HIV induced pericarditis differential diagnosis: Difference between revisions

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[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].


==Differentiating [Disease name] from other Diseases==
==DifferentiatingHIV induced pericarditis from other Diseases==
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
==Differential diagnosis of pericarditis==
Chest pain or pressure are common symptoms.  A small effusion may be asymptomatic.  Larger effusions may cause [[cardiac tamponade]], a life-threatening complication and the signs of impending tamponade include [[dyspnea]], low [[blood pressure]], and distant [[heart sounds]].  There are several other cardiac insults with similar symptoms that should be considered in differential diagnosis of pericardial effusion.


OR
===Differential Diagnosis by Organ System===
 
{|style="width:80%; height:100px" border="1"
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
 
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Catheter ablation|Cathether ablation for arrhythmias]], [[CABG|coronary artery bypass grafting]], [[dissecting aortic aneurysm]], [[Dresslers syndrome]], [[endocarditis]], [[myocarditis]], [[pacemaker|pacemaker insertion]], [[percutaneous coronary intervention]], [[postpericardiotomy syndrome]], [[TAVI]], [[thoracic surgery]], [[valvuloplasty]]
OR
|-
 
|-bgcolor="LightSteelBlue"
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
| '''Chemical / poisoning'''
 
|bgcolor="Beige"| [[Silicosis]]
===Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]===
|-
 
|-bgcolor="LightSteelBlue"
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| '''Dermatologic'''
{|
|bgcolor="Beige"|[[Behcet syndrome]]<ref name="pmid420242">{{cite journal| author=Scarlett JA, Kistner ML, Yang LC| title=Behçet's syndrome. Report of a case associated with pericardial effusion and cryoglobulinemia treated with indomethacin. | journal=Am J Med | year= 1979 | volume= 66 | issue= 1 | pages= 146-8 | pmid=420242 | doi= | pmc= | url= }} </ref>
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;|Diseases
| colspan="6" rowspan="1"  style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Clinical manifestations'''
! colspan="7" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Para-clinical findings
| colspan="1" rowspan="4"  style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Gold standard'''
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;|Additional findings
|-
|-
| colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Symptoms'''
|-bgcolor="LightSteelBlue"
! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical examination
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Dantrolene]], [[doxorubicin]], [[hydralazine]], [[isoniazid]], [[penicillin]], [[phenylbutazone]], [[procainamide]]
|-
|-
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab Findings
|-bgcolor="LightSteelBlue"
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging
| '''Ear Nose Throat'''
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Histopathology
|bgcolor="Beige"|[[Temporal arteritis]]<ref name="pmid7210667">{{cite journal| author=Garewal HS, Uhlmann RF, Bennett RM| title=Pericardial effusion in association with giant cell arteritis. | journal=West J Med | year= 1981 | volume= 134 | issue= 1 | pages= 71-2 | pmid=7210667 | doi= | pmc=PMC1272467 | url= }} </ref>
|-  
|-  
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 1
|-bgcolor="LightSteelBlue"
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 2
| '''Endocrine'''
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 3
|bgcolor="Beige"| [[Addisonian crisis]], [[hypothyroidism|Severe hypothyroidism (myxedema)]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 1
|-  
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 2
|-bgcolor="LightSteelBlue"
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 3
| '''Environmental'''
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 1
|bgcolor="Beige"| No underlying causes
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 2
|-
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 3
|-bgcolor="LightSteelBlue"
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 1
| '''Gastroenterologic'''
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 2
|bgcolor="Beige"|[[Inflammatory bowel disease]], [[Whipple's]]
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 3
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| [[Gaucher disease]], [[Jacobsen syndrome|Jacobs arthropathy-camptodactyly syndrome]], [[Mulibrey nanism|Mulibrey nanism syndrome]], [[recurrent hereditary polyserositis]]
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| [[Leukemia]], [[lymphoma]]
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| [[Cardiopulmonary resuscitation]], [[postpericardiotomy syndrome]], [[radiation therapy]], [[serum sickness]], [[thoracic duct|thoracic duct obstruction secondary to tumor, surgery]]
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"|[[Actinomycosis]], [[adenovirus]], [[hydatid cyst|alveolar hydatid disease]], [[amebiasis]], [[aspergillus]], [[blastomycosis]], [[borrelia]], [[brucellosis]], [[candida]], [[coccidiomycosis]], [[coxsackie B virus]], [[cytomegalovirus]], [[Ebstein-Barr virus]], [[echinococcus]], [[echovirus]], [[entamoeba histolytica]], [[escherichia coli]], [[francisella]], [[haemophilus influenza]], [[hepatitis B]], [[histoplasmosis]], [[influenza]], [[klebsiella]], [[legionella]], [[Lyme disease]], [[meningococci]], [[mumps]], [[mycoplasma|mycoplasma pnuemonia]], [[neisseria]], [[nocardia]], [[pneumococcus]], [[proteus]], [[pseudomonas]], [[rickettsia]], [[salmonella]], [[staphylococcus]], [[streptococcus]], [[toxoplasmosis]], [[tuberculous]], [[tularemia]], [[varicella]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"|[[Breast cancer]], [[carcinoid]], [[fibroma]], [[kaposis sarcoma]], [[leukemia]], [[lipoma]], [[lung cancer]], [[lymphomas]], [[melanoma]], [[mesothelioma]], [[ovarian cancer]], [[sarcoma]], [[Sipple syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"|[[Sarcoidosis]]
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 1
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Renal / Electrolyte'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"| [[Uremia]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 2
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Rheum / Immune / Allergy'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"|[[rheumatic fever|Acute rheumatic fever]], [[amyloidosis]], [[ankylosing spondylitis]], [[Behcet syndrome]], [[Kawasaki disease]], [[mixed connective tissue disease]], [[polyarteritis nodosa]], [[polymyositis]], [[Reiter's Syndrome]], [[rheumatoid arthritis]], [[sarcoidosis]], [[scleroderma]], [[Still's disease]], [[systemic lupus erythematosus]], [[systemic sclerosis]], [[temporal arteritis]], [[Wegener's]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 3
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Sexual'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"| [[Neisseria gonorrhoeae]]<ref name="pmid2317408">{{cite journal| author=Wilson J, Zaman AG, Simmons AV| title=Gonococcal arthritis complicated by acute pericarditis and pericardial effusion. | journal=Br Heart J | year= 1990 | volume= 63 | issue= 2 | pages= 134-5 | pmid=2317408 | doi= | pmc=PMC1024342 | url= }} </ref>, [[treponema pallidum]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!Diseases
!Symptom 1
! colspan="1" rowspan="1" |Symptom 2
!Symptom 3
!Physical exam 1
! colspan="1" rowspan="1" |Physical exam 2
!Physical exam 3
!Lab 1
!Lab 2
!Lab 3
!Imaging 1
!Imaging 2
!Imaging 3
!Histopathology
|'''Gold standard'''
!Additional findings
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 4
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Trauma'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"| [[chest trauma|Blunt or penetrating chest trauma]], [[esophageal rupture]], [[esophageal rupture|esophogeal perforation]], [[perforation|gastric perforation]], [[fistula|pancreatic-pericardial fistula]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 5
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Urologic'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"| [[Renal Failure]], [[uremia]]
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #F5F5F5; padding: 5px;" |
|-bgcolor="LightSteelBlue"
| style="background: #F5F5F5; padding: 5px;" |
| '''Miscellaneous'''
| style="background: #F5F5F5; padding: 5px;" |
|bgcolor="Beige"| [[Idiopathic]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 6
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|}
|}
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 13:27, 3 December 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].

OR

[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

DifferentiatingHIV induced pericarditis from other Diseases

Differential diagnosis of pericarditis

Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac tamponade, a life-threatening complication and the signs of impending tamponade include dyspnea, low blood pressure, and distant heart sounds. There are several other cardiac insults with similar symptoms that should be considered in differential diagnosis of pericardial effusion.

Differential Diagnosis by Organ System

Cardiovascular Cathether ablation for arrhythmias, coronary artery bypass grafting, dissecting aortic aneurysm, Dresslers syndrome, endocarditis, myocarditis, pacemaker insertion, percutaneous coronary intervention, postpericardiotomy syndrome, TAVI, thoracic surgery, valvuloplasty
Chemical / poisoning Silicosis
Dermatologic Behcet syndrome[1]
Drug Side Effect Dantrolene, doxorubicin, hydralazine, isoniazid, penicillin, phenylbutazone, procainamide
Ear Nose Throat Temporal arteritis[2]
Endocrine Addisonian crisis, Severe hypothyroidism (myxedema)
Environmental No underlying causes
Gastroenterologic Inflammatory bowel disease, Whipple's
Genetic Gaucher disease, Jacobs arthropathy-camptodactyly syndrome, Mulibrey nanism syndrome, recurrent hereditary polyserositis
Hematologic Leukemia, lymphoma
Iatrogenic Cardiopulmonary resuscitation, postpericardiotomy syndrome, radiation therapy, serum sickness, thoracic duct obstruction secondary to tumor, surgery
Infectious Disease Actinomycosis, adenovirus, alveolar hydatid disease, amebiasis, aspergillus, blastomycosis, borrelia, brucellosis, candida, coccidiomycosis, coxsackie B virus, cytomegalovirus, Ebstein-Barr virus, echinococcus, echovirus, entamoeba histolytica, escherichia coli, francisella, haemophilus influenza, hepatitis B, histoplasmosis, influenza, klebsiella, legionella, Lyme disease, meningococci, mumps, mycoplasma pnuemonia, neisseria, nocardia, pneumococcus, proteus, pseudomonas, rickettsia, salmonella, staphylococcus, streptococcus, toxoplasmosis, tuberculous, tularemia, varicella
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Breast cancer, carcinoid, fibroma, kaposis sarcoma, leukemia, lipoma, lung cancer, lymphomas, melanoma, mesothelioma, ovarian cancer, sarcoma, Sipple syndrome
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Sarcoidosis
Renal / Electrolyte Uremia
Rheum / Immune / Allergy Acute rheumatic fever, amyloidosis, ankylosing spondylitis, Behcet syndrome, Kawasaki disease, mixed connective tissue disease, polyarteritis nodosa, polymyositis, Reiter's Syndrome, rheumatoid arthritis, sarcoidosis, scleroderma, Still's disease, systemic lupus erythematosus, systemic sclerosis, temporal arteritis, Wegener's
Sexual Neisseria gonorrhoeae[3], treponema pallidum
Trauma Blunt or penetrating chest trauma, esophageal rupture, esophogeal perforation, gastric perforation, pancreatic-pericardial fistula
Urologic Renal Failure, uremia
Miscellaneous Idiopathic

References

  1. ↑ Scarlett JA, Kistner ML, Yang LC (1979). "Behçet's syndrome. Report of a case associated with pericardial effusion and cryoglobulinemia treated with indomethacin". Am J Med. 66 (1): 146–8. PMID 420242.
  2. ↑ Garewal HS, Uhlmann RF, Bennett RM (1981). "Pericardial effusion in association with giant cell arteritis". West J Med. 134 (1): 71–2. PMC 1272467. PMID 7210667.
  3. ↑ Wilson J, Zaman AG, Simmons AV (1990). "Gonococcal arthritis complicated by acute pericarditis and pericardial effusion". Br Heart J. 63 (2): 134–5. PMC 1024342. PMID 2317408.

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