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DDx of Pericardial Effusion
- Infectious: viral, Bacterial, TB
- Traumatic: Post-cardiac surgery, AAA, penetrating
- Malignancy: Primary and Metastatic
- MI and Post-MI
- Uremic
- Myxedema
- Post-Irradition
- Auto-immune
- Idiopathic
Posted 10/27/16 09:47:02 AM by Ying Liu
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Pericardial Fluid Studies:
Posted 10/27/16 09:50:17 AM by Ying Liu
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Five Features that occur in the majority of patients with Tamponade
- Dyspnea
- Tachycardia
- Elevated JVP
- Cardiomegaly on CXR
- Pulsus Paradoxus
Posted 10/27/16 09:52:09 AM by Ying Liu
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- Looked at 240 patients with pericarditis randomized to either colchicine (0.5mg twice daily for 3 months) or placebo
- Improves event free survival as compared to placebo
- Relative risk reduction in the colchicine group, 0.56; 95% confidence interval, 0.30 to 0.72
- Number needed to treat, 4; P<0.001
- 77% of patients had idiopathic pericarditis and 2% had tamponade
Posted 10/27/16 09:57:04 AM by Ying Liu
Created by Christopher Kelly
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