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Acute Pericarditis

Signs & Symptoms

 Chest pain
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]
Sharp Chest pain
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]
Pleuritic Chest pain
Note: decrease in intensity when the patient sits up and leans forward
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]
Pleuritic pain
Note: decrease in intensity when the patient sits up and leans forward
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]

Physical Examination

 Pericardial friction rub
Note: Radiation of chest pain to the trapezius
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]
Pleuritic Chest pain
Note: decrease in intensity when the patient sits up and leans forward
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]
Pleuritic pain
Note: decrease in intensity when the patient sits up and leans forward
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841] Cecil [ 136]

Lab / Serology

 C-reactive protein mild elevation
Ref: Cecil [ 136]
Leukocytosis #infectious_etiology
Note: due to Infectious etiology
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Cecil [ 136]
Sedimentation rate mild elevation
Ref: Cecil [ 136]

Imagin Study

 Pericardial effusion
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1842]
Diffuse T-wave inversions
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841]
Widespread ST elevation with reciprocal ST depression in leads aVR and V1
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis] Harrison [ 1841]

Complication

 Cardiac tamponade
Ref: Uptodate [ Acute pericarditis: Clinical presentation, diagnostic evaluation, and diagnosis]

Risk Factors

Cause

Other