cordis and cardiac activity decreases.