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* dear forum please help(pericarditis)
 #535402  
  chocolat - 09/22/10 14:41
 
  the friction rub is described as triphasic , would you please explain what triphasic is ? thanks  
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* Re:dear forum please help(pericarditis)
#2207527
  spartans1 - 09/22/10 15:35
 
  ACUTE PERICARDITIS Pericardial friction rub (pATOGNOMONIC)
CARDIAC TAMPONNADE · Neck vein distension
with clear lung
CHRONIC PERICARDITIS Pericardial knock

A pericardial friction rub is pathognomonic for acute pericarditis.

HEAR IT !
http://depts.washington.edu/physdx/heart/tech5.html#pp

Triphasic pericardial friction rub; composed of
(1) an atrial systolic rub that precedes S1,
(2) a ventricular systolic rub between S1 and S2 and coincident with the peak carotid pulse,
(3) an early diastolic rub after S2 (usually the faintest).

The biphasic to-and-fro rub is less common
It can occur with tachycardia and is due to summation of the atrial and early diastolic rub.

Monophasic rubs (the ventricular systolic) are the least common but may occur in patients with atrial fibrillation.
Especially when it is monophasic, the pericardial friction rub can be mistaken for a systolic murmur.
 
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* Re:dear forum please help(pericarditis)
#2207543
  spartans1 - 09/22/10 15:46
 
  ACUTE PERICARDITIS Pericardial friction rub (pATOGNOMONIC)
CARDIAC TAMPONNADE · Neck vein distension
with clear lung
CONSTICTIVE PERICARDITIS Pericardial knock
 
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* Re:dear forum please help(pericarditis)
#2207555
  spartans1 - 09/22/10 15:53
 
  Pericardial Effusion :

· Serosanguineous TB / neoplasm
· CXR – “water – bottle” configuration of cardiac silhouette

· Echocardiography (Best test)
· Treatment : Fluid Aspiration , TX CAUSE
 
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* Re:dear forum please help(pericarditis)
#2207573
  spartans1 - 09/22/10 16:09
 
  Acute pericarditis:
MCC viral infection

SX· Chest pain SHARP & BRIEF Relieved by leaning forward

SiPericardial friction rub ( PATHOGNOMONIC)

EKG changes:
- Diffuse ST elevation that is typically concave up (as opposed to in acute MI - ST elevation in different leads according to involvement of heart and it is convex)

- Elevation of PR segment in lead aVR IS PATHOGNOMONIC but not always present

- Depression of the PR segment in other limb leads

Tx BIT NSAID
if pain persist prednisone
 
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* Re:dear forum please help(pericarditis)
#2207615
  spartans1 - 09/22/10 16:29
 
  BUMP  
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* Re:dear forum please help(pericarditis)
#2208024
  spartans1 - 09/22/10 21:02
 
  Beck's triad: Cardiac Tamponade (1. JVD + 2. muffled heart sound + 3.hypotension)
 
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* Re:dear forum please help(pericarditis)
#2208274
  chocolat - 09/23/10 02:58
 
  thanks a lot spartan.  
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* Re:dear forum please help(pericarditis)
#2208277
  chocolat - 09/23/10 03:05
 
  what are the causes of cardiac tamponade ?  
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* Re:dear forum please help(pericarditis)
#2208350
  spartans1 - 09/23/10 09:00
 
  CONSTRICTIVE PERICARDITIS Kussmaul’s Sign ­ jugular venous distension
with inspiration
 
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* Re:dear forum please help(pericarditis)
#2208352
  spartans1 - 09/23/10 09:01
 
  ­ CONSTRICTIVE PERICARDITIS Kussmaul’s Sign INCREASE­ jugular venous distension
with inspiration
 
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