Pericarditis history and symptoms: Difference between revisions

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* Productive [[cough]], which usually occurs in the presence of other illness(es)
* Productive [[cough]], which usually occurs in the presence of other illness(es)
* [[Hiccup]] (rarely)
* [[Hiccup]] (rarely)
* [[Odynophagia]] with or without [[Dysphagia]]
* [[Odynophagia]] with or without [[dysphagia]]
* [[Faintness]] and [[Dizziness]] (uncommon unless [[cardiac tamponade]] is present]]
* [[Faintness]] and [[dizziness]] (uncommon unless [[cardiac tamponade]] is present
* [[Chest wall]] [[palpitations]]: causing local tenderness and may be indicative of [[costochondritis]], [[Tietze syndrome]], or [[rib fractures]] (in cases of traumatic pericarditis)


The rapidity of onset of symptoms may provide insight into the underlying etiology of pericarditis.  For example, pericarditis associated with both [[uremia]] and [[tuberculosis]] develop more slowly and can be undetectable until presenting as a [[fever of unknown origin]].  On the other hand, both bacterial and viral pericarditis develop rapidly and can present as rapidly increasing pain over several hours.
The rapidity of onset of symptoms may provide insight into the underlying etiology of pericarditis.  For example, pericarditis associated with both [[uremia]] and [[tuberculosis]] develop more slowly and can be undetectable until presenting as a [[fever of unknown origin]].  On the other hand, both bacterial and viral pericarditis develop rapidly and can present as rapidly increasing pain over several hours.
==Source==
* [http://www.ngc.gov/summary/summary.aspx?doc_id=4960&nbr=003524&string=Cardiac+AND+Tamponade National Guideline Clearinghouse]


==References==
==References==

Revision as of 21:56, 24 June 2011

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

  • Chest pain is the most common symptom. It often radiates to the back and is relieved by sitting up forward and is worsened by lying down. Causes of pain include inflammation of the pericardium, phrenic nerves, and nearby pleura. The pain is often initially sharp in nature, but it can be described as "sticking", dull, aching, or pressure-like. Inspiration and cough can increase the pain so that patients usually sit upright for relief. Other symptoms of pericarditis may include dry cough, fever, fatigue and anxiety. Pericarditis can be misdiagnosed as myocardial infarction, and vice versa.
  • Nonproductive cough that elicites pleuritic pain
  • Productive cough, which usually occurs in the presence of other illness(es)
  • Hiccup (rarely)
  • Odynophagia with or without dysphagia
  • Faintness and dizziness (uncommon unless cardiac tamponade is present

The rapidity of onset of symptoms may provide insight into the underlying etiology of pericarditis. For example, pericarditis associated with both uremia and tuberculosis develop more slowly and can be undetectable until presenting as a fever of unknown origin. On the other hand, both bacterial and viral pericarditis develop rapidly and can present as rapidly increasing pain over several hours.

References

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