Diseases of the pericardium
Diseases of the pericardium | ||
Mesothelial cyst of the pericardium. Note the rounded mass in the right costophrenic angle (arrow). Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology | ||
ICD-10 | I01.0, I09.2, I30-I32 | |
ICD-9 | 420.90 | |
DiseasesDB | 9820 | |
MedlinePlus | 000182 | |
eMedicine | med/1781 emerg/412 | |
MeSH | C14.280.720 |
Overview
Pathophysiology & Etiology
Overview | Pericarditis causes
Differential Diagnosis for Diseases of the Pericardium
Pericarditis differential diagnosis | Acute Pericarditis | Chronic Pericarditis
Clinical presentation
Chest pain, radiating to the back and relieved by sitting up forward and worsened by lying down, is the classical presentation. Other symptoms of pericarditis may include dry cough, fever, fatigue and anxiety. Pericarditis can be misdiagnosed as myocardial infarction, and vice versa.
The classic sign of pericarditis is a friction rub. Other signs include ST-elevation and PR-depression on EKG (all leads); cardiac tamponade (pulsus paradoxus with hypotension), and congestive heart failure (elevated jugular venous pressure with peripheral edema).
Diagnosis
History and Symptoms | Physical Examination | Laboratory Findings
Treatment
Pharmacotherapies
Surgical and Device Based Therapies
Pericardiocentesis
A thoracoscopic approach to creating a pericardial window
A surgical subxiphoid incision to create a pericardial window
Treatment Related Videos
Complications
Case Examples
Case #1
See Also
- Hemopericardium
- Pneumopericardium
- Chylopericardium
- Pericardial effusion
- Congenital absence of the pericardium
- Pericardial window
- Pericardial sac
- Pericardial friction rub
- Pericardiectomy
- Pericardiocentesis
- Pericardium
Suggested Links and Web Resources
- Pericarditis - Mayo Clinic series
- Pericarditis - cardiologychannel.com
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