5- Pericardial disease

🌷Acute pericaditis 🌷

_viral is the most common cause of acute pericaditis..

_dressler's syndrome=post MI syndrome..

_ST elevation(cocave) +PR depression=acute pericaditis..

ملحوظة شكل ال ST elevation ف ال STEMI بيكون convex وده الفرق..

_pericardial rub is pathognomonic for acute pancreatitis..

_TTT: rest- (Ibuprofen 600+colchicine 0.5×3m..

🌸Pericardial effusion :🌸

مش الكميةrate العبرة ب

Malignancy common cause in adults..

Dyspnea is the most c/p of Pericardial effusion..

Echo is the gold standard..
_flask heart on x-ray..

Palsus paradoxus‚ ECG electrical alternans and beck's triad are characters of cardiac tamponade...

TTT:treat the cause الأساس..

Cardiac tamponade: pericardiocentesis الاساس

🍃Constructive pericaditis: 🍃

TB is the most common cause..

Kussmaul's sign is inspiraatory filling of neck veins‚cardiac nock is high pitched early diastolic sound after S2‚low voltage ECG and echo septal pounce are characters of constructive pericaditis...

Pericardiotomy is the only difinitive ttt..