Inflammation, infection, or infiltration of the pericardial sac surrounding the heart:
Pericardial effusion may or may not be present.
Rapid in onset
Pain radiating to the ridge of the trapezius from phrenic irritation
Central or substernal pain
ABCs, IV access, O2, monitor
Consider fluid bolus if no crackles.
For hemodynamic compromise secondary to cardiac tampo...
Suspicion of myocardial infarction
Classic history: Viral illness preceding development of sharp, positional chest pain
Rub is very specific but not always audible.
The challenge is distinguishing pericarditis from ac...
Imazio M, Adler Y. Treatment with aspirin, NSAID, corticosteroids, and colchicine in acute and recurrent pericarditis. Heart Fail Rev. 2013;18(3):355–360.
Maisch B, Seferovi...
420.90 Acute pericarditis, unspecified
420.91 Acute idiopathic pericarditis
423.2 Constrictive pericarditis
420.0 Acute pericarditis in diseases classified elsewhere
017.90 Tuberculosis of other...
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