Pericarditis differential diagnosis: Difference between revisions
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# [[Pulmonary embolism]] can present similarly to pericarditis, but can be differentiated from pericarditis in the presence of one of the following findings: a nonspecifically altered ECG, a plerual rub, and non-precordial (someitmes precordial pain is present regardless). | # [[Pulmonary embolism]] can present similarly to pericarditis, but can be differentiated from pericarditis in the presence of one of the following findings: a nonspecifically altered ECG, a plerual rub, and non-precordial (someitmes precordial pain is present regardless). | ||
==Differential Diagnosis of Causes of Acute Pericarditis== | |||
*[[Actinomycosis]] | |||
*[[Acute idiopathic pericarditis]] | |||
*[[Acute rheumatic fever]] | |||
*[[Adenovirus]] | |||
*[[Addison's crisis]] | |||
*[[Amyloidosis]] | |||
*[[Amebiasis]] | |||
*[[Ankylosing Spondylitis]] | |||
*[[Aortic dissection]] | |||
*[[Behcet's Disease]] | |||
*[[Borrelia]] | |||
*[[Breast cancer]] | |||
*[[Chylopericardium]] | |||
*[[Coxsackie A]] | |||
*[[Coxsackie B]] | |||
*[[Cytomegalovirus]] | |||
*[[Dermatomyositis]] | |||
*[[Dermatosclerosis]] | |||
*[[Dressler's Syndrome]] | |||
*[[EBV]] | |||
*[[ECHO virus]] | |||
*[[Echinococcosis]] | |||
*[[Familial Mediterranian Fever]] | |||
*[[Francisella]] | |||
*[[HIV]] | |||
*[[Infectious mononucleosis]] | |||
*[[Inflammatory Bowel Disease]] | |||
*[[Influenza virus]] | |||
*[[Legionella]] | |||
*[[Leukemia]] | |||
*[[Lung cancer]] | |||
*[[Lymphoma]] | |||
*[[Meningococci]] | |||
*[[Mixed Connective Tissue Disease]] | |||
*[[Mumps virus]] | |||
*[[Mycoplasma infection]] | |||
*[[Neisseria gonorrhoeae]] | |||
*[[Perforated esophagus]] | |||
*[[Pneumococci]] | |||
*[[Polyarteritis Nodosa]] | |||
*[[Polymyositis]] | |||
*[[Postpericardiotomy syndrome]] | |||
*[[Reiter's Syndrome]] | |||
*[[Radiation therapy]] | |||
*[[Renal Failure]] | |||
*[[Rheumatoid Arthritis]] | |||
*[[Rickettsia]] | |||
*[[Sarcoidosis]] | |||
*[[Scleroderma]] | |||
*[[Serum sickness]] | |||
*[[Staphylococci]] | |||
*[[Streptococci]] | |||
*[[Systemic Lupus Erythematosus]] | |||
*[[Thorax trauma]] | |||
*[[Treponema pallidum]] | |||
*[[Toxoplasmosis]] | |||
*[[Tuberculosis]] | |||
*[[Uremia]] | |||
*[[Varicella virus]] | |||
*[[Wegener's granulomatosis]] | |||
*[[Whipple's Disease]] | |||
==References== | ==References== | ||
Revision as of 23:13, 24 June 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Pericarditis differential diagnosis
Many other conditions produce signs and symptoms similar to those produced by pericarditis. Keep in mind that pericarditis might also be one of the following: "part of a generalized disease", "apparently isolated", or "part of a disease that affects a nearby organ", and "sometimes is the presenting syndrome of multiple diseases."
Key Signs & Symptoms to Differentiate Pericarditis:
- Pain on the trapezius ridge(s), is a pathognomonic of pericarditis. Often pain can radiate mimicking pain that is commonly felt during angina.
- Central pleuritic chest pain (can also be indicative of pleurisy; however, may be both)
- Pain that lasts longer, is sharper and unresponsive to vasodilator therapy (similar "to that of cardiac ischemia")
- Most acute pericarditis ECGs are similar to ECGs of ischemic heart disease rather than infarction
- Pulmonary embolism can present similarly to pericarditis, but can be differentiated from pericarditis in the presence of one of the following findings: a nonspecifically altered ECG, a plerual rub, and non-precordial (someitmes precordial pain is present regardless).
Differential Diagnosis of Causes of Acute Pericarditis
- Actinomycosis
- Acute idiopathic pericarditis
- Acute rheumatic fever
- Adenovirus
- Addison's crisis
- Amyloidosis
- Amebiasis
- Ankylosing Spondylitis
- Aortic dissection
- Behcet's Disease
- Borrelia
- Breast cancer
- Chylopericardium
- Coxsackie A
- Coxsackie B
- Cytomegalovirus
- Dermatomyositis
- Dermatosclerosis
- Dressler's Syndrome
- EBV
- ECHO virus
- Echinococcosis
- Familial Mediterranian Fever
- Francisella
- HIV
- Infectious mononucleosis
- Inflammatory Bowel Disease
- Influenza virus
- Legionella
- Leukemia
- Lung cancer
- Lymphoma
- Meningococci
- Mixed Connective Tissue Disease
- Mumps virus
- Mycoplasma infection
- Neisseria gonorrhoeae
- Perforated esophagus
- Pneumococci
- Polyarteritis Nodosa
- Polymyositis
- Postpericardiotomy syndrome
- Reiter's Syndrome
- Radiation therapy
- Renal Failure
- Rheumatoid Arthritis
- Rickettsia
- Sarcoidosis
- Scleroderma
- Serum sickness
- Staphylococci
- Streptococci
- Systemic Lupus Erythematosus
- Thorax trauma
- Treponema pallidum
- Toxoplasmosis
- Tuberculosis
- Uremia
- Varicella virus
- Wegener's granulomatosis
- Whipple's Disease