Sandbox CJP

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Complete Diagnostic Approach to Acute Pericarditis

Click on boxes to expand/collapse detailed information.               Characterize the symptoms                                                                               Obtain a detailed history                                                                               Examine the patient                                                                               Order tests (Urgent) ❑ Laboratory tests ❑ ECG ❑ Chest X-ray ❑ Echocardiography                                                                           Does the patient have at least two of the following criteria for the diagnosis of acute pericarditis? ❑ Characteristic chest pain ❑ Pericardial friction rub ❑ Suggestive ECG changes ❑ Suggestive echocardiography changes                                                                                             Yes                   No                                                             Does the patient have any sign of myocarditis?                   Does the patient have any signs suspicious of acute pericarditis?                                                                                                   No         Yes     No         Yes                                                           Acute pericarditis       Myopericarditis       Consider alternative diagnosis and treat accordingly       Consider cardiac MRI (CMR)                                                                                           Treat as acute pericarditis or myopericarditis if there is delayed enhancement on CMR